{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:50:08Z","timestamp":1740167408411,"version":"3.37.3"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003Proximal row carpectomy (PRC) and four-corner arthrodesis (4-CA) represent motion-sparing procedures for addressing degenerative wrist pathologies. While both procedures demonstrate comparable functional outcomes, postoperative pain presents a surgical challenge that often necessitates the use of opioids.<\/jats:p><jats:p>Objectives The aim of this study was to (1) compare opioid prescribing patterns surrounding PRC and 4-CA, (2) identify risk factors predisposing patients to increased perioperative and prolonged postoperative opioids, and (3) examine the association between opioids and perioperative health care utilization.<\/jats:p><jats:p>Patients and Methods\u2003PearlDiver Patients Records Database was used to retrospectively identify patients undergoing primary PRC and 4-CA between 2010 and 2018. Patient demographics, comorbidities, prescription drug usage, and perioperative health care utilization were evaluated. Perioperative opioid prescriptions and post-operative opioid prescriptions were recorded. Logistic regression analysis evaluated the association of patient risk factors.<\/jats:p><jats:p>Results\u2003There was no significant difference in perioperative (PRC [odds ratio {OR}: 0.84, p\u2009=\u20090.788]; 4-CA [OR: 0.75, p\u2009=\u20090.658]) or prolonged postoperative opioid prescriptions (PRC [OR: 0.95, p\u2009=\u20090.927]; 4-CA [OR: 0.99, p\u2009=\u20090.990]) between PRC and 4-CA. Chronic back pain and use of benzodiazepines or anticonvulsants were associated with increased risks of prolonged postoperative opioids. Prolonged postoperative opioids presented increased risks of emergency department visits (OR: 2.09, p\u2009=\u20090.019) and hospital readmissions (OR: 10.2, p\u2009=\u20090.003).<\/jats:p><jats:p>Conclusion\u2003No significant differences exist in the prescription of opioids for PRC versus 4-CA. Both procedures have high amounts of prolonged postoperative opioid use, which is associated with increased risks of emergency department visits and hospital readmissions.<\/jats:p><jats:p>Level of Evidence\u2003This is a level III, retrospective comparative study.<\/jats:p>","DOI":"10.1055\/s-0041-1731821","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T23:23:58Z","timestamp":1626305038000},"page":"054-061","source":"Crossref","is-referenced-by-count":0,"title":["Opioid Prescribing for Proximal Row Carpectomy versus Four-Corner Arthrodesis"],"prefix":"10.1055","volume":"11","author":[{"given":"Thomas E.","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheriff D.","family":"Akinleye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4568-8764","authenticated-orcid":false,"given":"Alex J.","family":"Demers","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace L.","family":"Forster","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Brent R.","family":"DeGeorge","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia"},{"name":"Department of Plastic Surgery, University of Virginia, Charlottesville, 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wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis","volume":"26","author":"M S Cohen","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1177\/1753193414554359","article-title":"Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist arthropathy: a systematic review","volume":"40","author":"B M Saltzman","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"issue":"202","key":"ref5","first-page":"57","article-title":"Evolution of arthritis of the wrist","author":"H K Watson","year":"1986","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1016\/j.bjps.2007.08.007","article-title":"Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) in stage II","volume":"61","author":"A K Dacho","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.hansur.2016.01.003","article-title":"Carpal height and postoperative strength after proximal row carpectomy or four-corner arthrodesis: Clinical, anatomical and biomechanical study","volume":"35","author":"P Laronde","year":"2016","journal-title":"Hand Surg Rehabil"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/SAP.0000000000002398","article-title":"Four-corner arthrodesis versus proximal row carpectomy for scapholunate advanced collapse: a systematic literature review and meta-analysis","volume":"85","author":"K M Amer","year":"2020","journal-title":"Ann Plast Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1590\/S1807-59322011000100010","article-title":"Comparison between proximal row carpectomy and four-corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study","volume":"66","author":"E NF Bisneto","year":"2011","journal-title":"Clinics (S\u00e3o Paulo)"},{"key":"ref10","first-page":"163","article-title":"Motion preserving procedures for degenerative osteoarthritis of the wrist due to advanced carpal collapse. Arthritis types","volume":"72","author":"L De Smet","year":"2012","journal-title":"Treat Prev."