Differences in Acute Postoperative Opioid Use by English Proficiency, Race, and Ethnicity After Total Knee and Hip Arthroplasty
Authors' conclusion
We identified an association between LEP, racial-ethnic identity, and short-term postoperative OME utilization after total knee and hip arthroplasty.
Study context
- Population
- Adults undergoing total hip and knee arthroplasty, 2015–2019, urban medical center
- Participants
- 4,090 observations
- Exposure
- Intersection of limited English proficiency (LEP) status and racial-ethnic category vs EP non-Hispanic White
- Outcome
- Oral morphine equivalents (OMEs) during the first 12 hours after surgery and from end of surgery to end of postoperative day (POD) 1
- Follow-up
- First 12 hours; end of surgery to end of POD 1
Methodological detailssingle urban medical center, adjusted generalized estimating equation
- Single urban medical center
- Adjusted generalized estimating equation
Main finding
As reported in the abstract
OME, first 12 hours postoperatively · first 12 hours
MR
- EP non-Hispanic Asian and Pacific Islander (AAPI)
- 0.12 (95% CI 0.08–0.18)
- LEP non-Hispanic AAPI
- 0.22 (95% CI 0.13–0.37)
- LEP Hispanic/Latinx
- 0.29 (95% CI 0.17–0.53)
- LEP non-Hispanic White
- 0.33 (95% CI 0.13–0.83)
Observational data: associations, not effects.
Further findings
| Outcome | MR (95% CI) |
|---|---|
| OME, end of surgery to end of POD 1 (co-primary period)EP non-Hispanic AAPI vs EP non-Hispanic White | 0.24 (0.16–0.37) |
| OME, end of surgery to end of POD 1 (co-primary period)LEP non-Hispanic AAPI vs EP non-Hispanic White | 0.42 (0.24–0.73) |
| OME, end of surgery to end of POD 1 (co-primary period)LEP Hispanic/Latinx vs EP non-Hispanic White | 0.42 (0.23–0.79) |
Original publication
Differences in Acute Postoperative Opioid Use by English Proficiency, Race, and Ethnicity After Total Knee and Hip Arthroplasty. Anesth Analg. Published 1 August 2024. doi:10.
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