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HSS Journal ®
Published in: HSS Journal ® 1/2015

01-02-2015 | Original Article

Preoperative Predictors of Postoperative Opioid Usage, Pain Scores, and Referral to a Pain Management Service in Total Knee Arthroplasty

Authors: Trevor R. Banka, MD, Allison Ruel, BA, Kara Fields, MS, Jacques YaDeau, MD, PhD, Geoffrey Westrich, MD

Published in: HSS Journal ® | Issue 1/2015

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Abstract

Background

Little is known about preoperative predictors of postoperative pain and referral to a recuperative pain management service after total knee arthroplasty (TKA).

Questions/Purposes

We sought to identify the preoperative predictors of postoperative pain scores, referral to a pain management service, and narcotic usage in patients undergoing primary total knee arthroplasty.

Methods

We performed a prospective cohort study of 97 TKAs from a single surgeon. Pre and 6-week postoperative WOMAC, visual analog pain scale (VAS) scores, narcotic usage, and catastrophizing pain scores were collected.

Results

After adjusting for all other variables, higher age and catastrophizing pain scores were associated with lower odds of postoperative opioid usage. Increasing age and BMI were associated with lower odds of being referred to pain management. There was no relationship between self-reported preoperative pain tolerance and postoperative change in WOMAC or VAS pain scores.

Conclusions

This information may help surgeons advise their patients preoperatively and set expectations during the recovery period.
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Metadata
Title
Preoperative Predictors of Postoperative Opioid Usage, Pain Scores, and Referral to a Pain Management Service in Total Knee Arthroplasty
Authors
Trevor R. Banka, MD
Allison Ruel, BA
Kara Fields, MS
Jacques YaDeau, MD, PhD
Geoffrey Westrich, MD
Publication date
01-02-2015
Publisher
Springer US
Published in
HSS Journal ® / Issue 1/2015
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-014-9418-4

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