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Patients in high-risk opioid overdose zip codes were significantly more likely to exhibit chronic postoperative opioid use. The Kaplan\u2013Meier curve demonstrated that opioid discontinuation was less probable at any postoperative time for patients residing in high opioid fatality zip codes. Logistic regression found opioid tolerance, smoking, and depression to predict extended opioid use.<\/jats:p>","DOI":"10.1097\/jmq.0000000000000077","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T12:01:21Z","timestamp":1660219281000},"page":"464-471","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is Patient Geography a Risk Factor for Chronic Opioid Use After ACDF?"],"prefix":"10.1097","volume":"37","author":[{"given":"Hannah A.","family":"Levy","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian A.","family":"Karamian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, 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