Pain medicine

Association Between Cannabis Use and Opioid Consumption, Pain, and Respiratory Complications After Surgery: A Retrospective Cohort Analysis

Anesth AnalgPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted ratio of geometric means 1.30 95% CI 1.22–1.38

Authors' conclusion

Adult cannabis users undergoing surgeries were found to have significantly higher postoperative opioid consumption and pain scores than nonusers. Cannabis use did not have a clinically meaningful association with hypoxia or composite pulmonary complications.

Study context

Population
Adults having elective surgery at Cleveland Clinic Main Campus, January 2010–December 2020; regional anaesthesia or chronic pain diagnosis excluded
Participants
34,521 adults
Exposure
Cannabis use within 30 days before surgery vs never use
  • Cannabis usersn = 1,683
Outcome
Postoperative opioid consumption
Follow-up
First 24 postoperative hours
Methodological detailspropensity score-based IPTW, single-centre
  • Propensity score-based IPTW
  • Single-centre

Main finding

As reported in the abstract

Adjusted ratio of geometric means

1.30

95% CI 1.22–1.38

P < 0.0001

Cannabis users vs Nonusers
adjusted ratio of geometric means 1.30 (95% CI 1.22–1.38); P < 0.0001

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association Between Cannabis Use and Opioid Consumption, Pain, and Respiratory Complications After Surgery: A Retrospective Cohort Analysis. Anesth Analg. Published 8 January 2024. doi:10.1213/ane.0000000000006785

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