Has Self-reported Marijuana Use Changed in Patients Undergoing Total Joint Arthroplasty After the Legalization of Marijuana?

Clinical Orthopaedics and Related Research
Jason M JenningsDouglas A Dennis

Abstract

Marijuana use has become more accessible since its recent legalization in several states. However, its use in a total joint arthroplasty population to our knowledge has not been reported, and the implications of its use in this setting remain unclear. We report (1) the self-reported use of marijuana in patients undergoing total joint arthroplasty both before and after its legalization; and (2) clinical and demographic factors associated with marijuana use in patients undergoing total joint arthroplasty. One thousand records of patients undergoing primary total joint arthroplasty (500 consecutive before and 500 consecutive after the legalization of the commercial sale of marijuana in Colorado) were included for analysis. Preoperative medical history and physicals were retrospectively reviewed for self-reported and reasons (medicinal versus recreational) for use. Additionally, patient records were used to determine insurance type, age, gender, smoking status, history of substance abuse, preoperative narcotic use, alcohol intake, and the type of arthroplasty performed. Self-reported use after legalization dramatically increased from 1% (four of 500) to 11% (55 of 500) (odds ratio [OR], 15.3 [95% confidence interval, 5.5-42.6]; p <...Continue Reading

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Citations

Dec 17, 2019·Orthopedics·John J CarneyGeoffrey S Marecek
Dec 5, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Lindsay T Kleeman-ForsthuberJason M Jennings
Jul 20, 2021·Journal of the American Pharmacists Association : JAPhA·Samantha SteinbergJamie Yuen

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