Effect of cannabis use history on postoperative opioid utilization in lumbar fusion patients: an American retrospective study

Autor:	Pranav Mirpuri, Syed Ibad Khalid, Patrick King, Joanna Mary Roy, Aladine Elsamadicy, Ankit Indravadan Mehta, Owoicho Adogwa
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	cannabis lumbar fusion opioid opioid epidemic pain management Medicine
Zdroj:	Asian Spine Journal, Vol 18, Iss 5, Pp 639-646 (2024)
Druh dokumentu:	article
ISSN:	1976-1902 1976-7846
DOI:	10.31616/asj.2024.0194
Popis:	Study Design A retrospective cohort study. Purpose To examine the effect of cannabis use history on postoperative opioid utilization in patients undergoing one- to three-level lumbar fusion for degenerative spine disease. Overview of Literature Strategies to minimize dosing and chronic opioid use are needed for spine surgery given their widespread prescription for postsurgical pain management. Methods In this database study, medical coding was used to identify patients who had undergone one- to three-level lumbar fusions between 2012 and 2021. Propensity score matching was used to create two equal cohorts with respect to cannabis use history. Opioid utilization rates (morphine milligram equivalents [MME]/day) and overuse rates at 6 months post-index procedure were assessed. All p-values
Databáze:	Directory of Open Access Journals
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