Gallbladder removal and colon surgery were among procedures associated with highest risk of new
persistent opioid use, said lead abstract author Calista Harbaugh, M.D., a general surgery resident at the University of Michigan Medical School and pediatric surgery researcher at C.S. Mott Children's Hospital and the Michigan Opioid Engagement Network.
They looked for
persistent opioid use, defined as continued prescription refills 90 to 180 days after the surgical procedure and beyond what is expected after routine surgery.
They found the incidence of new
persistent opioid use following surgery was 4.8 percent, ranging from 2.7 percent to 15.2 percent across procedures, as compared to 0.1 percent in the nonoperative control group.
Among patients not previously taking opioids, those with higher pain scores the day of surgery — both in the affected joint and overall body pain — were more likely to report
persistent opioid use at six months.
Led by Jenna Goesling, PhD, of the University of Michigan, the study identifies several «red flags» for
persistent opioid use — particularly previous use of high - dose opioids.
«Low risk of developing
persistent opioid use after major surgery.»
The highest risk of long - term
persistent opioid use occurred after lung resection procedures.
Not exact matches
There are limited data on the risk of previously
opioid - naive individuals developing
persistent postoperative
opioid use.
Patients in the study were those at highest risk for developing chronic pain and
persistent high - dose
opioid use after major surgery.