Preoperative Opioid Use should be avoided in Revision Total
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
The aim of this study was to investigate the effect of preoperative opioid use on patient-reported outcome measures (PROMs) before and after revision total hip arthroplasty (THA).

A total of 381 consecutive revision THA patients with both preoperative and postoperative PROMs were identified. Because of differences in baseline characteristics, 104 opioid users were matched to 208 nonusers using nearest-neighbor propensity score matching.

Results:
--Propensity score–matched opioid users had significantly lower preoperative PROMs than the nonuser for hip disability and osteoarthritis outcome score physical function (53.2 versus 60.1) and patient-reported outcomes measurement information system -PROMIS short form (SF) Physical (38.5 versus 43.2).

--Postoperatively, opioid users demonstrated significantly lower scores across all PROMs: hip disability and osteoarthritis outcome score physical function (58.1 versus 70.0), PROMIS SF Physical (40.3 versus 48.4), and PROMIS SF Mental (43.7 versus 53.2).

--Propensity score–matched opioid users demonstrated an increased hospital stay.

Finally, as opposed to propensity score–matched nonusers, Revision THA patients who use opioids preoperatively have significantly lower preoperative and postoperative outcome ratings. Since opioid use has the potential to be a modifiable factor, patients should be counseled on the advantages of reducing or eliminating opioid use prior to surgery to increase their outcome during revision THA.

Source: https://journals.lww.com/jaaos/Abstract/2021/04010/Patient_reported_Outcomes_Associated_With.9.aspx
Like
Comment
Share