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Association of Patient-Reported Anxiety and Pain After Alveolar Bone Grafting.
- Source :
-
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Aug; Vol. 61 (8), pp. 1336-1343. Date of Electronic Publication: 2023 Apr 19. - Publication Year :
- 2024
-
Abstract
- Objective: To evaluate the role of psychosocial well-being on perioperative pain and opioid use among patients with cleft lip and palate (CLP) undergoing alveolar bone grafting (ABG).<br />Design: Retrospective review.<br />Setting: Tertiary level craniofacial clinic.<br />Participants: 34 patients with CLP (median age: 11.7 years), including 25 (73.5%) unilateral CLP and 9 (26.5%) bilateral CLP, who underwent ABG from 2015 to 2022.<br />Interventions: ABG using iliac crest bone graft. Patients were prospectively administered four patient-reported psychosocial instruments from the Patient-Reported Outcomes Measurement Information System.<br />Main Outcome Measures: Perioperative opioid use in morphine equivalent dosage/kilogram, patient-reported pain scores, and length of hospital stay after ABG.<br />Results: Patient-reported anxiety (r = 0.41, p = 0.02) and depressive symptoms (r = 0.35, p = 0.04) correlated to higher perioperative opioid usage. Multivariable regression models including psychosocial scores, total acetaminophen usage, length of surgery, and other simultaneous surgeries were developed for total opioid usage, patient-reported pain, and length of hospital stay. Patient-reported anxiety was independently predictive of higher perioperative opioid use (β=0.36, p = 0.01) and higher pain scores (β=0.39, p = 0.02), but not length of hospital stay.<br />Conclusions: We identified an association for patient-reported anxiety and perioperative opioid use and pain in a CLP cohort undergoing ABG. Future considerations in preoperative patient and family consultation may be indicated in patients self-reporting higher anxiety in an effort to minimize perioperative opioid usage.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: JCL is a medical education consultant for Stryker.
- Subjects :
- Humans
Female
Male
Retrospective Studies
Child
Adolescent
Ilium transplantation
Cleft Palate surgery
Alveolar Bone Grafting
Patient Reported Outcome Measures
Anxiety
Cleft Lip surgery
Cleft Lip psychology
Analgesics, Opioid therapeutic use
Pain, Postoperative psychology
Length of Stay
Pain Measurement
Subjects
Details
- Language :
- English
- ISSN :
- 1545-1569
- Volume :
- 61
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
- Publication Type :
- Academic Journal
- Accession number :
- 37077147
- Full Text :
- https://doi.org/10.1177/10556656231169483