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  • Talk
  • 14/09/2021
  • Canada

Persistent Post-Operative Opioid Use Following Hip Arthroscopy Is Common and Is Associated With Pre-Operative Opioid Use and Age

Description

This video presentation features Ryan Degen discussing a study on persistent post-operative opioid use following hip arthroscopy. He expresses gratitude to the COA for the opportunity to present the research, emphasizing the need to understand opioid use patterns post-surgery as hip arthroscopy becomes more common for treating symptomatic hip injuries. The study aims to identify rates of persistent opioid use and associated risk factors focusing on a cohort of patients that underwent hip arthroscopy from 2013 to 2018.



Degen explains the study's retrospective design, which utilized data from the Institute for Clinical and Evaluative Sciences in Ontario, Canada. Key details include the criteria for selecting participants based on age and prior surgeries, the definition of opioid naive versus non-naive cohorts, and the methodology for tracking opioid prescriptions within specified timeframes post-surgery.



The findings reveal that 11.7% of the studied population showed persistent opioid use, with a higher prevalence among non-naive patients. Furthermore, Degen notes that a notable portion of opioid naive patients also exhibited persistent use. He elaborates on statistical analyses showing significant correlations between preoperative opioid use, older age, and greater chances of continued opioid reliance after surgery.



Concluding, Degen highlights both the challenges and some positive findings regarding opioid dependency following hip procedures, suggesting that while there is a clear risk of persistent use, many patients manage to reduce or eliminate their opioid needs following surgery. He remarks on the importance of understanding these patterns to improve post-operative care and opioid prescribing practices.

DOI: 10.1302/3114-220849

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