Journal article
Risk for Prolonged Opioid Use Following Total Knee Arthroplasty in Veterans
The Journal of arthroplasty, Vol.33(1), pp.119-123
01/2018
DOI: 10.1016/j.arth.2017.08.022
PMID: 28927564
Abstract
Patients undergoing total knee arthroplasty (TKA) may be at risk for prolonged postsurgical opioid use due to a high prevalence of persistent postsurgical pain (20%) and high rates of presurgical opioid use.
The current study uses a Veterans Health Administration sample of 6653 Veterans who underwent TKA in the fiscal year 2014 that did not require surgical revision during the subsequent year.
Sixty percent of the sample had used an opioid in the year prior to surgery, including 20% who were on long-term opioid use at the time of surgery (defined as 90+ days of continuous use) and 40% with any other opioid use in the year prior to surgery. In patients on long-term opioids at the time of surgery, 69% received opioids for at least 6 months and 57% for at least 12 months after TKA. In patients not on long-term opioids at the time of TKA, only 4% received opioids for at least 6 months and 2% for at least 12 months after TKA. Differing risk factors for prolonged opioid use 12 months after TKA were identified in these 2 cohorts (ie, those who were and were not receiving long-term opioids at TKA).
These findings suggest that the greatest risk for prolonged opioid use after TKA is preoperative opioid use.
Details
- Title: Subtitle
- Risk for Prolonged Opioid Use Following Total Knee Arthroplasty in Veterans
- Creators
- Katherine Hadlandsmyth - Department of Anesthesia, University of Iowa, Carver College of Medicine, Iowa City, IowaMark W Vander Weg - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IowaKimberly D McCoy - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IowaHilary J Mosher - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IowaMary S Vaughan-Sarrazin - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IowaBrian C Lund - Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of arthroplasty, Vol.33(1), pp.119-123
- DOI
- 10.1016/j.arth.2017.08.022
- PMID
- 28927564
- NLM abbreviation
- J Arthroplasty
- ISSN
- 0883-5403
- eISSN
- 1532-8406
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 01/2018
- Academic Unit
- Psychiatry; Health Management and Policy; Epidemiology; Psychological and Brain Sciences; Anesthesia; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984006366902771
Metrics
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