ArticleNorth American Spine Society journal2025
Opioid-use disorder and reported pain after spine surgery: Risk-group patterns in cognitive-appraisal processes in a longitudinal cohort study.
Article in North American Spine Society journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Commentary on "Opioid-use disorder and reported pain after spine surgery: Risk-group patterns in cognitive-appraisal processes in a longitudinal cohort study".North American Spine Society journal · 2026Article
- Ten-year healthcare utilization patterns among patients with type 2 diabetes and degenerative spinal disorders: a nationwide comparative analysis using nationwide sample.BMC health services research · 2026Article
- Cognitive appraisal processes and health: from bench to bedside.Frontiers in public health · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Background: As spinal disorders cause significant pain over an extended period, prolonged opioid use could lead to an increased risk of opioid-use disorder (OUD) over recovery. This study examined cognitive-appraisal processes as potential moderators of OUD-risk, after adjusting for demographic and clinical factors. Methods: This longitudinal cohort study included 342 adults undergoing surgical treatment for a back/leg problem, neck/arm/shoulder problem, or spinal deformity at a United States academic medical center. The Numeric Rating Scale assessed pain, and the Quality of Life Appraisal Profile Results: The OUD risk classification was validated. Baseline (presurgery) cognitive-appraisal processes moderated reported pain at 3-months postsurgery as a function of OUD risk in some areas. Notably, reported pain was lower among high-OUD risk patients who endorsed at presurgery more problem-resolution goals. In contrast, reported pain at 3 months was higher among low-OUD risk patients who endorsed at presurgery more problem-resolution goals. However, cognitive-appraisal processes at 3 months or change in appraisal did not moderate the relationship between OUD-risk group and pain. Conclusions: Cognitive-appraisal processes at presurgery moderated the OUD-risk groups' experience of pain at 3 months postsurgery. For high OUD-risk patients, more goals were associated with less pain, whereas the opposite was true for low-risk patients. The group differences for presurgery appraisal may be useful targets of early cognitive and mindfulness interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.