What factors are associated with a second opioid prescription after treatment of XXXX with a volar locking plate?

@entity1 @entity174 @entity572 @entity158 @entity130
PURPOSE: Knowledge of factors associated with @entity1 's requests for a second opioid prescription after volar plate fixation of a @entity174 of the distal radius might inform better @entity158 management protocols and encourage decreased and safer use of opioids. This study tested the primary null hypothesis that there is no difference in demographics, prior opioid prescriptions, injury characteristics, and psychological factors between @entity1 that do and do not receive a second opioid prescription following treatment volar locking plate after @entity174 . @entity1 AND METHODS: We used data on 206 @entity1 enrolled in one of two prospective studies. Their mean age was 53  years        SD 15, and 60 (30  %) were @entity1 . Forty-seven (23  %) @entity1 received a second opioid prescription. We recorded additional demographics, AO @entity174 type, American Society for Anesthesiologists (ASA) classification, radiographic parameters at the @entity130 prior to reduction and after surgery, and catastrophic thinking. RESULTS: Male sex (odds ratio [OR] 2.2, 95  % confidence interval [CI] 1.0-4.6, partial pseudo R (2)   =   0.018, P   =   0.044) and greater dorsal angulation of the articular surface on the lateral post injury radiograph (OR 0.98, 95  % CI 0.96 to 1.0, partial pseudo R (2)   =   0.033, P   =   0.040) were associated with a second opioid prescription after surgery (pseudo R (2) 0.12, P   =   0.0071). CONCLUSIONS: One measure of @entity174 severity ( @entity572 ) was independently associated with a second opioid prescription, but alone it accounted for 3.3  % of the variation. Other factors such as the @entity1 's expectation prior to surgery, in particular the realization that injury and surgery hurt, might be addressed in future research. LEVEL OF EVIDENCE: Prognostic II.
