Outcomes of medicaid patients undergoing TJA with previous positive urine toxicology screens
Introduction Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of...
Saved in:
Published in | European journal of orthopaedic surgery & traumatology Vol. 33; no. 8; pp. 3555 - 3560 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Paris
Springer Paris
01.12.2023
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Introduction
Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of this study was to investigate the effect of postponing surgery for patients with positive preoperative utox in the Medicaid population.
Methods
This retrospective, observational study reviewed the Medicaid ambulatory database at a large, academic orthopedic specialty hospital for patients with a utox screen prior to TJA from 2012 to 2020. Patients were categorized into three groups: (1) controls with negative preoperative utox or a utox consistent with prescription medications (Utox−) with TJA completed as scheduled; (2) positive preoperative utox with TJA rescheduled and surgery completed on a later date (R-utox+); (3) positive preoperative utox inconsistent with prescription medications with TJA completed as scheduled (S-utox+). Primary outcomes included mortality, 90-day readmission rate, complication rate, and length of stay.
Results
Of the 300 records reviewed, 185 did not meet inclusion criteria. The remaining 115 patients included 80 (69.6%) Utox−, 5 (6.3%) R-utox+, and 30 (37.5%) S-utox+. Mean follow-up time was 49.6 months. Hospital stays trended longer in the Utox− group (3.7 ± 2.0 days vs. 3.1 ± 1.6 S-utox+ vs.2.5 ± 0.4 R-utox+,
p
= 0.20). Compared to the R-utox+group, the S-utox+ group trended toward lower home discharge rates (
p
= 0.20), higher in-hospital complication rates (
p
= 0.85), and more all-cause 90-day emergency department visits (
p
= 0.57). There were no differences in postoperative opioid utilization between groups (
p
= 0.319). Duration of postoperative narcotic use trended toward being longer in the Utox− patients (820.7 ± 1073.8 days vs. 684.6 ± 1491.8 S-utox+ vs. 585.1 ± 948.3 R-utox+,
p
= 0.585). Surgical time (
p
= 0.045) and revision rates (
p
= 0.72) trended toward being higher in the S-utox+ group.
Conclusions
Medicaid patients with positive preoperative utox who had surgeries postponed trended towards shorter hospital stays and greater home discharge rates. Larger studies should be conducted to analyze the implications of a positive preoperative utox on risk profiles and outcomes following TJA in the Medicaid population.
Study design
Retrospective cohort study. |
---|---|
AbstractList | Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of this study was to investigate the effect of postponing surgery for patients with positive preoperative utox in the Medicaid population.
This retrospective, observational study reviewed the Medicaid ambulatory database at a large, academic orthopedic specialty hospital for patients with a utox screen prior to TJA from 2012 to 2020. Patients were categorized into three groups: (1) controls with negative preoperative utox or a utox consistent with prescription medications (Utox-) with TJA completed as scheduled; (2) positive preoperative utox with TJA rescheduled and surgery completed on a later date (R-utox+); (3) positive preoperative utox inconsistent with prescription medications with TJA completed as scheduled (S-utox+). Primary outcomes included mortality, 90-day readmission rate, complication rate, and length of stay.
Of the 300 records reviewed, 185 did not meet inclusion criteria. The remaining 115 patients included 80 (69.6%) Utox-, 5 (6.3%) R-utox+, and 30 (37.5%) S-utox+. Mean follow-up time was 49.6 months. Hospital stays trended longer in the Utox- group (3.7 ± 2.0 days vs. 3.1 ± 1.6 S-utox+ vs.2.5 ± 0.4 R-utox+, p = 0.20). Compared to the R-utox+group, the S-utox+ group trended toward lower home discharge rates (p = 0.20), higher in-hospital complication rates (p = 0.85), and more all-cause 90-day emergency department visits (p = 0.57). There were no differences in postoperative opioid utilization between groups (p = 0.319). Duration of postoperative narcotic use trended toward being longer in the Utox- patients (820.7 ± 1073.8 days vs. 684.6 ± 1491.8 S-utox+ vs. 585.1 ± 948.3 R-utox+, p = 0.585). Surgical time (p = 0.045) and revision rates (p = 0.72) trended toward being higher in the S-utox+ group.
