Increased use of intra-articular steroid injection to treat osteoarthritis is associated with chronic opioid dependence after later total knee arthroplasty but not total hip arthroplasty
Journal of Arthroplasty May 07, 2020
Wilson LA, Liu J, Fiasconaro M, et al. - This study was sought to evaluate whether and how increased use of intra-articular steroid injection to treat osteoarthritis is correlated with chronic opioid dependence after later total knee arthroplasty but not total hip arthroplasty. Researchers conducted analysis on Truven Health MarketScan database (2012-2016) in total hip arthroplasty (THA) and total knee arthroplasty (TKA). They evaluated trends over time. They performed multivariable logistic regression analyses to assess the effect of IA injections on postoperative chronic opioid use. The data showed that in patients with hip and knee osteoarthritis, the utilization of IA injections seems to be reducing over time. The outcomes of this study revealed that TKA patients who received 2 or more preoperative corticosteroid injections experienced greater odds of chronic opioid utilization, whereas TKA patients with 2 or more HA injections in the year before surgery had decreased odds of chronic opioid use.
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