Evidence map›Paper›PMID 40837312›Full record

ArticleSurgical neurology international2025

Chronic opioid prescription rates in older adults: A comparison of academic and nonacademic centers following long-segment lumbar instrumentation.

Janesh Karnati, Shameel Abid, Ahmed Ashraf, Leina Lunasco, Aydin Kaghazchi, Andrew Wu, Xu Tao, Gabriel Jelkin, Sruthi Ranganathan, Sachin Shankar and 3 more

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Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Janesh KarnatiDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Shameel AbidDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Ahmed AshrafDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Leina LunascoDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Aydin KaghazchiDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Andrew WuDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Xu TaoDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Gabriel JelkinDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Sruthi RanganathanDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Sachin ShankarDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Mikayla WallaceDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Joseph ChengDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.
Owoicho AdogwaDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Factors influencing opioid prescribing include provider type, clinical experience, regional patterns, and institutional affiliation. This study compared the rates of chronic opioid prescriptions being given to older adults undergoing long-segment posterior lumbar fusions in academic versus nonacademic centers. Methods: Out of 20,719 patients aged ≥65 years who underwent posterior lumbar instrumentation involving 3-12 thoracolumbar levels (2010-2022), we created two matched groups that included 3,904 patients each. Patients were stratified according to whether they were treated in academic versus nonacademic centers. Matching included the utilization of 1:1 demographic and clinical factors and analyzed for opioid prescribing patterns at 3-6, 6-12, and 12-24 months postoperatively. Results: We found that patients operated on in nonacademic centers showed significantly lower odds of receiving codeine-based opioids at 3-6 and 6-12 months postoperatively. Conversely, at 12-24 postoperative months, these patients had increased odds of receiving noncodeine-based, strong, and moderate opioids versus academic center patients. Conclusion: For two cohorts of 3904 adults over 65 years of age undergoing 3-12 level thoracolumbar instrumented fusions, academic centers prescribed more opioids initially postoperatively, while nonacademic centers demonstrated higher long-term usage.

Indexed as

Academic centersElderlyLumbar spineOpioid prescribingPosterior lumbar instrumentation

Identifiers

PMID40837312
PMCPMC12361695

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