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Source/Disclosures Posted by: Source: Mo K, et al. Paper 149. Presented at: North American Spine Society Annual Meeting; October 12-15, 2022. Chicago. Disclosures: Gupta reports no relevant financial disclosures.
ADD SUBJECT TO EMAIL NOTIFICATIONS Receive an email when new articles are published Enter your email address to receive an email when new articles are published on . ” data-action=subscribe> Subscribe We were unable to process your request. Please try again later. If you continue to experience this problem, please contact [email protected] Back to Healio CHICAGO — Results presented at the annual meeting of the North American Spine Society showed that anxiety and sleep disturbance were independent predictors of high barriers to proper opioid use after spine deformity surgery. Arjun Gupta, BS, and colleagues retrospectively reviewed patient-reported outcome measurement information system (PROMIS) questionnaires, the Barriers Questionnaire-Taiwan (S-BQT), and preoperative opioid use behaviors in 106 patients who underwent spinal deformity surgery with at least five levels. compared characteristics of patients with high barriers to proper opioid use with patients with low to normal barriers to proper opioid use. The researchers performed a threshold Bayesian regression analysis to determine a PROMIS score cutoff that can predict high barriers to proper opioid use. They also used a multivariable logistic regression model to determine whether there were associations between identified thresholds and barriers to appropriate opioid use while controlling for baseline characteristics. Source: Adobe Stock “Overall, 22% were classified as having high barriers to using opioids properly, and just to give you an idea of what that looked like, some of the most common barriers were fear of addiction, worry that pain was a sign of progression disease and a belief that painkillers should be saved until the pain gets bad,” Gupta said. Arjun Gupta Gupta noted that patients with high barriers to proper opioid use were more likely to be older, live alone, and have fewer comorbidities overall compared to patients with low to normal barriers to proper opioid use. “Surprisingly, we found that there was no difference in terms of opioid naivety or opioid use in the last 30 days before surgery,” Gupta said. Patients with high barriers to proper opioid use had worse pain interference, physical function, fatigue, anxiety, sleep disturbance and dissatisfaction with social roles on the PROMIS questionnaire, according to Gupta. Bayesian threshold regression analysis showed that anxiety and sleep disturbance were likely to be predictive of high barriers to proper opioid use. “When we performed the multivariate regression analysis using these thresholds, we found that the odds that these thresholds could predict high barriers to proper opioid use were significantly high,” Gupta said. “For anxiety scores, it was an odds ratio of 4.5 and, for sleep disturbance, an odds ratio of 6.2.”
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