Preoperative Opioid Use is Associated with Inferior Patient Reported Outcomes and Prolonged Opioid Use after Patellofemoral Stabilization Surgery

Zain Khazi; Christina Hajewski; Natalie Glass; Brian Wolf; Kyle Duchman; Robert Westermann; Matthew Bollier; Alan Shamrock

doi:10.1177/2325967120S00504

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Preoperative Opioid Use is Associated with Inferior Patient Reported Outcomes and Prolonged Opioid Use after Patellofemoral Stabilization Surgery

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Preoperative Opioid Use is Associated with Inferior Patient Reported Outcomes and Prolonged Opioid Use after Patellofemoral Stabilization Surgery

Zain Khazi, Christina Hajewski, Natalie Glass, Brian Wolf, Kyle Duchman, Robert Westermann, Matthew Bollier and Alan Shamrock

Orthopaedic journal of sports medicine, Vol.8(7_suppl6)

07/01/2020

DOI: 10.1177/2325967120S00504

PMCID: PMC7406921

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Abstract

Objectives: The purpose of the study was to investigate the association between preoperative opioid use and persistent postoperative use, and determine the impact of preoperative opioid use on patient reported outcomes (PROs) in patients undergoing patellofemoral stabilization surgery. Methods: A retrospective analysis of 60 patients after patellofemoral stabilization surgery with a minimum of 2-year follow-up was performed using a prospectively-collected patellar instability registry. Patients were categorized as opioid naïve (n=48) or preoperative opioid users (n=12). Postoperative opioid use was assessed for all patients at 2 and 6 weeks. Knee Injury and Osteoarthritis Outcome Score (KOOS) and Kujala questionnaires were administered at baseline, and 6 months and 2 years postoperatively. Results: Preoperative opioid use was identified as an independent risk factor for postoperative opioid use at 2- and 6-weeks following surgery (p=0.0023 and p<0.0001, respectively). Preoperative opioid use was associated with significantly lower KOOS and Kujala scores at baseline, 6 months and 2 years postoperatively. Both groups significantly improved from baseline KOOS and Kujala scores at 6 months and 2 years postoperatively. Regardless of preoperative opioid use, opioid use at 6 weeks after surgery was associated with worse KOOS scores at 6 months and 2 years postoperatively. Conclusion: In patients undergoing patellofemoral stabilization surgery, preoperative opioid use was predictive of postoperative use. Additionally, preoperative opioid use was associated with worse PROs at 6 months and 2 years following surgery. [Table: see text][Table: see text]

Details

Title: Subtitle: Preoperative Opioid Use is Associated with Inferior Patient Reported Outcomes and Prolonged Opioid Use after Patellofemoral Stabilization Surgery
Creators: Zain Khazi - University of Iowa, University of Iowa Hospitals and Clinics
Christina Hajewski - University of Iowa
Natalie Glass - University of Iowa
Brian Wolf - University of Iowa
Kyle Duchman - University of Iowa
Robert Westermann - University of Iowa
Matthew Bollier - University of Iowa
Alan Shamrock - University of Iowa
Resource Type: Abstract
Publication Details: Orthopaedic journal of sports medicine, Vol.8(7_suppl6)
DOI: 10.1177/2325967120S00504
PMCID: PMC7406921
ISSN: 2325-9671
eISSN: 2325-9671
Language: English
Date published: 07/01/2020
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Athletic Training Program
Record Identifier: 9984306147002771

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