The Adolescent Surgery Experience (ASE): a survey-based prospective cohort study to measure risk factors for persistent opioid use

BJA OpenPublished Prospective cohort study

Authors' conclusion

Over time, postoperative non-surgical site pain, difficulty sleeping, depression, and anxiety declined but remained common.

Study context

Population
Opioid-naive adolescents without chronic pain undergoing procedures with anticipated mild, moderate, or severe postoperative pain, June 2022–May 2023completed baseline survey
Participants
500 adolescents
Outcome
Characteristics associated with persistent opioid use, incl. non-surgical site pain, difficulty sleeping, depression (PHQ-9) and anxiety (GAD-7)
Follow-up
Over 5 months after surgery
Methodological detailssurvey-based
  • Survey-based

Main finding

As reported in the abstract

Risk factors at end of study · End of study

Regular non-surgical site pain

16.7%

n=47

Difficulty sleeping

20.6%

n=58

Persistent depression symptoms

15.7%

Persistent anxiety symptoms

15.3%

Observational data: associations, not effects.

Further findings

Baseline characteristics

Depression
21.1%
Anxiety
37.4%
Prior-year substance use
16.6%

Outpatient opioid prescription (procedures with severe pain)

Received outpatient opioid prescription
93.4%
Doses prescribed, median (IQR)
18 (12-25)

Original publication

The Adolescent Surgery Experience (ASE): a survey-based prospective cohort study to measure risk factors for persistent opioid use. BJA Open. Published 15 October 2025. doi:10.1016/j.bjao.2025.100496

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