{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:17Z","timestamp":1792787657817,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021529","name":"Prince of Wales Hospital Foundation","doi-asserted-by":"publisher","award":["Research Grant"],"award-info":[{"award-number":["Research Grant"]}],"id":[{"id":"10.13039\/501100021529","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"crossref","award":["NHMRC Postgraduate Scholarship"],"award-info":[{"award-number":["NHMRC Postgraduate Scholarship"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]},{"name":"AVANT","award":["AVANT Research Foundation Grant"],"award-info":[{"award-number":["AVANT Research Foundation Grant"]}]}],"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 prescribed for the management of acute pain following orthopaedic surgery may lead to unintended long-term opioid use and associated patient harms. This study aimed to examine the prevalence of opioid use at 90 days after elective orthopaedic surgery across major city, regional and rural locations in New South Wales, Australia. We conducted a prospective, observational cohort study of patients undergoing elective orthopaedic surgery at five hospitals from major city, regional, rural, public and private settings between April 2017 and February 2020. Data were collected by patient questionnaire at the pre-admission clinic 2\u20136 weeks before surgery and by telephone call after 90 days following surgery. Of the 361 participants recruited, 54% (195\/361) were women and the mean age was 67.7 years (standard deviation 10.1 years). Opioid use at 90 or more days after orthopaedic surgery was reported by 15.8% (57\/361; 95% confidence interval (CI) 12.2\u201320%) of all participants and ranged from 3.5% (2\/57) at a major city location to 37.8% (14\/37) at an inner regional location. Predictors of long-term postoperative opioid use in the multivariable analysis were surgery performed at an inner regional location (adjusted odds ratio 12.26; 95% CI 2.2\u201368.24) and outer regional location (adjusted odds ratio 5.46; 95% CI 1.09\u201327.50) after adjusting for known covariates. Long-term opioid use was reported in over 15% of patients following orthopaedic surgery and appears to be more prevalent in regional locations in Australia.<\/jats:p>","DOI":"10.1177\/0310057x231172790","type":"journal-article","created":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T04:28:08Z","timestamp":1694233688000},"page":"321-330","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Prevalence and predictors of long-term opioid use following orthopaedic surgery in an Australian setting: A multicentre, prospective cohort 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,  University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Prince of Wales Hospital, Randwick, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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, University of New South Wales, Kensington, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh E","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Medicine, Notre Dame University, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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, Kelvin Grove, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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, University of New South Wales, Coffs Harbour, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan D","family":"Oddie","sequence":"additional","affiliation":[{"name":"St George Hospital, Kogarah, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine M","family":"Naylor","sequence":"additional","affiliation":[{"name":"Whitlam Orthopaedic Research Centre, Ingham Institute, Liverpool, Australia"},{"name":"South Western Sydney Clinical School, University of New South Wales, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asad E","family":"Patanwala","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health,  University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Royal Prince Alfred Hospital, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benita M","family":"Suckling","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health,  University of Sydney, Sydney, Australia"},{"name":"Pharmacy Department, Caboolture, Kilcoy and Woodford Directorate, Metro North Health, Caboolture, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9606-7135","authenticated-orcid":false,"given":"Jonathan","family":"Penm","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health,  University of Sydney, Sydney, Australia"},{"name":"Department of Pharmacy, Prince of Wales Hospital, Randwick, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,9]]},"reference":[{"key":"bibr1-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60245-6"},{"key":"bibr2-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.401"},{"key":"bibr3-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.03.068"},{"key":"bibr4-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1071\/AH21353"},{"key":"bibr5-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03486-4"},{"key":"bibr6-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2008\/11\/S105"},{"key":"bibr7-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.391"},{"key":"bibr8-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1704500609"},{"key":"bibr9-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2017.04.002"},{"key":"bibr10-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1186\/s13741-018-0105-8"},{"key":"bibr11-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20201007-06"},{"key":"bibr12-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa573"},{"key":"bibr13-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577654"},{"key":"bibr14-0310057X231172790","unstructured":"Australian Institute of Health and Welfare.\n                      Remoteness classification (ASGS-RA).\n                      See: https:\/\/meteor.aihw.gov.au\/content\/index.phtml\/itemId\/531713 (2018; accessed 24 May 2021)."},{"key":"bibr15-0310057X231172790","unstructured":"Australian Bureau of Statistics.\n                      Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia 2016, Canberra 2018\n                      . See: https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/Lookup\/by%20Subject\/2033.0.55.001\u223c2016\u223cMain%20Features\u223cIRSD\u223c19 (2018; accessed 24 May 2021)."},{"key":"bibr16-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000093487.78664.3C"},{"key":"bibr17-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1136\/ebm.12.5.149"},{"key":"bibr18-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12098"},{"key":"bibr19-0310057X231172790","author":"Liu S","journal-title":"Anaesth Intensive Care"},{"key":"bibr20-0310057X231172790","unstructured":"Australian and New Zealand College of Anaesthetists (ANZCA).\n                      Opioid Dose Equivalence Calculation Table\n                      . (PM)-(Appendix)-Opioid-Dose-Equivalence-Calculation-Table. See: https:\/\/www.anzca.edu.au\/getattachment\/6892fb13-47fc-446b-a7a2-11cdfe1c9902\/PS01 (accessed 21 May 2021)."},{"key":"bibr21-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"bibr22-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1177\/001316447003000308"},{"key":"bibr23-0310057X231172790","unstructured":"Bureau of Health Information.\n                      Healthcare Quarterly Statistics for Elective Surgeries.\n                      2022. See: https:\/\/www.bhi.nsw.gov.au\/data-portal (accessed 21 May 2021)."},{"key":"bibr24-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-014-9418-4"},{"key":"bibr25-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1002\/9781118548387"},{"key":"bibr26-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.09.040"},{"key":"bibr27-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.08.022"},{"key":"bibr28-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000516"},{"key":"bibr29-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.02.068"},{"key":"bibr30-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002117"},{"key":"bibr31-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.01.068"},{"key":"bibr32-0310057X231172790","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab259"},{"key":"bibr33-0310057X231172790","volume-title":"Tobacco Use Disorder, p517, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)","author":"American Psychiatric Association"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X231172790","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0310057X231172790","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X231172790","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:12:44Z","timestamp":1777367564000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X231172790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/0310057X231172790"],"URL":"https:\/\/doi.org\/10.1177\/0310057x231172790","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}