Evidence map›Paper›PMID 36988368›Full record

Observational studyPain physician2023

Higher Pain Catastrophizing and Preoperative Pain is Associated with Increased Risk for Prolonged Postoperative Opioid Use.

Kevin R Riggs, Andrea L Cherrington, Stefan G Kertesz, Joshua S Richman, Aerin J DeRussy, Allyson L Varley, William C Becker, Melanie S Morris, Jasvinder A Singh, Alayne D Markland and 1 more

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC
In one paragraph

Observational study in Pain physician, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Article
  5. Pain Catastrophizing: How Far Have We Come.Neurology international · 2024
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Kevin R RiggsBirmingham VA Medical Center, Birmingham, AL; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; Geriatric Research, Education, and Clinical Center, Birmingham VA Medical Center, Birmingham, AL.
Andrea L CherringtonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Stefan G KerteszBirmingham VA Medical Center, Birmingham, AL; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Joshua S RichmanBirmingham VA Medical Center, Birmingham, AL; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.
Aerin J DeRussyBirmingham VA Medical Center, Birmingham, AL.
Allyson L VarleyBirmingham VA Medical Center, Birmingham, AL.
William C BeckerVA Connecticut Healthcare System, West Haven, CT;Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Melanie S MorrisBirmingham VA Medical Center, Birmingham, AL; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.
Jasvinder A SinghBirmingham VA Medical Center, Birmingham, AL; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Alayne D MarklandBirmingham VA Medical Center, Birmingham, AL; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; Geriatric Research, Education, and Clinical Center, Birmingham VA Medical Center, Birmingham, AL.
Burel R GoodinDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL.
Birmingham VA Medical Center · US

Funding

UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
Developing and Testing an Opioid Taper Intervention Before Total Knee ArthroplastyK23AR080224 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RIGGS, KEVIN · 2022 to 2025
$654k
AHRQ HHS K12 HS023009NIAMS NIH HHS K23 AR080224
6 · The paper itself

Abstract

backgroundProlonged postoperative opioid use (PPOU) is considered an unfavorable post-surgical outcome. Demographic, clinical, and psychosocial factors have been associated with PPOU, but methods to prospectively identify patients at increased risk are lacking.

objectivesOur objective was to determine whether an individual or a combination of several psychological factors could identify a subset of patients at increased risk for PPOU. STUDY

designObservational cohort study with prospective baseline data collection and passive outcomes data collection.

settingA single VA medical center in the United States.

methodsPatients were recruited from a preoperative anesthesia clinic where they were undergoing evaluation prior to elective surgery, and they completed a survey before surgery. The primary outcome was PPOU, defined as outpatient receipt of a prescribed opioid 31 to 90 days after surgery as determined from pharmacy records. Primary covariates of interest were pain catastrophizing, self-efficacy, and optimism. Additional covariates included social and demographic factors, pain severity, medication use, depression, anxiety, and surgical fear.

resultsOf 123 patients included in the final analyses, 30 (24.4%) had PPOU. In bivariate analyses, preoperative opioid use and preoperative nonsteroidal anti-inflammatory drug use were significantly associated with PPOU. The combination of high pain catastrophizing and high preoperative pain (OR 3.32, 95% CI 1.41 - 7.79) was associated with higher odds of PPOU than either alone, and the association remained significant after adjusting for preoperative opioid use (OR 2.56, 95% CI 1.04 - 6.29). LIMITATIONS: Patients were recruited from a single site, and the sample was not large enough to include potentially important variables such as procedure type.

conclusionsA combination of high pain catastrophizing and high preoperative pain has the potential to be a clinically useful means of identifying patients at elevated risk of PPOU.

Indexed as

Analgesics, OpioidOpioid-Related DisordersCatastrophizationHumansPostoperative PainProspective StudiesAnalgesics, Opioidopioid prescribingpain catastrophizingpostoperative opioidsPostoperative painpreoperative evaluation

Identifiers

PMID36988368
PMCPMC10337451
OpenAlexW4361305513

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.