Table 2.
Cohort characteristics stratified by 90-day opioid use post-surgery
| Characteristic | 90-day non-opioid user | 90-day opioid user | Odds Ratio | 95% Confidence Interval | P-value* | |
|---|---|---|---|---|---|---|
| n (%) | 1458 (82.3) | 313 (17.7) | ||||
| Age, mean (SD) | 67.6 (9.8) | 65.9 (9.2) | .982 | .97 | .994 | 0.004 |
| Sex, female+ | 751 (51.5) | 202 (64.5) | .584 | .453 | .752 | < 0.001 |
| Pre-op opioid user | 192 (13.2) | 118 (37.7) | 3.99 | 3.033 | 5.25 | < 0.001 |
| Hospital, Private+ | 775 (53.2) | 153 (48.8) | .843 | .66 | 1.076 | 0.17 |
| Surgery Joint | ||||||
| Knee | 780 (53.5) | 237 (75.7) | 2.711 | 2.052 | 3.58 | < 0.001 |
| Bilateral Hip or Knee | 66 (4.5) | 22 (7.0) | 1.595 | .968 | 2.626 | 0.067 |
| Previous THA/ TKA | 400 (27.4) | 73 (23.3) | .804 | .604 | 1.07 | 0.135 |
| Education, Year 10 or below+ | ||||||
| Completed Year 11 or above | 923 (63.3) | 192 (61.3) | .93 | 0.722 | 1.198 | 0.574 |
| Comorbid condition | 1304 (89.4) | 301 (96.2) | 2.961 | 1.624 | 5.398 | < 0.001 |
| Acute major complication | 1419 (97.3) | 293 (93.6) | 2.484 | 1.428 | 4.32 | 0.001 |
| Post-major complication | 1374 (94.2) | 262 (83.7) | 3.184 | 2.195 | 4.62 | < 0.001 |
| Pre-op opioid use | 192 (13.2) | 118 (37.7) | 3.99 | 3.033 | 5.25 | < 0.001 |
| Tobacco use | ||||||
| Current smoker | 110 (7.5) | 42 (13.4) | 1.903 | 1.303 | 2.78 | < 0.001 |
| Inpatient Rehabilitation | 396 (27.2) | 127 (40.6) | 1.831 | 1.421 | 2.359 | < 0.001 |
| Employed at time of surgery | 413 (28.3) | 79 (25.2) | 0.866 | 0.655 | 1.146 | 0.315 |
| EQ-5D Baseline | ||||||
| Pain/Discomfort | 1.55† | 1.335 | 1.799 | < 0.0001 | ||
| No pain or discomfort | 38 (2.6) | 2 (0.6) | ||||
| Slight pain or discomfort | 248 (17.0) | 31 (9.9) | ||||
| Moderate pain or discomfort | 694 (47.6) | 132 (42.2) | ||||
| Severe pain or discomfort | 395 (27.1) | 118 (37.7) | ||||
| Extreme pain or discomfort | 68 (4.7) | 29 (9.3) | ||||
| Baseline Oxford Knee or Hip Score, mean (SD) | 21.8 (8.6) | 18.7 (8.1) | .957 | .943 | .972 | < 0.0001 |
| ASA, 3 + | 432 (30.3) | 131 (43.2) | 1.725 | 1.337 | 2.225 | < 0.0001 |
Legend: Number and percentage shown unless otherwise stated; Reference = No, unless otherwise indicated; SD = standard deviation; Education = highest completed level; Year 11 or above = senior secondary high school
+Reference group
*p-values based on univariate logistic regression
†Odds Ratio is per increase in pain/discomfort level