{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T21:49:17Z","timestamp":1784843357552,"version":"3.55.0"},"reference-count":48,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["bjanaesthesia.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Anaesthesia"],"published-print":{"date-parts":[[2019,1]]},"DOI":"10.1016\/j.bja.2018.08.027","type":"journal-article","created":{"date-parts":[[2018,10,27]],"date-time":"2018-10-27T01:14:16Z","timestamp":1540602856000},"page":"131-140","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":57,"title":["Non-opioid analgesic modes of pain management are associated with reduced postoperative complications and resource utilisation: a retrospective study of obstructive sleep apnoea patients undergoing elective joint arthroplasty"],"prefix":"10.1016","volume":"122","author":[{"given":"C.","family":"Cozowicz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Poeran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Zubizarreta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.M.","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Pichler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Mazumdar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.G.","family":"Memtsoudis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bja.2018.08.027_bib1","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/lary.25399","article-title":"The effects of anesthesia and opioids on the upper airway: a systematic review","volume":"126","author":"Ehsan","year":"2016","journal-title":"Laryngoscope"},{"key":"10.1016\/j.bja.2018.08.027_bib2","doi-asserted-by":"crossref","first-page":"S191","DOI":"10.1097\/01.CCM.0000231880.18476.D8","article-title":"Critical care challenges in orthopedic surgery patients","volume":"34","author":"Taylor","year":"2006","journal-title":"Crit Care Med"},{"key":"10.1016\/j.bja.2018.08.027_bib3","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.smrv.2004.07.002","article-title":"Obstructive sleep apnoea and anaesthesia","volume":"8","author":"Hillman","year":"2004","journal-title":"Sleep Med Rev"},{"key":"10.1016\/j.bja.2018.08.027_bib4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.4103\/0970-9185.86574","article-title":"A\u00a0systematic review of the effects of sedatives and anesthetics in patients with obstructive sleep apnea","volume":"27","author":"Ankichetty","year":"2011","journal-title":"J\u00a0Anaesthesiol Clin Pharmacol"},{"key":"10.1016\/j.bja.2018.08.027_bib5","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/ALN.0000000000000053","article-title":"Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on Perioperative management of patients with obstructive sleep apnea","volume":"120","author":"Gross","year":"2014","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib6","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1097\/ALN.0000000000002132","article-title":"Association of multimodal pain management strategies with perioperative outcomes and resource utilization: a population-based study","volume":"128","author":"Memtsoudis","year":"2018","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib7","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.13063\/2327-9214.1110","article-title":"Transforming the premier perspective hospital database into the observational medical outcomes partnership (OMOP) common data model","volume":"2","author":"Makadia","year":"2014","journal-title":"Egems"},{"key":"10.1016\/j.bja.2018.08.027_bib8","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1002\/jhm.2404","article-title":"Obstructive sleep apnea and adverse outcomes in surgical and nonsurgical patients on the wards","volume":"10","author":"Lyons","year":"2015","journal-title":"J\u00a0Hosp Med"},{"key":"10.1016\/j.bja.2018.08.027_bib9","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/01.mlr.0000182534.19832.83","article-title":"Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data","volume":"43","author":"Quan","year":"2005","journal-title":"Med Care"},{"key":"10.1016\/j.bja.2018.08.027_bib10","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.bpa.2014.02.003","article-title":"Perioperative analgesia and challenges in the drug-addicted and drug-dependent patient","volume":"28","author":"Vadivelu","year":"2014","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"10.1016\/j.bja.2018.08.027_bib11","doi-asserted-by":"crossref","first-page":"2390","DOI":"10.1016\/j.arth.2017.03.014","article-title":"Opioid use after total knee arthroplasty: trends and risk factors for prolonged use","volume":"32","author":"Bedard","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.bja.2018.08.027_bib12","doi-asserted-by":"crossref","first-page":"E1524","DOI":"10.1097\/BRS.0000000000000622","article-title":"Preoperative opioid use and its association with perioperative opioid demand and postoperative opioid independence in patients undergoing spine surgery","volume":"39","author":"Armaghani","year":"1976","journal-title":"Spine Phila Pa"},{"key":"10.1016\/j.bja.2018.08.027_bib13","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.anclin.2018.01.011","article-title":"Perioperative surgical home for the patient with chronic pain","volume":"36","author":"Khan","year":"2018","journal-title":"Anesthesiol Clin"},{"key":"10.1016\/j.bja.2018.08.027_bib14","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1002\/phar.1223","article-title":"Cost and quality implications of opioid-based postsurgical pain control using administrative claims data from a large health system: opioid-related adverse events and their impact on clinical and economic outcomes","volume":"33","author":"Kessler","year":"2013","journal-title":"Pharmacotherapy"},{"key":"10.1016\/j.bja.2018.08.027_bib15","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1213\/ANE.0000000000000051","article-title":"The impact of sleep apnea on postoperative utilization of resources and adverse outcomes","volume":"118","author":"Memtsoudis","year":"2014","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2018.08.027_bib16","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s10286-015-0301-2","article-title":"Effect of hypoxia on heart rate variability and baroreflex sensitivity during hypoglycemia in type 1 diabetes mellitus","volume":"25","author":"Limberg","year":"2015","journal-title":"Clin Auton Res"},{"key":"10.1016\/j.bja.2018.08.027_bib17","unstructured":"McAuley D, Pharm.D. GlobalRPH Opioid Analgesic Converter http:\/\/globalrph.com\/narcoticonv.htm Accessed 19 September 2016."