The Association Between Preoperative Cannabis Use and Anxiety, Pain Scores and Opioid Consumption in Patients Undergoing Spinal Fusion: A Retrospective Cohort Study DOI Creative Commons
Krizia Amoroso,

Erika Chiapparelli,

Jiaqi Zhu

et al.

Global Spine Journal, Journal Year: 2025, Volume and Issue: unknown

Published: March 15, 2025

Study Design Retrospective cohort study. Objective Despite increasing cannabis use, its prevalence in specific surgical groups is unclear, and impact on perioperative care outcomes understudied. This study estimates use incidence patients undergoing lumbar spine surgery explores associations between preoperative anxiety, pain scores, postoperative opioid consumption. We hypothesized a correlation decreased reliance opioids for relief. Methods single-center retrospective included 204 single or multilevel spinal fusion July 2022 August 2023. Self-reported demographics, characteristics, numeric rating scale (NRS) inpatient consumption, discharge prescribing (total morphine equivalent dose) were extracted from electronic medical records (EMR). Patients categorized into users non-cannabis users, group differences analyzed using bivariable multivariable regression. Results Of patients, 27 (13.2%) 177 (86.8%) non-users. Cannabis younger ( P = 0.007), more likely male 0.028), Caucasian 0.032) than Preoperative correlated significantly with anxiety disorder 0.023) higher 0.016) 0.002) NRS scores. Multivariable analysis showed associated 0.015) but not 0.073) No significant found preoperative, Conclusion The of was low, positively Large, well-powered trials are needed to understand cannabis’s outcomes.

Language: Английский

The Association Between Preoperative Cannabis Use and Anxiety, Pain Scores and Opioid Consumption in Patients Undergoing Spinal Fusion: A Retrospective Cohort Study DOI Creative Commons
Krizia Amoroso,

Erika Chiapparelli,

Jiaqi Zhu

et al.

Global Spine Journal, Journal Year: 2025, Volume and Issue: unknown

Published: March 15, 2025

Study Design Retrospective cohort study. Objective Despite increasing cannabis use, its prevalence in specific surgical groups is unclear, and impact on perioperative care outcomes understudied. This study estimates use incidence patients undergoing lumbar spine surgery explores associations between preoperative anxiety, pain scores, postoperative opioid consumption. We hypothesized a correlation decreased reliance opioids for relief. Methods single-center retrospective included 204 single or multilevel spinal fusion July 2022 August 2023. Self-reported demographics, characteristics, numeric rating scale (NRS) inpatient consumption, discharge prescribing (total morphine equivalent dose) were extracted from electronic medical records (EMR). Patients categorized into users non-cannabis users, group differences analyzed using bivariable multivariable regression. Results Of patients, 27 (13.2%) 177 (86.8%) non-users. Cannabis younger ( P = 0.007), more likely male 0.028), Caucasian 0.032) than Preoperative correlated significantly with anxiety disorder 0.023) higher 0.016) 0.002) NRS scores. Multivariable analysis showed associated 0.015) but not 0.073) No significant found preoperative, Conclusion The of was low, positively Large, well-powered trials are needed to understand cannabis’s outcomes.

Language: Английский

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