Catchpool, M. (1,2); Knight J. (1); Clarke P. (1); Barrington M J. (3); Choong P FM. (2); Dowsey M M. (2)
1. Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia
2. The University of Melbourne, Department of Surgery, St. Vincent’s Hospital, Level 2 Clinical Sciences Building, 29 Regent Street, Fitzroy, Victoria 3065, Australia
3. Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia
Question – Are hip and knee total joint replacement (TJR) patients at an increased risk for persistent opioid use relative to other elective surgeries?
Findings – This analysis of administrative health claims of 14,354 elective surgical patients found that after controlling for several factors including pre and post opioid use there was no increased risk for TJR patients compared to other surgical patients. We find that the intensity of pre-surgery opioid usage is strongly associated with persistent opioid use and all observed surgical patients.
Meaning – The use of opioids prior to elective surgery is strongly associated with persistent opioid use following surgery. The benefits and harms of conservative management of TJR patients should be assessed in view of the association between pre-operative pain management and the long-term use of opioids
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For more information about this abstract, please contact:
Max Catchpool, Centre for Health Policy, The University of Melbourne
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