Medicaid patients with positive preoperative utox who had surgeries postponed trended towards shorter hospital stays and greater home discharge rates. Larger studies should be conducted to analyze the implications of a positive preoperative utox on risk profiles and outcomes following TJA in the Medicaid population. Study design Retrospective cohort study. Introduction Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of this study was to investigate the effect of postponing surgery for patients with positive preoperative utox in the Medicaid population. Methods This retrospective, observational study reviewed the Medicaid ambulatory database at a large, academic orthopedic specialty hospital for patients with a utox screen prior to TJA from 2012 to 2020. Patients were categorized into three groups: (1) controls with negative preoperative utox or a utox consistent with prescription medications (Utox−) with TJA completed as scheduled; (2) positive preoperative utox with TJA rescheduled and surgery completed on a later date (R-utox+); (3) positive preoperative utox inconsistent with prescription medications with TJA completed as scheduled (S-utox+). Primary outcomes included mortality, 90-day readmission rate, complication rate, and length of stay. Results Of the 300 records reviewed, 185 did not meet inclusion criteria. The remaining 115 patients included 80 (69.6%) Utox−, 5 (6.3%) R-utox+, and 30 (37.5%) S-utox+. Mean follow-up time was 49.6 months. Hospital stays trended longer in the Utox− group (3.7 ± 2.0 days vs. 3.1 ± 1.6 S-utox+ vs.2.5 ± 0.4 R-utox+, p = 0.20). Compared to the R-utox+group, the S-utox+ group trended toward lower home discharge rates ( p = 0.20), higher in-hospital complication rates ( p = 0.85), and more all-cause 90-day emergency department visits ( p = 0.57). There were no differences in postoperative opioid utilization between groups ( p = 0.319). Duration of postoperative narcotic use trended toward being longer in the Utox− patients (820.7 ± 1073.8 days vs. 684.6 ± 1491.8 S-utox+ vs. 585.1 ± 948.3 R-utox+, p = 0.585). Surgical time ( p = 0.045) and revision rates ( p = 0.72) trended toward being higher in the S-utox+ group. Conclusions Medicaid patients with positive preoperative utox who had surgeries postponed trended towards shorter hospital stays and greater home discharge rates. Larger studies should be conducted to analyze the implications of a positive preoperative utox on risk profiles and outcomes following TJA in the Medicaid population. Study design Retrospective cohort study. IntroductionPrevious studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of this study was to investigate the effect of postponing surgery for patients with positive preoperative utox in the Medicaid population. MethodsThis retrospective, observational study reviewed the Medicaid ambulatory database at a large, academic orthopedic specialty hospital for patients with a utox screen prior to TJA from 2012 to 2020. Patients were categorized into three groups: (1) controls with negative preoperative utox or a utox consistent with prescription medications (Utox−) with TJA completed as scheduled; (2) positive preoperative utox with TJA rescheduled and surgery completed on a later date (R-utox+); (3) positive preoperative utox inconsistent with prescription medications with TJA completed as scheduled (S-utox+). Primary outcomes included mortality, 90-day readmission rate, complication rate, and length of stay.ResultsOf the 300 records reviewed, 185 did not meet inclusion criteria. The remaining 115 patients included 80 (69.6%) Utox−, 5 (6.3%) R-utox+, and 30 (37.5%) S-utox+. Mean follow-up time was 49.6 months. Hospital stays trended longer in the Utox− group (3.7 ± 2.0 days vs. 3.1 ± 1.6 S-utox+ vs.2.5 ± 0.4 R-utox+, p = 0.20). Compared to the R-utox+group, the S-utox+ group trended toward lower home discharge rates (p = 0.20), higher in-hospital complication rates (p = 0.85), and more all-cause 90-day emergency department visits (p = 0.57). There were no differences in postoperative opioid utilization between groups (p = 0.319). Duration of postoperative narcotic use trended toward being longer in the Utox− patients (820.7 ± 1073.8 days vs. 684.6 ± 1491.8 S-utox+ vs. 585.1 ± 948.3 R-utox+, p = 0.585). Surgical time (p = 0.045) and revision rates (p = 0.72) trended toward being higher in the S-utox+ group. ConclusionsMedicaid patients with positive preoperative utox who had surgeries postponed trended towards shorter hospital stays and greater home discharge rates. Larger studies should be conducted to analyze the implications of a positive preoperative utox on risk profiles and outcomes following TJA in the Medicaid population.Study design Retrospective cohort study. INTRODUCTIONPrevious studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher readmission rates, greater complication rates, and longer hospital stays compared to patients with negative screens. The aim of this study was to investigate the effect of postponing surgery for patients with positive preoperative utox in the Medicaid population.METHODSThis retrospective, observational study reviewed the Medicaid ambulatory database at a large, academic orthopedic specialty hospital for patients with a utox screen prior to TJA from 2012 to 2020. Patients were categorized into three groups: (1) controls with negative preoperative utox or a utox consistent with prescription medications (Utox-) with TJA completed as scheduled; (2) positive preoperative utox with TJA rescheduled and surgery completed on a later date (R-utox+); (3) positive preoperative utox inconsistent with prescription medications with TJA completed as scheduled (S-utox+). Primary outcomes included mortality, 90-day readmission rate, complication rate, and length of stay.RESULTSOf the 300 records reviewed, 185 did not meet inclusion criteria. The remaining 115 patients included 80 (69.6%) Utox-, 5 (6.3%) R-utox+, and 30 (37.5%) S-utox+. Mean follow-up time was 49.6 months. Hospital stays trended longer in the Utox- group (3.7 ± 2.0 days vs. 3.1 ± 1.6 S-utox+ vs.2.5 ± 0.4 R-utox+, p = 0.20). Compared to the R-utox+group, the S-utox+ group trended toward lower home discharge rates (p = 0.20), higher in-hospital complication rates (p = 0.85), and more all-cause 90-day emergency department visits (p = 0.57). There were no differences in postoperative opioid utilization between groups (p = 0.319). Duration of postoperative narcotic use trended toward being longer in the Utox- patients (820.7 ± 1073.8 days vs. 684.6 ± 1491.8 S-utox+ vs. 585.1 ± 948.3 R-utox+, p = 0.585). Surgical time (p = 0.045) and revision rates (p = 0.72) trended toward being higher in the S-utox+ group.CONCLUSIONSMedicaid patients with positive preoperative utox who had surgeries postponed trended towards shorter hospital stays and greater home discharge rates. Larger studies should be conducted to analyze the implications of a positive preoperative utox on risk profiles and outcomes following TJA in the Medicaid population. Study design Retrospective cohort study. |
Author | Rozell, Joshua C. Moore, Michael Shendrik, Irina Meftah, Morteza Schwarzkopf, Ran Roof, Mackenzie A. Sicat, Chelsea Sue |
