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Updated: Oct 16, 2025
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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Preoperative opioid use in patients undergoing shoulder surgery
Vidushan Nadarajah1,2, Sean J Meredith1, Julio J Jauregui1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Shoulder & Elbow
|October 18, 2021
Summary
Over a quarter of patients undergoing shoulder surgery use opioids preoperatively. Preoperative opioid use is linked to worse pain, function, and social satisfaction, necessitating tailored pain management strategies.
Area of Science:
- Orthopaedic Surgery
- Pain Management
- Public Health
Background:
- Opioids are frequently prescribed for acute and chronic pain management.
- Preoperative opioid use in patients undergoing shoulder surgery is a growing concern.
Purpose of the Study:
- To determine the prevalence of preoperative opioid use in patients undergoing shoulder surgery.
- To identify clinical factors associated with preoperative opioid use.
Main Methods:
- An analytical cross-sectional study was conducted with 175 patients.
- Multivariable regression models were employed to identify independent associations.
Main Results:
- Fifty-three patients (30.3%) reported preoperative opioid use.
- Opioid use was associated with higher BMI, unemployment, lower income, smoking, higher ASA score, and increased comorbidity burden.
- Preoperative opioid use correlated with worse pain scores, functional outcomes (ASES, IPAQ), and PROMIS domains (Physical Function, Pain Interference, Social Satisfaction).
Conclusions:
- Preoperative opioid use is prevalent in shoulder surgery patients.
- Worse pain, function, and social satisfaction are independently associated with preoperative opioid use.
- Identifying preoperative opioid users is crucial for developing effective pain management plans, potentially including opioid tapering and psychological support.
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