Predictors of pain and use of pain medications following primary Total Hip Arthroplasty (THA): 5,707 THAs at 2-years and 3,289 THAs at 5-years

Singh, Jasvinder A.; Lewallen, David G.

doi:10.1186/1471-2474-11-90

Cited by 143 publications

(180 citation statements)

References 34 publications

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“…51 Two studies were in multiple centres, 58,102 and three were studies in single centres. 49,103,104 Cohorts were generally similar with regard to patient age (range of means or medians 65.0-73.0 years) and sex (range of percentage female 48.3-63%). Losses to follow-up ranged from 5.8% to 47.6%.…”

Section: Long-term Pain After Thr and Tkrmentioning

confidence: 88%

“…Three studies included patients from multiple centres, [127][128][129] and five studies were conducted at a single centre. 103,104,132,133,135 Study details are summarised in Table 4. In studies with data that allowed estimation, rates of follow-up ranged from 6% to 38%.…”

Section: Body Mass Indexmentioning

confidence: 99%

“…In this section we summarise results from 14 studies of pre-operative BMI, mental health, pain and physical function as predictors of long-term patient-reported outcomes. 31,103,104,[125][126][127][128][129][130][131][132][133][134][135] Study characteristics are summarised in Appendix 5 with brief details in Table 4. …”

Section: Total Hip Replacementmentioning

confidence: 99%

“…49,51,58,[102][103][104] Pain outcome assessments were based on the WOMAC pain scale or authors' own methods.…”

Section: Long-term Pain After Thr and Tkrmentioning

confidence: 99%

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Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms PROGRAMME GRANTS FOR APPLIED RESEARCH VOLUME 4 ISSUE 12 AUGUST 2016 ISSN 2050 DOI 10.3310/pgfar04120Improving patients' experience and outcome of total joint replacement: the RESTORE programme Ashley W Blom, Neil Artz, Andrew D Beswick, Amanda Burston, Paul Dieppe, Karen T Elvers, Rachael Gooberman-Hill, Jeremy Horwood, Paul Jepson, Emma Johnson, Erik Lenguerrand, Elsa Marques, Sian Noble, Mark Pyke, Catherine Sackley, Gina Sands, Adrian Sayers, Victoria Wells and Vikki Wylde Improving patients' experience and outcome of total joint replacement: the RESTORE programme ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10070. The contractual start date was in December 2008. The final report began editorial review in September 2014 and was accepted for publication in August 2015. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accurac...

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Section: Long-term Pain After Thr and Tkrmentioning

confidence: 88%

Section: Body Mass Indexmentioning

confidence: 99%

Section: Total Hip Replacementmentioning

confidence: 99%

“…49,51,58,[102][103][104] Pain outcome assessments were based on the WOMAC pain scale or authors' own methods.…”

Section: Long-term Pain After Thr and Tkrmentioning

confidence: 99%

See 2 more Smart Citations

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

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“…The importance of these observations must be evaluated in view of many other infl uences on the prevalence of thigh pain after total hip arthroplasty (THA). Several authors emphasize the contribution of factors related to patients (e.g., obesity, depression), implants (e.g., material, design), or operative techniques (e.g., overreaming) [4,18,35,37,39,40,55] .…”

Section: Introductionmentioning

confidence: 99%

Influence of cementless hip stems on femoral cortical strain pattern depending on their extent of porous coating

Ellenrieder

Steinhauser

Bader

et al. 2012

Biomedizinische Technik/Biomedical Engineering

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Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery

et al. 2020

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IMPORTANCE Prolonged opioid use after surgery may be associated with opioid dependency and increased health care use. However, published studies have reported varying estimates of the magnitude of prolonged opioid use and risk factors associated with the transition of patients to longterm opioid use. OBJECTIVES To evaluate the rate and characteristics of patient-level risk factors associated with increased risk of prolonged use of opioids after surgery. DATA SOURCES For this systematic review and meta-analysis, a search of MEDLINE, Embase, and Google Scholar from inception to August 30, 2017, was performed, with an updated search performed on June 30, 2019. Key words may include opioid analgesics, general surgery, surgical procedures, persistent opioid use, and postoperative pain.STUDY SELECTION Of 7534 articles reviewed, 33 studies were included. Studies were included if they involved participants 18 years or older, evaluated opioid use 3 or more months after surgery, and reported the rate and adjusted risk factors associated with prolonged opioid use after surgery. DATA EXTRACTION AND SYNTHESISThe Meta-analysis of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines were followed. Two reviewers independently assessed and extracted the relevant data. MAIN OUTCOMES AND MEASURESThe weighted pooled rate and odds ratios (ORs) of risk factors were calculated using the random-effects model. RESULTSThe 33 studies included 1 922 743 individuals, with 1 854 006 (96.4%) from the US. In studies with available sex and age information, participants were mostly female (1 031 399; 82.7%) and had a mean (SD) age of 59.3 (12.8) years. The pooled rate of prolonged opioid use after surgery was 6.7% (95% CI, 4.5%-9.8%) but decreased to 1.2% (95% CI, 0.4%-3.9%) in restricted analyses involving only opioid-naive participants at baseline. The risk factors with the strongest associations with prolonged opioid use included preoperative use of opioids (OR, 5.32; 95% CI, 2.94-9.64) or illicit cocaine (OR, 4.34; 95% CI,) and a preoperative diagnosis of back pain (OR, 2.05; 95% CI, 1.63-2.58). No significant differences were observed with various study-level factors, including a comparison of major vs minor surgical procedures (pooled rate: 7.0%; 95% CI, 4.9%-9.9% vs 11.1%; 95% CI, 6.0%-19.4%; P = .20). Across all of our analyses, there was substantial variability because of heterogeneity instead of sampling error. (continued) Key Points Question What are the rate and risk factors associated with prolonged use of opioid medications after surgery? Findings In this systematic review and meta-analysis of 33 observational studies including more than 1.9 million patients, 7% of patients continued to fill opioid prescriptions more than 3 months after surgery. Preoperative use of opioids, illicit cocaine use, and pain conditions before surgery had the strongest associations with prolonged opioid use after surgery. Meaning The findings suggest that an eval...

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Predictors of pain and use of pain medications following primary Total Hip Arthroplasty (THA): 5,707 THAs at 2-years and 3,289 THAs at 5-years

Cited by 143 publications

References 34 publications

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Influence of cementless hip stems on femoral cortical strain pattern depending on their extent of porous coating

Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery

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