Table 2. Predictors of prolonged postoperative opioid use.
| Predictors |
Odds Ratio
[95% CI] |
p-value* |
| (Intercept) | 0.005 [0.004; 0.006] | <0.001 |
| Female sex | 1.168 [1.070; 1.276] | 0.009 |
| Age (years) | 1.030 [1.027; 1.034] | <0.001 |
| Number of prior hospital stays | 1.117 [1.080; 1.156] | <0.001 |
| CCI (unweighted, points) | 1.103 [1.064; 1.144] | <0.001 |
| Coagulopathy | 1.086 [0.904; 1.304] | 1.000 |
| Chronic pulmonary disease | 0.978 [0.889; 1.076] | 1.000 |
| Cardiovascular disease | 1.030 [0.927; 1.145] | 1.000 |
| Diabetes | 1.047 [0.939; 1.167] | 1.000 |
| Renal disease | 1.076 [0.951; 1.216] | 1.000 |
| Depression | 0.984 [0.892; 1.085] | 1.000 |
| Anxiety | 0.931 [0.809; 1.071] | 1.000 |
| Bipolar disorder | 0.970 [0.604; 1.558] | 1.000 |
| Other mood disorder | 0.955 [0.569; 1.601] | 1.000 |
| Posttraumatic stress disorder | 0.964 [0.817; 1.137] | 1.000 |
| Alcohol abuse | 1.515 [1.277; 1.797] | <0.001 |
| Tobacco abuse | 1.249 [1.095; 1.425] | 0.015 |
| Other substance abuse | 1.154 [0.871; 1.529] | 1.000 |
| Other psychiatric comorbidity | 1.123 [1.001; 1.259] | 0.720 |
| Fibromyalgia | 1.177 [0.902; 1.536] | 1.000 |
| Migraine | 1.096 [0.935; 1.285] | 1.000 |
| Chronic pain | 1.363 [1.248; 1.489] | <0.001 |
| Prescription of non-opioid analgesics | 1.479 [1.357; 1.613] | <0.001 |
| Prescription of benzodiazepines | 1.141 [0.940; 1.383] | 1.000 |
| Prescription of antidepressants | 2.131 [1.943; 2.336] | <0.001 |
Presented are fixed effects (i.e., odds ratios) of the random-intercept logistic regression model predicting prolonged postoperative opioid use from types of surgery (random intercept) and pre-existing risk factors. Random effects are reported in eTable 7.
* Because of the large sample size, p-values of the regression coefficients were adjusted for multiple comparisons according to Holm (31).
CCI, Charlson Comorbidity Index