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Preoperative opioid prescription filling is a risk factor for prolonged opioid use after elbow arthroscopy

Arthroscopy May 22, 2020

Rojas EO, Khazi ZM, Gulbrandsen TR, et al. - This study was sought to present the frequency of postoperative opioid prescriptions following elbow arthroscopy, assess whether filling opioid prescriptions preoperatively increased risk of requiring more opioid prescriptions after surgery, and determine patient factors associated with postoperative opioid prescription needs.Researchers conducted a national claims-based database for patients undergoing primary elbow arthroscopy. They estimated monthly relative risk ratios for filling an opioid prescription for the first year following surgery. Using multiple logistic regression analysis, factors associated with opioid use at three, six, nine, and 12 months after elbow arthroscopy, with p<.05 defined as significant were distinguished. A total of 1,138 patients included in this study who had undergone primary elbow arthroscopy. The findings reveal that preoperative opioid filling, fibromyalgia, and psychiatric illness are correlated with elevated risk of prolonged postoperative opioid following elbow arthroscopy. It was noted that patient age less than 40 years and chronic obstructive pulmonary disease are correlated with reduced risk of postoperative opioid prescription filling within the first postoperative year.

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