Pain medicine

Tracking persistent postoperative opioid use: a proof-of-concept study demonstrating a use case for natural language processing

Reg Anesth Pain MedPublished Diagnostic accuracy study

Study context

Population
Patients who underwent major spine surgery, July 2015-August 2021
Participants
965 patients
Comparison
Natural language processing (NLP) engine vs Clinician manual review
Outcome
Persistent postoperative opioid use (continued opioid use ≥3 months after surgery), ascertained by clinician manual review
Follow-up
≥3 months after surgery
Methodological detailsproof-of-concept, retrospective EHR review
  • Proof-of-concept
  • Retrospective EHR review

Performance

As reported in the abstract

Identification of persistent postoperative opioid use
Test or modelOpioid use status correctly determinedPersistent opioid use correctly identifiedNo persistent opioid use correctly identified
NLP engine92.9%95.6%86.1%

NLP engine

Opioid use status correctly determined92.9%
Persistent opioid use correctly identified95.6%
No persistent opioid use correctly identified86.1%

Further findings

Persistent opioid use following surgery (prevalence)

Patients determined to have persistent opioid use following surgery
705 (73.1%)

Original publication

Tracking persistent postoperative opioid use: a proof-of-concept study demonstrating a use case for natural language processing. Reg Anesth Pain Med. Published 6 July 2023. doi:10.1136/rapm-2023-104629

Composed by AI from the published abstract and checked against it. How Briefs are made →

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