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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Aug 18, 2018; 9(8): 105-111
Published online Aug 18, 2018. doi: 10.5312/wjo.v9.i8.105
Published online Aug 18, 2018. doi: 10.5312/wjo.v9.i8.105
Effect of opioid dependence or abuse on opioid utilization after shoulder arthroplasty
Derek D Berglund, Samuel Rosas, Jennifer Kurowicki, Dragomir Mijic, Jonathan C Levy, Department of Orthopedic Surgery, Holy Cross Orthopedic Institute, Fort Lauderdale, FL 33334, United States
Samuel Rosas, Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC 27157-1070, United States
Jennifer Kurowicki, Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, NJ 07079, United States
Author contributions: Berglund DD, Rosas S, Kurowicki J, Mijic D and Levy JC contributed significantly towards project design, analysis, and manuscript writing/editing.
Institutional review board statement: This study has been determined exempt from Institutional Review Board (IRB) review by the Holy Cross Hospital Research Office.
Informed consent statement: As this study utilizes publicly available data from a nationwide database, informed consent was not obtained from individual subjects included in the study. Study data contained no patient identifiers and cannot be linked to an individual patient.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Jonathan C Levy, MD, Staff Physician, Surgeon, Chief of Orthopedics, Department of Orthopedic Surgery, Holy Cross Orthopedic Institute, 5597 North Dixie Highway, Fort Lauderdale, FL 33334, United States. jonlevy123@yahoo.com
Telephone: +1-954-4894579 Fax: +1-954-2298698
Received: March 5, 2018
Peer-review started: March 6, 2018
First decision: March 23, 2018
Revised: May 17, 2018
Accepted: May 23, 2018
Article in press: May 23, 2018
Published online: August 18, 2018
Peer-review started: March 6, 2018
First decision: March 23, 2018
Revised: May 17, 2018
Accepted: May 23, 2018
Article in press: May 23, 2018
Published online: August 18, 2018
Core Tip
Core tip: A retrospective analysis of the Humana claims determined that patients with pre-operative opioid dependence or abuse had higher post-operative opioid utilization after anatomic total shoulder arthroplasty and reverse shoulder arthroplasty. Younger age, mood disorders, and chronic pain diagnoses were significant risk factors for pre-operative opioid dependence or abuse.