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Influence of Anxiety and Depression on Opioid Use Following Lumbar Spine Fusion: A Large Database Study – Lumbar Fusion

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This article discusses a retrospective study that aimed to understand how mental health disorders, specifically anxiety and depression, impact a patient’s postoperative opioid needs after undergoing single-level lumbar spine fusion. The study utilized the Pearldiver Patient Claims Database to identify patients who underwent the procedure between 2010 and 2020. The patients were divided into four groups based on psychiatric diagnoses, including depression, anxiety, both anxiety and depression, and a control group. The study found that while the control group required more initial opioid prescriptions within the first 90 days following surgery, there was no significant difference among the study groups in terms of additional opioid prescription needs. The conclusion suggests that patients with mental health diagnoses may be complex cases for spine surgeons, but they may not require additional opioid pain control after a single-level lumbar fusion

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: Patients with mental health diagnoses may present as complex patients to spine surgeons; however, this study suggests they do not require additional opioid pain control following a single-level lumbar fusion.

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Clin Spine Surg. 2023 Jul 31. doi: 10.1097/BSD.0000000000001505. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective database.OBJECTIVE: The purpose of this study was to understand how a mental health disorder, specifically anxiety and depression, influences a patient’s postoperative opioid needs following single-level lumbar spine fusion.SUMMARY OF BACKGROUND DATA: Patients with spine pathology commonly demonstrate symptoms of an,

Clin Spine Surg. 2023 Jul 31. doi: 10.1097/BSD.0000000000001505. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective database.

OBJECTIVE: The purpose of this study was to understand how a mental health disorder, specifically anxiety and depression, influences a patient’s postoperative opioid needs following single-level lumbar spine fusion.

SUMMARY OF BACKGROUND DATA: Patients with spine pathology commonly demonstrate symptoms of an active psychiatric disorder. Mental health significantly influences how a patient perceives pain and a patient’s opioid pain control needs after surgery.

MATERIALS AND METHODS: The Pearldiver Patient Claims Database was used to identify patients undergoing single-level posterior spine fusion within the United States between 2010 and 2020. Patients were placed into 1 of 4 groups: those with a diagnosis of depression, those with a diagnosis of anxiety, those with a diagnosis of both anxiety and depression, and a control group. χ2 tests were used to assess differences in the number of patients filling initial and additional opioid prescriptions for up to 90 days following their fusion.

RESULTS: The control group filled significantly more initial opioid prescriptions within the first 90 days following their spine fusion (P<0.001). However, there was no difference among the study groups in regard to the additional need for prescriptions.

CONCLUSION: Patients with mental health diagnoses may present as complex patients to spine surgeons; however, this study suggests they do not require additional opioid pain control following a single-level lumbar fusion.

PMID:37559206 | DOI:10.1097/BSD.0000000000001505

The London Spine Unit : most advanced spine centre in the world

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Influence of Anxiety and Depression on Opioid Use Following Lumbar Spine Fusion: A Large Database Study

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Clin Spine Surg. 2023 Jul 31. doi: 10.1097/BSD.0000000000001505. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective database.OBJECTIVE: The purpose of this study was to understand how a mental health disorder, specifically anxiety and depression, influences a patient's postoperative opioid needs following single-level lumbar spine fusion.SUMMARY OF BACKGROUND DATA: Patients with spine pathology commonly demonstrate symptoms of an

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