Advertisement
Predicting Prolonged Opioid Use After Surgery

Predicting Prolonged Opioid Use After Surgery

Opioid drug use in patients with chronic pain has been linked to psychological distress and substance abuse. Studies suggest that these factors are often more influential than the intensity of pain patients are experiencing. The determinants of the duration of opioid use after surgery have not been reported in previous research. Furthermore, few analyses have explored the factors that affect ongoing use of opioids after surgery.  In Anesthesiology & Analgesia, my colleagues and I had a study published that sought to determine preoperative factors that predict continued use of opioids long after surgery. Preoperative psychological distress and prior substance use was assessed in 109 patients who were undergoing various operations. After surgery, daily use of opioids was measured until patients reported ceasing use of these drugs and having no pain. Three Important Factors According to our results, three preoperative factors were independently related to long-term opioid use: 1. Legitimate prescribed opioid use. 2. Self-perceived risk of addiction. 3. Depressive symptoms. Patients who were using opioids for pain relief before their procedure had a 73% higher likelihood of using these drugs at follow-up. Individuals who rated themselves at increased risk of developing an addiction were more likely to be long-term opioid users. The risk increased 53% for each 1-point increase on a 4-point scale of perceived addiction risk. Patients with symptoms of depression had a 42% higher risk for each 10-point increase on the Beck Depression Inventory scale. The three factors identified in our study were significant regardless of the type of surgery patients underwent. These factors were also better predictors of long-term opioid drug use than the severity of...
[ HIDE/SHOW ]