},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/0363-5023(94)90178-3","article-title":"Surgical treatment of scapholunate advanced collapse","volume":"19","author":"J D Krakauer","year":"1994","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/1753193408087116","article-title":"Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist","volume":"33","author":"W Vanhove","year":"2008","journal-title":"J Hand Surg Eur Vol"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/S0363-5023(05)80144-3","article-title":"Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis","volume":"20","author":"J D Wyrick","year":"1995","journal-title":"J Hand Surg Am"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.2106\/JBJS.RVW.17.00190","article-title":"Team approach: multimodal perioperative pain management in upper-extremity surgery: combating the opioid epidemic","volume":"6","author":"T M Stewart","year":"2018","journal-title":"JBJS Rev"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jhsa.2019.12.010","article-title":"Proximal row carpectomy versus 4-corner fusion: incidence, conversion to fusion, and cost","volume":"45","author":"H F Kay","year":"2020","journal-title":"J Hand Surg Am"},{"issue":"20","key":"ref16","doi-asserted-by":"crossref","first-page":"e89","DOI":"10.2106\/JBJS.15.00614","article-title":"A prospective evaluation of opioid utilization after upper-extremity surgical procedures: identifying consumption patterns and determining prescribing guidelines","volume":"98","author":"N Kim","year":"2016","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.jhsa.2017.03.015","article-title":"Proximal row carpectomy and 4-corner arthrodesis in patients younger than age 45 years","volume":"42","author":"E R Wagner","year":"2017","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"267","DOI":"10.5435\/JAAOS-D-14-00163","article-title":"The opioid epidemic: impact on orthopaedic surgery","volume":"23","author":"B J Morris","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"issue":"19","key":"ref19","doi-asserted-by":"crossref","first-page":"2074","DOI":"10.1097\/BRS.0b013e3181809f07","article-title":"Preoperative narcotic use as a predictor of clinical outcome: results following anterior cervical arthrodesis","volume":"33","author":"J TR Lawrence","year":"2008","journal-title":"Spine"},{"issue":"11","key":"ref20","first-page":"e89(1)","article-title":"Preoperative opioid use as a predictor of adverse postoperative self-reported outcomes in patients undergoing spine surgery","volume":"96","author":"D Lee","year":"2014","journal-title":"J Bone Jt Surg - Am Vol."},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.jse.2014.05.002","article-title":"Preoperative opioid use and outcomes after reverse shoulder arthroplasty","volume":"24","author":"B J Morris","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"issue":"21","key":"ref22","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.2106\/JBJS.J.01473","article-title":"Chronic opioid use prior to total knee arthroplasty","volume":"93","author":"M G Zywiel","year":"2011","journal-title":"J Bone Jt Surg - Ser A."},{"key":"ref23","first-page":"305","volume-title":"Results and complications","author":"G M Gartsman","year":"2008"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/1558944718792276","article-title":"Perioperative narcotic use and carpal tunnel release: trends, risk factors, and complications","volume":"15","author":"T M Gause II","year":"2020","journal-title":"Hand (N Y)"},{"issue":"15","key":"ref25","doi-asserted-by":"crossref","first-page":"639","DOI":"10.5435\/JAAOS-D-19-00527","article-title":"Emergency department utilization after outpatient hand surgery","volume":"28","author":"L Sivasundaram","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s11999-015-4489-1","article-title":"Emergency department visits after hand surgery are common and usually related to pain or wound issues","volume":"474","author":"M E Menendez","year":"2016","journal-title":"Clin Orthop Relat Res"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1731821.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T02:18:03Z","timestamp":1699237083000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1731821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":26,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,2,1]]},"published-print":{"date-parts":[[2022,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1731821","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2021,7,14]]}}}