Journal article
Long-term opioid medication use before and after joint replacement surgery in New Zealand
Ross Wilson, Yana Pryymachenko, Richard Audas, J Haxby Abbott, Peter Choong, Michelle Dowsey
NEW ZEALAND MEDICAL JOURNAL | NEW ZEALAND MEDICAL ASSOC | Published : 2019
Abstract
AIM: To describe the use of opioid analgesics over three years before and after total joint replacement surgery in New Zealand. METHOD: We extracted information on all individuals undergoing publicly funded total hip or knee replacement surgery in New Zealand between June 2011 and December 2014, and linked data on opioid prescribing, from the Statistics New Zealand Integrated Data Infrastructure. We analysed monthly opioid use over the three years before and after surgery and the transition from pre-operative and/or immediate post-operative use to chronic post-operative use. RESULTS: The prevalence of opioid use increased from 7% three years before surgery to 22% immediately prior to surgery..
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Grants
Awarded by Jack Thomson Arthritis Fund of the Otago Medical Research Foundation
Funding Acknowledgements
The results in this paper are not official statistics. They have been created for research purposes from the Integrated Data Infrastructure (IDI), managed by Statistics New Zealand. The opinions, findings, recommendations, and conclusions expressed in this paper are those of the authors, not Statistics New Zealand. Access to the anonymised data used in this study was provided by Statistics NZ under the security and confidentiality provisions of the Statistics Act 1975. Only people authorised by the Statistics Act 1975 are allowed to see data about a particular person, household, business or organisation, and the results in this paper have been confidentialised to protect these groups from identification and to keep their data safe. Careful consideration has been given to the privacy, security and confidentiality issues associated with using administrative and survey data in the IDI. Further detail can be found in the Privacy impact assessment for the IDI available from www.stats.govt.nz The Consortium Against the overuse of Opiates in Surgery (CAOS) is led by Professor Peter Choong & Associate Professor Michelle Dowsey of the Centre for Research Excellence in Total Joint Replacement, St Vincent's Hospital, University of Melbourne, Australia. We thank Prof Choong and Assoc Prof Dowsey for invaluable discussions and advice throughout the development of this study. This work was funded by a grant from the Jack Thomson Arthritis Fund of the Otago Medical Research Foundation (JT382). The funder played no role in study design, conduct, reporting, or submission for publication.