Journal article
Preoperative opioid use is associated with worse preoperative patient-reported outcomes in hip arthroscopy patients
Journal of ISAKOS, Vol.9(4), pp.581-586
08/01/2024
DOI: 10.1016/j.jisako.2024.04.016
PMID: 38692433
Abstract
Objectives: The purpose of this study was to define the rate of preoperative opioid use among patients undergoing hip arthroscopy, ascertain which clinical factors are associated with opioid use, and assess the effect of preoperative opioid usage on preoperative patient-reported outcome (PRO) measures. Methods: A single institution orthopedic registry was retrospectively analyzed for patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) syndrome with or without labral tear between 2015 and 2022. Patients completed Patient-Reported Outcomes Measurement Information System (PROMIS) in six domains, Numeric Pain Scores (NPS), and Musculoskeletal Outcomes Data Evaluation and Management System expectations domain preoperatively. Patients’ charts were reviewed to determine demographic factors and identify any active opioid prescription within 6 weeks before surgery. Bivariate analysis was used to determine associations between preoperative opioid use and baseline PROs. Statistically significant bivariate associations were further tested by multivariate analysis to determine independent predictors. Results: A total of 123 patients were included (age 39.7 ± 12.0 years; 87 females; body mass index 27.4 ± 5.7 kg/m
). There were 21 patients (17%) using opioids preoperatively. Prior orthopedic or other surgery and lower education level were associated with preoperative opioid use. Patients with preoperative opioid use scored statistically significantly worse compared with those without preoperative opioid use on baseline PROMIS Physical Function (38.6 vs 40.5, p = 0.01), Pain Interference (65.9 vs 60.2, p = 0.001), Fatigue (60.7 vs 51.6, p = 0.005), Social Satisfaction (38.2 vs 43.2, p = 0.007), and Depression (54.2 vs 48.8, p = 0.01). Preoperative opioid use was also associated with statistically significantly worse preoperative NPS for both the operative hip (6.3 vs 4.6, p = 0.003) and whole body (3.0 vs 1.4, p = 0.008). Preoperative opioid use was an independent predictor of worse baseline PROMIS Pain Interference, Fatigue, Social Satisfaction, and NPS for the operative hip. Conclusion: Patients using opioids preoperatively had worse baseline PROs for physical function, pain, social satisfaction, and depression than those not using opioids preoperatively. When controlling for confounding variables, preoperative opioid use was independently predictive of worse baseline pain, fatigue, and social satisfaction. Level of Evidence: Level III, prognostic study.
Details
- Title: Subtitle
- Preoperative opioid use is associated with worse preoperative patient-reported outcomes in hip arthroscopy patients
- Creators
- Michael S. Rocca - University of Maryland, BaltimoreEvan L. Honig - University of Maryland, BaltimoreAndrew Tran - University of Maryland, BaltimoreMatthew P. Kolevar - University of Maryland, BaltimoreSamir Kaveeshwar - University of Maryland, BaltimoreAli Aneizi - University of Maryland, BaltimoreNatalie L. Leong - University of Maryland, BaltimoreJonathan D. Packer - University of Maryland, BaltimoreR. Frank Henn - University of Maryland, BaltimoreSean J. Meredith - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Journal of ISAKOS, Vol.9(4), pp.581-586
- DOI
- 10.1016/j.jisako.2024.04.016
- PMID
- 38692433
- NLM abbreviation
- J ISAKOS
- ISSN
- 2059-7754
- eISSN
- 2059-7762
- Number of pages
- 6
- Grant note
- Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (100013699) U.S. Department of Veterans Affairs (http://data.elsevier.com/vocabulary/SciValFunders/100000738) United States Department of Veterans Affairs Biomedical Laboratory R&D Service.R BL1941007WS; IK2 BX004879 / James Lawrence Kernan Hospital Endowment Fund U.S. Department of Veterans Affairs (100000738) Department of Veterans Affairs Biomedical Laboratory R&D
- Language
- English
- Date published
- 08/01/2024
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985014848702771
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