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Comparison of the Stopping Opioids after Surgery (SOS) score to preoperative morphine milligram equivalents (MME) for prediction of opioid prescribing after lumbar spine surgery

The Spine Journal Jun 16, 2020

Karhade AV, Schwab JH, Harris MB, et al. - Researchers performed a comparison of the performance of the Stopping Opioids after Surgery (SOS) score and preoperative morphine milligram equivalents (MME) for postoperative opioid prescription exposure in a contemporary cohort of lumbar surgery patients. Retrospective review was performed of data from 4,165 adult patients who underwent posterior decompression with or without fusion for degenerative lumbar conditions at two academic medical centers and three community hospitals. Based on data from their preoperative surgical evaluation, patients were assigned SOS score and MME. Per outcomes, the SOS score showed better performance than oral MME for predicting outcomes following lumbar spine surgery. They suggest a possible value of SOS score for recognizing individuals at high-risk for sustained prescription opioid use and linked adverse events following spine surgery.

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