| Abstrakt: |
A study conducted by Duke University School of Medicine examined the relationship between psychological distress, risk of orthopedic surgery, and postoperative opioid prescribing in patients with hip pain. The researchers found that younger patients, those with TRICARE/other government insurance, and those with a high psychological distress phenotype had higher odds of surgery. Additionally, patients with periacetabular osteotomy (PAO) received opioid prescriptions with higher average morphine milligram equivalents (MME) than those with other procedures. However, psychological distress characteristics were not significant predictors of postoperative mean MME when considered alongside other clinical information such as age, insurance, type of surgery pursued, and iHOT-12 scores. The study suggests that while psychological distress can be targeted in rehabilitation programs, it may have limited use as a prognostic factor for surgery risk and opioid prescribing in patients with hip pain. [Extracted from the article] |
