Preoperative Opioid Prescribers and Lumbar Fusion: Their Effect on Clinical Outcomes and Postoperative Opioid Usage.

Mark J Lambrechts,Gregory R Toci,Tristan B Fried,Tariq Z Issa,Brian A Karamian,Michael V Carter, Garrett M Breyer,John G Curran, Waqas Hassan,Hareindra Jeyamohan,Paul D Minetos,David Stolzenberg,Michael Mehnert,Jose A Canseco,Barrett I Woods,Ian David Kaye,Alan S Hilibrand,Christopher K Kepler,Alexander R Vaccaro,Gregory D Schroeder

Clinical spine surgery（2023）

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摘要

Multiple preoperative opioid prescribers predicted increased improvement in postoperative back pain, whereas preoperative involvement of a nonoperative spine provider predicted improvements in leg pain after surgery. The number of preoperative opioid prescriptions was a better metric for predicting poor postoperative outcomes and increased opioid consumption compared with the number of preoperative opioid prescribers.

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关键词

opioid, narcotic, transforaminal lumbar interbody fusion, posterolateral lumbar fusion, pain management, prescribers, prescription drug-monitoring program, substance use disorder, pain specialist

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