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. 2016 Aug 25;33(9):1646–1648. doi: 10.1007/s12325-016-0400-z

Erratum to: Comparative Analysis of Length of Stay and Inpatient Costs for Orthopedic Surgery Patients Treated with IV Acetaminophen and IV Opioids vs. IV Opioids Alone for Post-Operative Pain

Ryan N Hansen 1,, An Pham 2, Scott A Strassels 3, Stela Balaban 4, George J Wan 2
PMCID: PMC5020110  PMID: 27562836

Erratum to: Adv Ther (2016) DOI 10.1007/s12325-016-0368-8

During typesetting of the aforementioned article, a number of erroneous commas were inadvertently introduced into the quantities cited. Furthermore, the authors noted that the description of Fig. 2 was incorrect in the results section. As such, the following corrections should be highlighted:

In the Results section of the Abstract, the following sentence is incorrect ‘We identified 4,85,895 orthopedic surgery patients with 1,74,805 (36%) who had received IV acetaminophen.’ and should read ‘We identified 485,895 orthopedic surgery patients with 174,805 (36%) who had received IV acetaminophen’.

In the Results section, the following sentence is incorrect ‘We identified 4,85,895 orthopedic surgery patients who were eligible for our study of which 1,74,805 (36%) had been managed with IV acetaminophen and opioids and 3,11,090 (64%) had been managed with IV opioids alone.’ and should read as follows ‘We identified 485,895 orthopedic surgery patients who were eligible for our study of which 174,805 (36%) had been managed with IV acetaminophen and opioids and 311,090 (64%) had been managed with IV opioids alone’.

Also in the Results section, the following sentence is incorrect ‘Subgroup analyses by surgery type revealed that LOS was consistently lower across all surgery groups, though only the fracture and other subgroups were statistically significantly lower. These subgroup analyses also showed that while costs were estimated to be lower for most groups, they were slightly higher for total knee replacements and other surgeries, none of which were statistically significantly different. Opioid dose was also lower for all groups (non-significant with the exception of other) except MED was slightly higher for knee revisions (1.1 mg, P = 0.8; Fig. 2).’ And should read as follows ‘Subgroup analyses by surgery type revealed that LOS was statistically significantly lower for all groups with the exception of knee revision. These subgroup analyses also showed that while costs were estimated to be lower for most groups, they were slightly higher for total knee replacements and other surgeries, neither of which were statistically significantly higher. Opioid dose was also lower for all groups except MED was slightly higher for knee revisions (1.1 mg, P = 0.8; Fig. 2)’.

A number of errors were noted in Table 1. Table 1 should appear as above.

Table 1.

Demographic characteristics of orthopedic surgery patients, comparing IV acetaminophen (Ofirmev) recipients to IV opioid monotherapy recipients

Characteristic IV opioids (n = 311,090) IV acetaminophen (n = 174,805)
Age (years), mean (SD) 64.3 (15.6) 63.6 (14.0)
Female, n (%) 179,779 (57.8) 102,864 (58.8)
Race, n (%)
 White 238,421 (76.6) 140,748 (80.5)
 Black 24,876 (8.0) 14,591 (8.4)
 Hispanic 47,600 (15.3) 19,362 (11.1)
 Unknown 193 (0.1) 104 (0.1)
APR-DRG severity of illness, n (%)
 Minor 136,264 (43.8) 80,801 (46.2)
 Moderate 130,231 (41.9) 77,862 (44.5)
 Severe 36,973 (11.9) 14,462 (8.3)
 Extreme 7622 (2.5) 1680 (1.0)
APR-DRG risk of mortality, n (%)
 Minor 217,279 (69.8) 137,283 (78.5)
 Moderate 63,080 (20.3) 28,648 (16.4)
 Severe 24,654 (7.9) 7454 (4.3)
 Extreme 6077 (1.9) 1420 (0.8)
 Elective surgery, n (%) 210,663 (67.7) 136,318 (78.0)
Hospital region, n (%)
 Midwest 60,685 (19.5) 27,639 (15.8)
 Northeast 70,154 (22.6) 28,530 (16.3)
 South 132,013 (42.4) 104,113 (59.6)
 West 48,238 (15.5) 14,523 (8.3)
Surgery type, n (%)
 Total knee replacement 66,725 (21.4) 64,399 (36.8)
 Total hip replacement 40,140 (12.9) 33,541 (19.2)
 Knee revision 5187 (1.7) 4869 (2.8)
 Hip revision or partial replacement 26,672 (8.6) 9671 (5.5)
 Fracture 64,395 (20.7) 17,928 (10.3)
Othera 107,971 (34.7) 44,397 (25.4)

APR-DRG all patient refined-diagnosis related group, IV intravenous, SD standard deviation

aShoulder and spine

Furthermore, errors were noted in the field headings of Table 2. Table 2 should appear as above.

Table 2.

Unadjusted outcomes of orthopedic surgery patients, comparing IV acetaminophen recipients to IV opioid monotherapy recipients

Outcome IV opioids (n = 311,090) IV acetaminophen (n = 174,805) Difference (95% CI) P value
Length of stay (days), mean (SD) 3.9 (3.9) 3.2 (2.6) −0.66 (−0.68 to −0.64) <0.0001
Hospitalization cost ($), mean (SD) 19,927.6 (19,578.8) 19,024.9 (13,113.7) −902.7 (−1005.4 to −800.0) <0.0001
Morphine equivalent dose (mg), mean (SD) 43.8 (53.4) 46.9 (44.5) 3.1 (2.8 to 3.4) <0.0001
Opioid-related AEs, ORa (95% CI)
 Urinary tract infection 0.596 (0.56 to 0.63) <0.0001
 Respiratory depression 0.518 (0.50 to 0.54) <0.0001
 Surgery site infection 0.754 (0.71 to 0.80) <0.0001
 Bowel obstruction 1.013 (0.99 to 1.04) 0.4
 Nausea/vomiting 1.208 (1.16 to 1.26) <0.0001

AE adverse event, CI confidence interval, OR odds ratio, IV intravenous, SD standard deviation

aIV opioid monotherapy is the reference group

Open Access

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Footnotes

The online version of the original article can be found under doi:10.1007/s12325-016-0368-8.


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