Preoperative opioid use among patients undergoing shoulder arthroplasty predicts prolonged postoperative opioid use
Journal of the American Academy of Orthopedic Surgeons Jul 31, 2019
Berglund D, et al. - A retrospective analysis of 490 patients who underwent shoulder arthroplasty with at least a 2-year follow-up was conducted by the researchers in order to ascertain the incidence of opioid use prior to shoulder arthroplasty and investigate its impact on postoperative use. Opioid use was reported in 35.5% of the patients. At 1-year follow-up and at the final follow-up, these subjects had a greater incidence of opioid use. From 1-year follow-up to final follow-up, no marked variation was seen in opioid usage. Hence, nearly one-third of patients consumed opioids prior to the operation and were seven times more inclined to resume opioid use postoperatively. No variation in opioid usage from the 1-year follow-up to final follow-up was concluded which implied that patients still using opioids at their 1-year appointment were prone to continue opioid use.
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