Model predicts likelihood of persistent high-dose opioid use after knee surgery

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A new study published in Arthritis Care & Research has identified 10 readily available clinical factors that may predict which patients will persistently use high doses of opioids in the year following knee replacement surgery.

In the study of 142,089 Medicare with osteoarthritis who underwent total and had no history of high-dose opioid use, 10.6% became persistent users of high-dose opioids after surgery.

Certain preoperative characteristics including demographics (age, sex, and race), history of substance abuse (opioids, alcohol, and tobacco), and medication use (benzodiazepines, anxiolytics, antidepressants, anticonvulsants, and ) were predictors of persistent use of high-dose opioids after surgery.

"We believe that our prediction model may help identify patients at high risk of future adverse outcomes from persistent opioid use and dependence after total knee replacement surgery," said senior author Seoyoung C. Kim, MD, ScD, MSCE, of Brigham and Women's Hospital and Harvard Medical School.


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More information: Chandrasekar Gopalakrishnan et al, Development of a Medicare Claims‐Based Model to Predict Persistent High‐Dose Opioid Use After Total Knee Replacement, Arthritis Care & Research (2021). DOI: 10.1002/acr.24559
Journal information: Arthritis Care & Research

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Citation: Model predicts likelihood of persistent high-dose opioid use after knee surgery (2021, February 3) retrieved 20 April 2021 from https://medicalxpress.com/news/2021-02-likelihood-persistent-high-dose-opioid-knee.html
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