{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:49:13Z","timestamp":1792158553700,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify risk factors that predict the need for rescue opioid use and patient\u2010reported outcomes following an opioid\u2010limiting postoperative analgesia protocol after anterior cruciate ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study recruited 44 patients undergoing primary arthroscopic\u2010assisted anterior cruciate ligament reconstruction. Preoperatively, patients completed questionnaires including demographics, medical history, Visual Analog Scale (VAS), Brief Resilience Scale, Six\u2010Item State\u2010Trait Anxiety Inventory, Patient Health Questionnaire\u20102, Single Assessment Numeric Evaluation score, and patient\u2010reported outcome measures (PROMs) including Patient\u2010Reported Outcomes Measurement Information System physical component. Postoperatively, patients received acetaminophen, meloxicam, tramadol, gabapentin, and oxycodone. Morphine milligram equivalents (MMEs) and VAS were assessed at multiple timepoints through 6\u2009months. PROMs were completed at 3 and 6\u2009months. Patients were analyzed as a single group and partitioned by Brief Resilience Scale and Six\u2010Item State\u2010Trait Anxiety Inventory scores into low\u2010normal (1.00\u20104.30) and high (4.31\u20105.00) resilience, and low (20\u201037) and moderate\u2010high (38\u201080) anxiety groups, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prior opioid use positively predicted VAS and MME at 48 to 72\u2009hours and MME at 6\u2009weeks. Body mass index positively predicted MME at 2\u2009weeks. Surgical history negatively predicted VAS at 48 to 72\u2009hours, but positively predicted change in Single Assessment Numeric Evaluation score at 3 and 6\u2009months and Patient\u2010Reported Outcomes Measurement Information System physical component score at 6\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Only 4.8% of patients required opioid medications more than 2\u2009weeks postoperatively. Patients with prior opioid use exhibited greater postoperative pain and narcotic consumption. Higher body mass index linked to increased opioid use at 2 weeks, whereas individuals with prior surgical history reported less pain and improved PROMs postoperatively. Measurements of patient resilience and anxiety show little effect on postoperative pain, opioid consumption, and PROMs requiring further study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective prognostic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70066","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T02:01:22Z","timestamp":1788746482000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Risk Factors for Opioid Use Predict Self\u2010Reported Health and Function Up to 6\u2009Months After Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7247-7671","authenticated-orcid":false,"given":"Eric V.","family":"Neufeld","sequence":"first","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2391-3366","authenticated-orcid":false,"given":"William","family":"DeGouveia","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Pinpin","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5173-3069","authenticated-orcid":false,"given":"Matthew","family":"Zinner","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9364-0346","authenticated-orcid":false,"given":"Michael J.","family":"Sayegh","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Meade","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4181-2238","authenticated-orcid":false,"given":"Steven E.","family":"Rokito","sequence":"additional","affiliation":[{"name":"Northwell  New Hyde Park New York U.S.A."},{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Secretary Kennedy Renews Public Health Emergency Declaration to Address National Opioid Crisis | HHS.gov.https:\/\/www.hhs.gov\/press\u2010room\/secretary\u2010kennedy\u2010opiod\u2010crisis\u2010emergency\u2010declaration.html. 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