{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T03:20:38Z","timestamp":1778728838661,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Opioid analgesics are commonly used by patients awaiting orthopaedic surgery, and preoperative opioid use is associated with a greater burden of postoperative pain, suboptimal surgical outcomes and higher healthcare costs. This study aimed to examine the prevalence of total opioid use before elective orthopaedic surgery with a focus on regional and rural hospitals in New South Wales, Australia. This was a cross-sectional, observational study of patients undergoing orthopaedic surgery conducted between April 2017 and November 2019 across five hospitals that included a mix of metropolitan, regional, rural, private and public settings. Preoperative patient demographics, pain scores and analgesic use were collected during pre-admission clinic visits, held between two and six weeks before surgery. Of the 430 patients included, 229 (53.3%) were women and the mean age was 67.5 (standard deviation 10.1) years. The overall prevalence of total preoperative opioid use was 37.7% (162\/430). Rates of preoperative opioid use ranged from 20.6% (13\/63) at a metropolitan hospital to 48.8% (21\/43) at an inner regional hospital. Multivariable logistic regression showed that the inner regional setting was a significant predictor of opioid use before orthopaedic surgery (adjusted odds ratio 2.6; 95% confidence interval 1.0 to 6.7) after adjusting for covariates. Opioid use prior to orthopaedic surgery is common and appears to vary by geographical location.<\/jats:p>","DOI":"10.1177\/0310057x221147066","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T01:26:20Z","timestamp":1687310780000},"page":"331-339","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence and predictors of opioid use before orthopaedic surgery in an Australian setting: A multicentre, cross-sectional, observational study"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7047-4621","authenticated-orcid":false,"given":"Shania","family":"Liu","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Prince of Wales Hospital, Randwick, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9837-0031","authenticated-orcid":false,"given":"Jennifer A","family":"Stevens","sequence":"additional","affiliation":[{"name":"School of Medicine, Notre Dame University, Sydney, Australia"},{"name":"St Vincent\u2019s Clinical School, The University of New South Wales, Kensington, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashleigh E","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Medicine, Notre Dame University, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1427-0303","authenticated-orcid":false,"given":"Jed","family":"Duff","sequence":"additional","affiliation":[{"name":"Faculty of Health, Queensland University of Technology, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7302-6963","authenticated-orcid":false,"given":"Joanna R","family":"Sutherland","sequence":"additional","affiliation":[{"name":"Rural Clinical School Coffs Harbour Campus, The University of New South Wales, Coffs Harbour, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan D","family":"Oddie","sequence":"additional","affiliation":[{"name":"St George Hospital, Kogarah, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine M","family":"Naylor","sequence":"additional","affiliation":[{"name":"Whitlam Orthopaedic Research Centre, Ingham Institute, Liverpool, Australia"},{"name":"South Wes Sydney Clinical School, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad E","family":"Patanwala","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Royal Prince Alfred Hospital, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benita M","family":"Suckling","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, Australia"},{"name":"Pharmacy Department, Caboolture, Kilcoy and Woodford Directorate, Metro North Health, Caboolture, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9606-7135","authenticated-orcid":false,"given":"Jonathan","family":"Penm","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Prince of Wales Hospital, Randwick, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"key":"bibr1-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.09.019"},{"key":"bibr2-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2017.11.016"},{"key":"bibr3-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2011.07.005"},{"key":"bibr4-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01473"},{"key":"bibr5-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002117"},{"key":"bibr6-0310057X221147066","first-page":"1","volume":"20","author":"Goplen CM","year":"2019","journal-title":"BMC"},{"key":"bibr7-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03486-4"},{"key":"bibr8-0310057X221147066","first-page":"S105","volume":"11","author":"Ricardo Buenaventura M","year":"2008","journal-title":"Pain 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See https:\/\/www.anzca.edu.au\/getattachment\/6892fb13-47fc-446b-a7a2-11cdfe1c9902\/PM01 (accessed April 2021)."},{"key":"bibr16-0310057X221147066","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"bibr17-0310057X221147066","unstructured":"Australian Institute of Health and Welfare.\n                      Remoteness classification (ASGS-RA)\n                      . 2018. See https:\/\/meteor.aihw.gov.au\/content\/index.phtml\/itemId\/531713 (accessed May 2021)."},{"key":"bibr18-0310057X221147066","unstructured":"Australian Institute of Health and Welfare.\n                      Rural and remote health\n                      . 2020. See https:\/\/www.aihw.gov.au\/reports\/australias-health\/rural-and-remote-health (accessed March 2022)."},{"key":"bibr19-0310057X221147066","unstructured":"Penington Institute.\n                      Australia\u2019s Annual Overdose Report 2021\n                      . Report. 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