Thumbnail Image
Item

Opioid use prior to knee arthroplasty in patients who catastrophize about their pain: Preoperative data from a multisite randomized clinical trial

Riddle, DL
; 
Slover, JD
; 
Ang, DC
; 
Bair, MJ
; 
Kroenke, K
; 
Perera, RA
; 
Dumenci, L
Citations
Altmetric:
Genre
Journal Article
Date
2018-01-01
Advisor
Committee member
Group
Department
Subject
pain
 catastrophizing
 opioid
 knee
 arthroplasty
Permanent link to this record
http://hdl.handle.net/20.500.12613/4816
Collections
Faculty/Researcher Works
Show all metadata
Files
Thumbnail Image
Opioid use prior to knee arthroplasty in patients who catastrophize about their pain preoperative data from a multisite rand.pdf
Adobe PDF, 332.65 KB
Research Projects
Organizational Units
Journal Issue
DOI
10.2147/JPR.S168251
Abstract
© 2018 Riddle et al. Background: Opioid use rates prior to knee arthroplasty (KA) among people who catastrophize about their pain are unknown. We determined prevalence of opioid use and compared patterns of preoperative opioid use and oral morphine equivalent (OME), a measure of daily opioid dose, across varied geographic sites. We also determined which baseline variables were associated with opioid use and OME. Patients and methods: Preoperative opioid use data described type of opioid, dosage, and frequency among 397 patients scheduled for KA. Demographic, knee-related pain, and psychological distress dimensions were examined to identify variables associated with opioid use and opioid dose (OME). Opioid use prevalence and OME were compared across the four sites. A three-level censored regression determined variables associated with opioid use and OME. Results: The overall opioid use prevalence was 31.7% (95% confidence interval [CI] = 27.0, 36.3) and varied across sites from 15.9% (95% CI = 9.0, 22.8) to 51.2% (95% CI = 40.5, 61.9). After adjustment, patients using opioids were more likely to be younger, African American, and have higher self-efficacy and comorbidity scores (P < 0.05). The only variable independently associated with OME was lower depressive symptoms (P < 0.05). Conclusion: People who catastrophized prior to KA did not demonstrate increased preoperative opioid use based on current evidence, but variation in the prevalence of opioid use across study sites was substantial. Variables associated with opioid use were non-modifiable demographic and comorbidity variables.
Description
Citation
Citation to related work
Informa UK Limited
Has part
Journal of Pain Research
ADA compliance
For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
Embedded videos