ArticleCanadian journal of surgery. Journal canadien de chirurgie
Persistent postoperative opioid use in patients treated with total hip arthroplasty and hemiarthroplasty for femoral neck fracture: a propensity-score-matched analysis.
Article in Canadian journal of surgery. Journal canadien de chirurgie. 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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Abstract
backgroundPain management after hip fracture surgery is particularly challenging because clinicians must simultaneously minimize prolonged opioid exposure while ensuring effective recovery in this vulnerable patient population. We sought to compare persistent postoperative opioid use across a matched group of patients with femoral neck fracture treated with either total hip arthroplasty (THA) or hemiarthroplasty and to describe the association between patient characteristics and opioid use.
methodsRoutinely collected health care databases were linked at ICES to create a population-based cohort of patients aged 66 years or older in Ontario, Canada, who underwent THA or hemiarthroplasty for a femoral neck fracture between 2002 and 2016. We used propensity-score matching to balance potential confounders. We quantified and compared persistent postoperative opioid use between treatment groups using survival analysis.
resultsThe full cohort consisted of 45 119 patients, of whom 41 247 (91.4%) were treated with hemiarthroplasty and 3872 (8.6%) were treated with THA. More than half (
conclusionPersistent opioid use is common after both THA and hemiarthroplasty for hip fracture. Patients with higher health care needs before fracture and higher comorbidity burden were more likely to persistently use postoperative opioids.
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