},{"key":"10.1016\/j.bja.2018.08.027_bib18","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1471-2288-7-34","article-title":"A\u00a0simulation study of sample size for multilevel logistic regression models","volume":"7","author":"Moineddin","year":"2007","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.bja.2018.08.027_bib19","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1097\/00001648-200011000-00012","article-title":"Multilevel modeling in epidemiology with GLIMMIX","volume":"11","author":"Witte","year":"2000","journal-title":"Epidemiology"},{"key":"10.1016\/j.bja.2018.08.027_bib20","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1136\/bmj.316.7139.1236","article-title":"What's wrong with Bonferroni adjustments","volume":"316","author":"Perneger","year":"1998","journal-title":"BMJ"},{"key":"10.1016\/j.bja.2018.08.027_bib21","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/1471-2288-12-68","article-title":"A\u00a0review of statistical estimators for risk-adjusted length of stay: analysis of the Australian and New Zealand Intensive Care Adult Patient Data-Base, 2008\u20132009","volume":"12","author":"Moran","year":"2012","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.bja.2018.08.027_bib22","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0149-2918(01)80052-7","article-title":"Dealing with skewed data: an example using asthma-related costs of medicaid clients","volume":"23","author":"Rascati","year":"2001","journal-title":"Clin Ther"},{"key":"10.1016\/j.bja.2018.08.027_bib23","unstructured":"SAS PROC GLIMMIX procedure. Available from https:\/\/support.sas.com\/documentation\/cdl\/en\/statug\/63033\/HTML\/default\/viewer.htm#statug_glimmix_a0000001408.htm Accessed 3 May 2018."},{"key":"10.1016\/j.bja.2018.08.027_bib24","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1093\/bja\/aes308","article-title":"Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome","volume":"109","author":"Kaw","year":"2012","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2018.08.027_bib25","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1213\/ANE.0b013e3182009abf","article-title":"Perioperative pulmonary outcomes in patients with sleep apnea after noncardiac surgery","volume":"112","author":"Memtsoudis","year":"2011","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2018.08.027_bib26","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jclinane.2010.09.003","article-title":"Life-threatening critical respiratory events: a retrospective study of postoperative patients found unresponsive during analgesic therapy","volume":"23","author":"Ramachandran","year":"2011","journal-title":"J\u00a0Clin Anesth"},{"key":"10.1016\/j.bja.2018.08.027_bib27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s13741-016-0044-1","article-title":"Postoperative respiratory failure necessitating transfer to the intensive care unit in orthopedic surgery patients: risk factors, costs, and outcomes","volume":"5","author":"Melamed","year":"2016","journal-title":"Perioper Med (Lond)"},{"key":"10.1016\/j.bja.2018.08.027_bib28","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1093\/bja\/aex341","article-title":"Death or near-death in patients with obstructive sleep apnoea: a compendium of case reports of critical complications","volume":"119","author":"Subramani","year":"2017","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2018.08.027_bib29","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1097\/ALN.0000435832.39353.20","article-title":"Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: a report from the multicenter perioperative outcomes group","volume":"119","author":"Kheterpal","year":"2013","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib30","doi-asserted-by":"crossref","first-page":"204","DOI":"10.12688\/f1000research.5131.1","article-title":"Difficult mask ventilation in general surgical population: observation of risk factors and predictors","volume":"3","author":"Cattano","year":"2014","journal-title":"F1000Res"},{"key":"10.1016\/j.bja.2018.08.027_bib31","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/ALN.0000000000000041","article-title":"Factors associated with postoperative exacerbation of sleep-disordered breathing","volume":"120","author":"Chung","year":"2014","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s40140-013-0047-0","article-title":"Obstructive sleep apnea, pain, and opioid analgesia in the postoperative patient","volume":"4","author":"Doufas","year":"2014","journal-title":"Curr Anesthesiol Rep"},{"key":"10.1016\/j.bja.2018.08.027_bib33","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/ACO.0000000000000265","article-title":"Obstructive sleep apnea, pain, and opioids: is the riddle solved?","volume":"29","author":"Lam","year":"2016","journal-title":"Curr Opin