{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:18:35Z","timestamp":1778156315459,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To estimate the prevalence of psychotropic medication (PTM) usage in patients undergoing knee arthroscopy and to identify knee pathologies associated with the use of PTMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted. Subjects were identified using the billing database at a single institution. All eligible patients treated by 2 fellowship\u2010trained orthopaedic sports medicine surgeons between 2017 and 2021 were analyzed; patients were included if they were at least 12 years old and had at least 6 months of documented follow\u2010up. The following characteristics were gathered: age, sex, surgery laterality, ipsilateral knee surgery history, knee pathology, and use of PTMs if listed in patient charts within 6 months prior to surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Records from 1,000 arthroscopic knee surgical procedures were examined (399 female and 601 male patients). From 2017 to 2021, 245 patients (24.5%) were prescribed at least 1 psychotropic drug. Female patients took PTM drugs at higher rates than male patients (odds ratio, 1.92; 95% confidence interval, 1.42\u20102.60;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). An examination of drug classes revealed 106 antidepressant prescriptions (35.2%), 77 sedative hypnotics (25.6%), 38 stimulants (12.6%), 6 antipsychotics (2.0%), and 74 anticonvulsants\/mood stabilizers (24.6%). Patients taking PTMs had lower adjusted odds of presenting with anterior cruciate ligament injury compared with their peers not taking PTMs (adjusted odds ratio, 0.55; 95% confidence interval, 0.32\u20100.82;\n                      <jats:italic>P<\/jats:italic>\n                      = .003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The rate of PTM usage among patients undergoing knee arthroscopy was 24.5% based on 5 years of records from 1 institution. Female patients had a higher frequency of PTM use compared with their male counterparts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>PTM use is common among knee arthroscopy patients, with higher rates observed in female patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101251","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T23:38:18Z","timestamp":1755905898000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Twenty\u2010Five Percent of Patients Undergoing Knee Arthroscopy Use Psychotropic Medications"],"prefix":"10.1002","volume":"7","author":[{"given":"Zachary","family":"Ramsey","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Ierulli","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Nicholas O.","family":"Gerard","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreya M.","family":"Saraf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Loyola University Medical Center Maywood Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendell","family":"Heard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary K.","family":"Mulcahey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Loyola University Medical Center Maywood Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/pds.1367"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00292-3"},{"key":"e_1_2_3_4_2","unstructured":"PrattLA BrodyDJ GuQ. 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Mental health treatment among adults: United States 2020.NCHS Data Brief2021:1\u20138.","DOI":"10.15620\/cdc:110593"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115248"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002450"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518801881"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.714"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10010053"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-016-0120-y"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2024.08.198"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/neurolint13040062"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.05.038"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.07.037"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.101030"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1977.01770130100011"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-0327(93)90025-F"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1994.03950010008002"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-013-0147-z"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25001774?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25001774?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2025.101251","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2025.101251","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2025.101251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:08:51Z","timestamp":1778155731000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2025.101251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,22]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1016\/j.asmr.2025.101251"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101251","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,22]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Twenty-Five Percent of Patients Undergoing Knee Arthroscopy Use Psychotropic Medications","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101251","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}],"article-number":"101251"}}