Opioids and Spinal Cord Stimulators: Pre- and Postoperative Opioid Use Patterns and Predictors of Prolonged Postoperative Opioid Use.

摘要: OBJECTIVE The aim of the study was to compare trends and differences in preoperative prolonged postoperative opioid use following spinal cord stimulator (SCS) implantation determine factors associated with use. METHODS A database private-payer insurance records queried identify patients who underwent a primary paddle lead SCS placement via laminectomy (CPT-C3655) from 2008-2015. Our resulting cohort stratified into those use, between 3- 6-month postoperation, without. Multivariate logistic regression used effect other interest had on Subgroup analysis performed users further quantify differing magnitudes RESULTS total 2,374 were identified. Of all patients, 1,890 (79.6%) identified as having narcotic Annual rates (p = 0.023) < 0.001) decreased over period. Significant independent predictors age 65 years (odds ratio [OR], 1.52; p 0.004), male sex (OR, 1.33; 0.037), anxiolytic 1.55; 0.004) muscle relaxant 1.42; 0.033), 15.04; 0.001). Increased number prescriptions correlated increased odds CONCLUSION Patients greater may not attain same benefit SCSs less most significant predictor