Table 3.
Preoperative (0–3 months) | Postoperative (9–12 months) | ||||
---|---|---|---|---|---|
Any analgesic** | Any analgesic** | Acetaminophen | NSAID | Opioid | |
Hip replacement | |||||
Laterality:bilateral | 1.1 (0.999–1.2) | 0.82 (0.64–1.04) | 0.34 (0.17–0.68) | 1.02 (0.77–1.3) | 0.67 (0.38–1.2) |
Harris Hip Score*** | |||||
Poor (< 70) | 1 | 1 | 1 | 1 | 1 |
Fair (70–80) | 0.77 (0.63–0.94) | 0.78 (0.54–1.1) | 0.65 (0.29–1.4) | 0.91 (0.61–1.3) | 0.58 (0.22–1.6) |
Good or excellent (> 80) | 0.49 (0.30–0.82) | 0.60 (0.28–1.3) | 1.36 (0.05–2.5) | 0.72 (0.31–1.7) | – |
Knee replacement | |||||
Laterality:bilateral | 1.1 (1.02–1.2) | 0.86 (0.77–0.96) | 0.77 (0.62–0.96) | 0.91 (0.78–1.1) | 0.56 (0.42–0.76) |
UKA (vs TKA) | 0.72 (0.61–0.84) | 0.83 (0.69–1.002) | 0.45 (0.28–0.72) | 0.99 (0.79–1.2) | 0.52 (0.32–0.85) |
KSS Knee Score*** | |||||
Poor (< 60) | 1 | 1 | 1 | 1 | 1 |
Fair (60–70) | 0.81 (0.71–0.92) | 0.94 (0.82–1.1) | 0.83 (0.62–1.1) | 1.03 (0.86–1.2) | 0.73 (0.50–1.05) |
Good or excellent (> 70) | 0.78 (0.64–0.95) | 0.88 (0.70–1.1) | 0.81 (0.52–1.3) | 0.94 (0.70–1.3) | 0.82 (0.49–1.4) |
KSS Function Score*** | |||||
Poor (< 60) | 1 | 1 | 1 | 1 | 1 |
Fair (60–70) | 0.94 (0.84–1.1) | 1.03 (0.90–1.2) | 1.3 (1.02–1.7) | 0.90 (0.73–1.1) | 0.91 (0.65–1.3) |
Good or excellent (> 70) | 0.90 (0.82–0.99) | 0.89 (0.80–1.00) | 0.95 (0.75–1.2) | 0.97 (0.83–1.1) | 0.73 (0.55–0.97) |
RR (95% CI) adjusted with age (continuous), gender, Charlson Comorbidity Index, BMI (continuous), laterality (unilateral vs bilateral), and use of antidepressant 1 year before surgery
**Acetaminophen, NSAID, opioid
***Preoperative HHS missing on 2138 (34.3%) patients and KSS Knee Score on 2617 (34.9%) patients and KSS Function Score on 2645 (35.3%) patients