Purchases of analgesics before and after spine surgery - register based study of 152,829 Finnish patients with 15-year follow-up
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View abstract on PubMed
Summary
This summary is machine-generated.Spine surgery reduced immediate analgesic purchases, but long-term use remained elevated compared to pre-surgery levels. This study analyzed pain medication trends in Finnish patients following spinal procedures.
Area Of Science
- Neurosurgery
- Pain Management
- Health Informatics
Background
- Spine surgery is a common intervention for various spinal conditions.
- Understanding long-term analgesic use post-surgery is crucial for patient outcomes.
- The Finnish PERFECT database offers comprehensive nationwide health data.
Purpose Of The Study
- To evaluate analgesic purchasing patterns before and after spine surgery.
- To compare one-year preoperative and three-year postoperative analgesic use.
- To analyze trends in neuropathic pain medication, NSAIDs, opioids, and acetaminophen.
Main Methods
- Retrospective analysis of 152,829 spine surgery patients from the Finnish PERFECT database.
- Inclusion criteria: degenerative disc disease, disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
- Assessment of analgesic purchases (neuropathic pain medication, NSAIDs, opioids, acetaminophen) 15 years pre- and post-surgery.
Main Results
- Overall analgesic purchases decreased compared to the immediate preoperative period.
- Postoperative purchases remained higher than preoperative levels when comparing one year before and three years after surgery.
- Proportions increased for neuropathic pain medication (5-11% to 7-13%) and NSAIDs (4-13% to 5-15%).
- Opioid use increased in DDD, DH, and SS patients (6-12% to 7-14%) but decreased in SPL patients (14% to 12%).
- Acetaminophen use decreased (22-34% to 18-24%).
Conclusions
- Spine surgery leads to a reduction in immediate postoperative analgesic purchases.
- Long-term analgesic use post-spine surgery remains a significant concern.
- Further research is needed to optimize pain management strategies after spinal interventions.
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