Anaesthesiol"},{"key":"10.1016\/j.bja.2018.08.027_bib34","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0127809","article-title":"Chronic intermittent hypoxia is independently associated with reduced postoperative opioid consumption in bariatric patients suffering from sleep-disordered breathing","volume":"10","author":"Turan","year":"2015","journal-title":"PLoS ONE"},{"key":"10.1016\/j.bja.2018.08.027_bib35","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1097\/00000542-200506000-00027","article-title":"Effects of nonsteroidal antiinflammatory drugs on patient-controlled analgesia morphine side effects: meta-analysis of randomized controlled trials","volume":"102","author":"Marret","year":"2005","journal-title":"Anesthesiology"},{"issue":"Suppl 1","key":"10.1016\/j.bja.2018.08.027_bib36","first-page":"14s","article-title":"Optimizing multimodal analgesia with intravenous acetaminophen and opioids in postoperative bariatric patients","volume":"34","author":"Song","year":"2014","journal-title":"Pharmacotherapy"},{"key":"10.1016\/j.bja.2018.08.027_bib37","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1097\/00000542-200512000-00025","article-title":"Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone? Meta-analyses of randomized trials","volume":"103","author":"Elia","year":"2005","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib38","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/S0002-9610(02)00866-8","article-title":"Multimodal strategies to improve surgical outcome","volume":"183","author":"Kehlet","year":"2002","journal-title":"Am J Surg"},{"key":"10.1016\/j.bja.2018.08.027_bib39","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s11325-017-1539-9","article-title":"Association of opioid prescription and perioperative complications in obstructive sleep apnea patients undergoing total joint arthroplasties","volume":"22","author":"Morwald","year":"2018","journal-title":"Sleep Breath"},{"key":"10.1016\/j.bja.2018.08.027_bib40","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1213\/01.ANE.0000177099.28914.A7","article-title":"The changing role of non-opioid analgesic techniques in the management of postoperative pain","volume":"101","author":"White","year":"2005","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2018.08.027_bib41","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/S0885-3924(02)00691-7","article-title":"Cost of opioid-related adverse drug events in surgical patients","volume":"25","author":"Oderda","year":"2003","journal-title":"J\u00a0Pain Symptom Manage"},{"key":"10.1016\/j.bja.2018.08.027_bib42","first-page":"103","article-title":"The prevalence of perioperative complications in patients with and without obstructive sleep apnoea: a prospective cohort study","volume":"23","author":"Ambrosii","year":"2016","journal-title":"Rom J Anaesth Intensive Care"},{"key":"10.1016\/j.bja.2018.08.027_bib43","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/AAP.0b013e31828d0173","article-title":"Sleep apnea and total joint arthroplasty under various types of anesthesia: a population-based study of perioperative outcomes","volume":"38","author":"Memtsoudis","year":"2013","journal-title":"Reg Anesth Pain Med"},{"key":"10.1016\/j.bja.2018.08.027_bib44","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/ALN.0000000000000692","article-title":"Identifying obstructive sleep apnea in administrative data: a study of diagnostic accuracy","volume":"123","author":"McIsaac","year":"2015","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib45","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1097\/ALN.0000000000001037","article-title":"Suboptimal diagnostic accuracy of obstructive sleep apnea in one database does not invalidate previous observational studies","volume":"124","author":"Poeran","year":"2016","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2018.08.027_bib46","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.jclinepi.2011.06.004","article-title":"GRADE guidelines: 9. Rating up the quality of evidence","volume":"64","author":"Guyatt","year":"2011","journal-title":"J\u00a0Clin Epidemiol"},{"key":"10.1016\/j.bja.2018.08.027_bib47","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.soard.2017.09.535","article-title":"Implementation of enhanced recovery programs for bariatric surgery. Results from the Francophone large-scale database","volume":"14","author":"Deneuvy","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"10.1016\/j.bja.2018.08.027_bib48","article-title":"Modification of responses to surgery by neural blockade","volume":"vols. 129\u201375","author":"Kehlet","year":"1998"}],"container-title":["British Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091218307621?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091218307621?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T18:51:24Z","timestamp":1757789484000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091218307621"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["S0007091218307621"],"URL":"https:\/\/doi.org\/10.1016\/j.bja.2018.08.027","relation":{},"ISSN":["0007-0912"],"issn-type":[{"value":"0007-0912","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Non-opioid analgesic modes of pain management are associated with reduced postoperative complications and resource utilisation: a retrospective study of obstructive sleep apnoea patients undergoing elective joint arthroplasty","name":"articletitle","label":"Article Title"},{"value":"British Journal of Anaesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2018.08.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 British Journal of Anaesthesia. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}