Post-operative opioid pain management patterns for patients who receive hip surgery.

dc.contributor.author

Cook, Chad E

dc.contributor.author

Rhon, Daniel I

dc.contributor.author

Lewis, Brian D

dc.contributor.author

George, Steven Z

dc.date.accessioned

2018-05-24T15:11:03Z

dc.date.available

2018-05-24T15:11:03Z

dc.date.issued

2017-03-16

dc.date.updated

2018-05-24T15:11:01Z

dc.description.abstract

Identifying optimal, post-operative opioid management strategies is a priority of health providers and government agencies. At present, there are no studies we are aware of that have formally investigated opioid prescribing patterns for post-operative non-arthroplasty orthopedic conditions such as femoroacetabular impingement, nor has any study investigated the influence of opioid prescription patterns on health care costs and utilization. We aimed to investigate a subgrouping scheme associated with post-operative opioid prescription strategies and measure the subgroups' direct and indirect health care utilization and costs in individuals undergoing non-arthroplasty orthopedic hip surgery.The study was an observational cohort of routine military clinical practices. We used cluster analysis to characterize pre-operative (12 months) and post-operative (24 months) opioid prescription patterns. Linear mixed effects modeling (with statistical controls for baseline status) identified opioid prescription pattern subgroups and identified subgroup differences in health care utilization and costs.Two distinct clusters were identified representing 1) short-duration, high total days' supply (SD-HD), and 2) long-duration, lesser total days' supply (LD-LD) post-operative prescription patterns. Significantly higher costs and health care utilization for both hip-related and non-hip-related variables were consistently identified in the SD-HD group.Long-term opioid prescription use has been identified as a concern, but our findings demonstrate that LD-LD post-operative opioid management for hip surgery recipients was associated with lower costs and utilization. Whether these management patterns were a reflection of pre-operative health status, impacted pain-related outcomes, or can be replicated in other orthopedic procedures remains a consideration for future studies.NA.

dc.identifier.issn

1747-597X

dc.identifier.issn

1747-597X

dc.identifier.uri

https://hdl.handle.net/10161/16765

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Substance abuse treatment, prevention, and policy

dc.relation.isversionof

10.1186/s13011-017-0094-5

dc.subject

Humans

dc.subject

Pain, Postoperative

dc.subject

Analgesics, Opioid

dc.subject

Adult

dc.subject

Health Care Costs

dc.subject

Patient Acceptance of Health Care

dc.subject

Female

dc.subject

Male

dc.subject

Young Adult

dc.subject

Femoracetabular Impingement

dc.subject

Pain Management

dc.subject

Practice Patterns, Physicians'

dc.title

Post-operative opioid pain management patterns for patients who receive hip surgery.

dc.type

Journal article

duke.contributor.orcid

Cook, Chad E|0000-0001-8622-8361|0000-0002-5045-3281

duke.contributor.orcid

Rhon, Daniel I|0000-0002-4320-990X

duke.contributor.orcid

Lewis, Brian D|0000-0001-8821-5468

duke.contributor.orcid

George, Steven Z|0000-0003-4988-9421

pubs.issue

1

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Orthopaedics, Physical Therapy

pubs.organisational-group

Orthopaedics

pubs.organisational-group

Clinical Science Departments

pubs.publication-status

Published

pubs.volume

12

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Post-operative opioid pain management patterns for patients who receive hip surgery.pdf
Size:
494.67 KB
Format:
Adobe Portable Document Format