Opioid Dependence and Health Care Utilization After Decompression and Fusion in Patients With Adult Degenerative Scoliosis

Spine
Mayur SharmaMaxwell Boakye

Abstract

Retrospective study. To identify factors associated with opioid dependence after surgery for adult degenerative scoliosis (ADSc). Opioid epidemic is of prodigious concern throughout the United States. Data was extracted using national MarketScan database (2000-2016). Opioid dependence was defined as continued opioid use or >10 opioid prescriptions for 1 year either before or 3 to 15 months after the procedure. Patients were segregated into four groups based on opioid dependence before and postsurgery: NDND (before nondependent who remain non-dependent), NDD (before nondependent who become dependent), DND (before dependent who become non-dependent) and DD (before dependent who remain dependent). Outcomes were discharge disposition, length of stay, complications, and healthcare resource utilization. Approximately, 35.82% (n = 268) of patients were identified to have opioid dependence before surgery and 28.34% (n = 212) were identified to have opioid dependence after surgery for ADSc. After surgical fusion for ADSc, patients were twice likely to become opioid independent than they were to become dependent (13.77% vs. 6.28%, OR: 2.191, 95% CI: 21.552-3.094; P < 0.0001). Before opioid dependence (RR: 14.841; 95% CI: 9.867, 22.323; P...Continue Reading

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Citations

Feb 5, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Nicholas DietzMaxwell Boakye
Oct 9, 2020·The Journal of Pain : Official Journal of the American Pain Society·Yun ShenAmie J Goodin
Apr 20, 2021·The Spine Journal : Official Journal of the North American Spine Society·Nikhil JainMaxwell Boakye

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