Preoperative Patient-Reported Data Indicate the Risk of Prolonged Opioid Use After Hand and Upper Extremity Surgeries. (Record no. 160)

MARC details
000 -LEADER
fixed length control field 04342nam a22005897a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5023
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jhsa.2022.06.026 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code NIHMS1824407 [mid]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC9637740 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0363-5023(22)00394-X [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36031463
245 ## - TITLE STATEMENT
Title Preoperative Patient-Reported Data Indicate the Risk of Prolonged Opioid Use After Hand and Upper Extremity Surgeries.
251 ## - Source
Source Journal of Hand Surgery - American Volume. 47(11):1068-1075, 2022 Nov.
252 ## - Abbreviated Source
Abbreviated source J Hand Surg [Am]. 47(11):1068-1075, 2022 Nov.
253 ## - Journal Name
Journal name The Journal of hand surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Nov
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2022-12-13
501 ## - WITH NOTE
Local holdings Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: We found that preoperative questionnaire scores were associated with prolonged postoperative opioid use, independent of other variables. Furthermore, PRD may provide unique patient-level insights, alongside other factors, to improve our understanding of postsurgical pain management.
520 ## - SUMMARY, ETC.
Abstract METHODS: We used our institutional registry containing data on all patients who underwent elective upper extremity surgeries. We evaluated factors associated with prolonged opioid use in the cohort from the year 2018 to 2019. We then validated our results using the 2020 cohort. The predictive variables included preoperative PRD and electronic health record data. Opioid use was determined based on patient reports and/or filled opioid prescriptions 3 months after surgery. We conducted bivariate regression, followed by multivariable regression analyses, and model validation using area under the receiver operating curve.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Opioids play an important role in pain management after surgery but also increase the risk of prolonged opioid use in patients. The identification of patients who are more likely to use opioids after intended short-term treatment is critical for employing alternative management approaches or targeted interventions for the prevention of opioid-related problems. We used patient-reported data (PRD) and electronic health record information to identify factors predictive of prolonged opioid use after surgery.
520 ## - SUMMARY, ETC.
Abstract RESULTS: We included 2,114 patients. In our final model on the 2018-2019 electronic health records and PRD data (n = 1,589), including numerous patient-reported outcome questionnaire scores, patients who were underweight and had undergone trauma-related surgery had higher odds of being on opioids at 3 months. Additionally, each 5-unit decrease in the preoperative Patient-Reported Outcomes Measurement Information System Global Physical Health score was associated with a 30% increased odds of being on opioids at 3 months. The area under the receiver operating curve of our model was 70.4%. On validation using data from the 2020 cohort, the area under the receiver operating curve was 60.3%. The Hosmer-Lemeshow test indicated a good fit.
520 ## - SUMMARY, ETC.
Abstract TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II. Copyright © 2022. Published by Elsevier Inc.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Analgesics, Opioid
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Opioid-Related Disorders
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Analgesics, Opioid/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Opioid-Related Disorders/ep [Epidemiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Opioid-Related Disorders/pc [Prevention & Control]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pain, Postoperative/dt [Drug Therapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Patient Reported Outcome Measures
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Upper Extremity/su [Surgery]
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giladi, Aviram M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kolm, Paul
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Miller, Kristen E
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sanghavi, Kavya K
Institution Code MHRI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shipp, Michael M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Zhang, Gongliang
Institution Code MHRI
790 ## - Authors
All authors Giladi AM, Kolm P, Miller KE, Sanghavi KK, Shipp MM, Zhang G
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jhsa.2022.06.026">https://dx.doi.org/10.1016/j.jhsa.2022.06.026</a>
Public note https://dx.doi.org/10.1016/j.jhsa.2022.06.026
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/13/2022   36031463 36031463 12/13/2022 12/13/2022 Journal Article

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