Patterns of prescription opioid use before total hip and knee replacement among US Medicare enrollees.

ABSTRACT: OBJECTIVE:To examine patterns of prescription opioid use before total joint replacement (TJR) and factors associated with continuous use of opioids before TJR. DESIGN:We conducted an observational cohort study among Medicare enrollees aged ≥65 years who underwent TJR between 2010 and 2014. Preoperative opioid use was defined as having any opioid prescription in the 12-month period before TJR. Patients who had an opioid prescription every month for a 12-month period were defined as continuous users. We examined patients' demographics, pain-related conditions, medication use, other comorbidities, healthcare utilization and their association with use of opioids before TJR. RESULTS:A total of 473,781 patients underwent TJR:,155,516 THR and 318,265 TKR. Among the total cohort, 60.2% patients ha

SUBMITTER: Jin Y 

PROVIDER: S-EPMC6751003 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature