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40
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Text
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URL Address
<a href="http://doi.org/10.1016/j.spinee.2020.06.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.spinee.2020.06.005</a>
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.spinee.2020.06.005" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.spinee.2020.06.005</a>
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Update Year & Number
July 2020 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Comparison of the stopping opioids after surgery (SOS) score to preoperative morphine milligram equivalents (MME) for prediction of opioid prescribing after lumbar spine surgery.
Publisher
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The Spine Journal
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-06
Subject
The topic of the resource
lumbar spine surgery; morphine milliequivalents; opioid dependence; prescription opioid use; risk score; Stopping Opioids after Surgery (SOS) score
Creator
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Karhade AV; Schwab JH; Harris MB; Schoenfeld AJ
Description
An account of the resource
BACKGROUND CONTEXT: Reliable estimation of the likelihood for prolonged postoperative opioid use may aid targeted interventions for high-risk patients. Previous studies have recommended differing methodologies for prediction of sustained postoperative opioid use. PURPOSE: To compare the performance of the Stopping Opioids after Surgery (SOS) score and preoperative morphine milligram equivalents (MME) for postoperative opioid prescription exposure in a contemporary cohort of lumbar surgery patients. PATIENT SAMPLE: Adult patients undergoing posterior decompression with or without fusion for degenerative lumbar conditions between January 31(st), 2016 and May 31(st), 2019. STUDY DESIGN/SETTING: Retrospective review at two academic medical centers and three community hospitals. OUTCOME MEASURES: The primary outcome was sustained postoperative prescription opioid exposure at 3-months and 6-months. Reoperations and readmissions were considered secondarily. METHODS: SOS score and MME were assigned to patients based on data from their pre-operative surgical evaluation. Performance for both measures was assessed for all outcomes by discrimination, including c-statistic and receiver-operating curve analysis. Calibration of the low, medium and high-risk strata with the observed rates of postoperative adverse events were examined. RESULTS: Overall, 4165 patients were included in this study. Pre-operative prevalence of prescription opioid use was 31%. Rates of postoperative opioid prescriptions at 3-months and 6-months, were 3.3% (n = 136) and 1.5% (n = 61). The c-statistics of preoperative oral MME and SOS score for 3-month sustained opioid prescriptions were 0.64 and 0.78, respectively. The c-statistics of preoperative oral MME and SOS score for 6-month sustained opioid prescriptions were 0.64 and 0.82, respectively. C-statistics of preoperative oral MME and SOS score were much lower for reoperation and readmission, although SOS score outperformed MME for both outcomes. CONCLUSION: The SOS score clinically outperformed oral MME as a predictive measure for outcomes following lumbar spine surgery. The SOS score may be valuable for identifying individuals at high-risk for sustained prescription opioid use and associated adverse events following spine surgery.
Identifier
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<a href="http://doi.org/10.1016/j.spinee.2020.06.005" target="_blank" rel="noreferrer noopener">10.1016/j.spinee.2020.06.005</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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journalArticle
2020
Harris MB
journalArticle
July 2020 List
Karhade AV
lumbar spine surgery
morphine milliequivalents
Opioid dependence
prescription opioid use
Risk score
Schoenfeld AJ
Schwab JH
Stopping Opioids after Surgery (SOS) score
The Spine Journal
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.chiabu.2018.01.026" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.chiabu.2018.01.026</a>
Pages
125–135
Volume
79
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Perceptions of child protective services among pregnant or recently pregnant, opioid-using women in substance abuse treatment.
Publisher
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Child abuse & neglect
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-05
Subject
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Barriers to substance abuse treatment; Child protective services; Opioid dependence; Pregnancy
Creator
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Falletta Lynn; Hamilton Kelsey; Fischbein Rebecca; Aultman Julie; Kinney Beth; Kenne Deric
Description
An account of the resource
Pregnant, opioid-using women represent a challenge to healthcare providers attempting to engage them in prenatal and substance abuse services. Limited, primarily international research suggests that child welfare clients have mixed feelings about Child Protective Services (CPS) and that fear of CPS may present a barrier to care. Understanding how pregnant opioid-using women in substance abuse treatment perceive CPS may be useful in encouraging substance abuse treatment initiation. Participants were currently or recently (within past 12 months) pregnant women with current or recent (within past 12 months) abuse/dependence of pharmaceutical opioids at a drug treatment facility. Participants were recruited by treatment staff to participate in a comprehensive study across multiple domains. Data for this analysis were collected using semi-structured qualitative interviews. Transcribed data were thematically analyzed using in vivo and interpretive coding by three coders for purposes of inter-rater reliability. Following 2, two-hour meetings, consensus was reached on primary themes and sub-themes. Two major themes and several sub-themes were identified: 1) Participants' feelings and attitudes about CPS (positive and negative); 2) Interaction-based perceptions of CPS' function and performance. Participants' feelings toward CPS were often conditioned by their experiences with individual caseworkers. While many pregnant, opioid-using women identify legitimate, and even useful features of CPS, fear of CPS can be a barrier to care. Making substance abuse treatment accessible to this population requires recognition of their complex feelings toward CPS, and coordination among CPS case workers and substance abuse treatment providers.
Identifier
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<a href="http://doi.org/10.1016/j.chiabu.2018.01.026" target="_blank" rel="noreferrer noopener">10.1016/j.chiabu.2018.01.026</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Aultman Julie
Barriers to substance abuse treatment
Child abuse & neglect
Child protective services
College of Graduate Studies
College of Medicine
Department of Family & Community Medicine
Falletta Lynn
Fischbein Rebecca
Hamilton Kelsey
Kenne Deric
Kinney Beth
NEOMED College of Graduate Studies
NEOMED College of Medicine
Opioid dependence
Pregnancy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.spinee.2019.05.001" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.spinee.2019.05.001</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
1666-1671
Issue
10
Volume
19
ISSN
1878-1632 1529-9430
Search for Full-text
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<a href="http://ezproxy.neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.spinee.2019.05.001" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.spinee.2019.05.001</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Validating the Stopping Opioids after Surgery (SOS) score for sustained postoperative prescription opioid use in spine surgical patients.
Publisher
An entity responsible for making the resource available
The Spine Journal: Official Journal Of The North American Spine Society
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-10
Subject
The topic of the resource
Opioid dependence; Spine surgery; Prediction; Anterior cervical discectomy and fusion; Lumbar disc herniation; Risk score
Creator
An entity primarily responsible for making the resource
Karhade Aditya V; Chaudhary Muhammad Ali; Bono Christopher M; Kang James D; Schwab Joseph H; Schoenfeld Andrew J
Description
An account of the resource
BACKGROUND CONTEXT: The opioid epidemic has increased scrutiny of health-care practices and care episodes, such as surgery, that increase the risk of opioid dependence. The Stopping Opioids after Surgery (SOS) score to predict sustained prescription opioid use was previously developed within a population of patients receiving general surgery, orthopedic, and urologic procedures. Notably, the performance for this score has not been assessed in a spine surgical cohort. PURPOSE: We sought to validate the SOS score in a series of patients undergoing cervical and lumbar spine surgery, including inpatient and outpatient cohorts. STUDY DESIGN/SETTING: Retrospective review at two academic medical centers and three community hospitals. OUTCOME MEASURES: Sustained prescription opioid use was defined as opioid prescription without interruption for 90 days or longer following surgery. METHODS: The performance of the SOS score was assessed in the study population by calculating the c-statistic, receiver-operating curve, and observed rates of sustained prescription opioid use. RESULTS: Among 7,027 patients included in this study, 2,374 (33.8%) underwent anterior cervical discectomy and fusion and 4,653 (66.2%) underwent surgery for lumbar disc herniation. The median age was 46 (interquartile range=38.0-53.5). Overall, 604 patients (8.6%) had prolonged opioid prescription. The c-statistic of the risk score was 0.764. The sensitivity of the score at the low risk cutoff of 30 was 0.72. At the high-risk cutoff of 60, the specificity was 0.99. The observed risk (95% confidence interval) of prolonged opioid prescription was 3.6% (3.1-4.2) in the low-risk group (scores <30), 17.2% (15.6-18.7) in the intermediate-risk group (scores 30-60), and 46.0% (36.2-55.9) in the high-risk group (scores >60). CONCLUSIONS: We have validated the use of a clinically relevant bedside risk score for sustained prescription opioid use after spine surgery. The score's ease of use, combined with its exceptional performance, renders it a valuable tool for spine care providers in counseling patients and determining appropriate postdischarge management to prevent sustained opioid use.
Identifier
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<a href="http://doi.org/10.1016/j.spinee.2019.05.001" target="_blank" rel="noreferrer noopener">10.1016/j.spinee.2019.05.001</a>
PMID: 31078697
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2019
Anterior cervical discectomy and fusion
Bono Christopher M
Chaudhary Muhammad Ali
Journal Article
Kang James D
Karhade Aditya V
Lumbar disc herniation
NEOMED Alumnus
NEOMED College of Medicine
November 2019 Update
Opioid dependence
prediction
Risk score
Schoenfeld Andrew J
Schwab Joseph H
spine surgery
The Spine Journal: Official Journal Of The North American Spine Society