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Opioid use prior to spine surgery linked to diminished patient reported outcomes
Date:6/12/2014

2-Item Short-Form Health Survey (SF-12) and EuroQol-5D (EQ-5D) scores.

  • Every 10 milligram increase in the daily morphine equivalent amount taken preoperatively was associated with a decrease in mental and physical health and disability scores: a .03 decrease in the SF-12 physical and mental health summary scores, a .01 decrease in the EQ-5D score, and a .5 increase in the Oswestry Disability Index assessment.

  • Opioid consumption seems to occur frequently in those with psychiatric comorbidities such as depression and anxiety, which may lead to increased opioid use.

    "We have demonstrated that increasing amounts of preoperative opioid consumption may have a harmful effect on patient reported outcomes in those undergoing spinal surgery," said lead study author Clinton J. Devin, MD, assistant professor of orthopaedic surgery and neurosurgery at the Vanderbilt Spine Center.

    "Our work highlights the importance of careful preoperative counseling with patients on high doses of preoperative opioids, pointing out the potential impact on long term outcome and working toward narcotic reduction prior to undergoing surgery," said Dr. Devin.


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  • Contact: Lauren Pearson Riley
    pearson@aaos.org
    847-384-4031
    American Academy of Orthopaedic Surgeons
    Source:Eurekalert

    Page: 1 2

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