Cannabis-Related Disorders Are Associated with Increased Early Postoperative Opioid Prescriptions and Delayed Emergency Department Visits Following Open Carpal Tunnel Release.
| Autor: | Humble KA; Department of Orthopedics and Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA., Vatsia SK; Department of Orthopedics and Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA., Monahan PF; Penn State College of Medicine, Hershey, PA, USA., Taylor KF; Department of Orthopedics and Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand (New York, N.Y.) [Hand (N Y)] 2024 Oct 21, pp. 15589447241284788. Date of Electronic Publication: 2024 Oct 21. |
| DOI: | 10.1177/15589447241284788 |
| Abstrakt: | Background: The effect of cannabis on pain management following open carpal tunnel release (CTR) surgery is unknown. The purpose of this study is to compare outcomes for patients with cannabis-related disorder (CRD) undergoing open CTR to a propensity-matched cohort of patients without CRD (no cannabis-related disorder [NCRD]). Methods: The TriNetX Research Network was queried to identify patients undergoing primary open CTR between January 2010 and December 2022. Patients with CRD were propensity matched to a NCRD cohort in a 1:1 ratio based on 7 characteristics. Rates of postoperative opioid prescriptions, emergency department (ED) services, and outpatient appointments were reported at 0-2, 2-6, and 6-12 weeks postoperatively. Results: A total of 925 CRD patients were propensity matched to 925 NCRD patients undergoing open CTR. Within 0-2 weeks postoperatively, CRD patients received significantly greater rates of opioid prescriptions compared to NCRD patients (30.9% and 25.6%, P = .011). No cannabis-related disorder (NCRD) patients presented for outpatient follow-up at significantly higher rates than CRD patients within 6 weeks postoperatively. CRD patients presented to the ED at significantly higher rates between 6 and 12 weeks postoperatively (11.0% vs. 8.0%, respectively, P = .027). Conclusions: Cannabis-related disorder (CRD) is associated with lower rates of outpatient follow-up but higher rates of postoperative opioid prescriptions and ED presentations following open CTR compared to a propensity-matched cohort of NCRD patients. Level of Evidence: Cohort Study; Level III. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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