Author_xml | – sequence: 1 givenname: Michael orcidid: 0000-0003-2748-9988 surname: Moore fullname: Moore, Michael email: Michael.Moore@nyulangone.org organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 2 givenname: Irina surname: Shendrik fullname: Shendrik, Irina organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 3 givenname: Mackenzie A. surname: Roof fullname: Roof, Mackenzie A. organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 4 givenname: Chelsea Sue surname: Sicat fullname: Sicat, Chelsea Sue organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 5 givenname: Morteza surname: Meftah fullname: Meftah, Morteza organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 6 givenname: Ran surname: Schwarzkopf fullname: Schwarzkopf, Ran organization: NYU Langone Orthopedic Hospital, NYU Langone Health – sequence: 7 givenname: Joshua C. surname: Rozell fullname: Rozell, Joshua C. organization: NYU Langone Orthopedic Hospital, NYU Langone Health |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37225946$$D View this record in MEDLINE/PubMed |
BookMark | eNp9kMlKBDEQhoMojtsLeJCAFy-tWXpJjiKuCF7GmxAy6eoxw0zSJt2jvr0Ze1zw4KkK6qu_im8XbTrvAKFDSk4pIdVZJKSQJCOMZ4QXkmZ0A-3QnLOMklJs_upHaDfGGSE0UcU2GvGKsULm5Q56eug74xcQsW_wAmprtK1xqzsLrou4dzWEqbduisd35_jVds-4DbC0vo-49dF2dgm4D9YB7vybNX7up-84mgDg4j7aavQ8wsG67qHHq8vxxU12_3B9e3F-nxnOyi6rG6ZzxutcGJBNlRvNhS4BqlJKwURVMG0KEBMw1OSlkKykzOiG6JrzWkvO99DJkNsG_9JD7NTCRgPzuXaQHlVMUMmqMs9X6PEfdOb74NJ3iZJJkJBcJIoNlAk-xgCNaoNd6PCuKFEr92pwr5J79ele0bR0tI7uJ8nk98qX7ATwAYhp5KYQfm7_E_sByjGRoQ |
Cites_doi | 10.1093/pm/pny318 10.1055/s-0038-1669915 10.2106/JBJS.J.01473 10.1007/s00402-018-2980-3 10.1007/s11999-015-4173-5 10.2105/AJPH.85.1.48 10.1177/0022034509359125 10.2106/JBJS.16.01200 10.1016/j.arth.2018.05.027 10.1007/s00264-017-3655-3 10.1016/j.arth.2019.05.002 10.1016/j.arth.2018.05.015 10.1007/s00402-012-1509-4 10.2106/00004623-200704000-00012 10.1016/j.arth.2015.01.052 10.1054/arth.2001.21454 10.17161/kjm.v13i1.13623 10.1097/00115550-200411000-00011 10.1016/j.arth.2016.06.050 |
ContentType | Journal Article |
Copyright | The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. |
Copyright_xml | – notice: The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. – notice: 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. |
DBID | NPM AAYXX CITATION 3V. 7RV 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA BENPR CCPQU FYUFA GHDGH K9. KB0 M0S NAPCQ PQEST PQQKQ PQUKI 7X8 |
DOI | 10.1007/s00590-023-03591-1 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central ProQuest One Community College Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni Edition) Nursing & Allied Health Premium ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Central Nursing & Allied Health Premium ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | PubMed ProQuest One Academic Eastern Edition MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X7 name: Health & Medical Collection url: https://search.proquest.com/healthcomplete sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1432-1068 |
EndPage | 3560 |
ExternalDocumentID | 10_1007_s00590_023_03591_1 37225946 |
Genre | Journal Article |
GroupedDBID | --- -53 -5E -5G -BR -EM -Y2 -~C .86 .VR 04C 06C 06D 0R~ 0VY 1N0 1SB 2.D 203 28- 29G 29~ 2J2 2JN 2JY 2KG 2LR 2P1 2VQ 2~H 30V 4.4 406 408 409 40D 40E 53G 5GY 5QI 5VS 67Z 6NX 6PF 7RV 7X7 8FI 8FJ 8TC 8UJ 95- 95. 95~ 96X AAAVM AABHQ AABYN AAFGU AAHNG AAIAL AAJKR AAKSU AANXM AANZL AARHV AARTL AATNV AATVU AAUYE AAWCG AAWTL AAYFA AAYIU AAYQN AAYTO ABBBX ABBXA ABDZT ABECU ABFGW ABFTV ABHLI ABHQN ABIPD ABJNI ABJOX ABKAS ABKCH ABKTR ABMNI ABMQK ABNWP ABPLI ABPTK ABQBU ABSXP ABTEG ABTKH ABTMW ABULA ABUWG ABWNU ABXPI ACBMV ACBRV ACBXY ACBYP ACGFS ACHSB ACHXU ACIGE ACIPQ ACKNC ACMDZ ACMLO ACOKC ACOMO ACSNA ACTTH ACUDM ACVWB ACWMK ADBBV ADHHG ADHIR ADINQ ADJJI ADKNI ADKPE ADMDM ADOXG ADRFC ADTPH ADURQ ADYFF ADZKW AEBTG AEEQQ AEFIE AEFTE AEGAL AEGNC AEJHL AEJRE AEKMD AEOHA AEPYU AESKC AESTI AETLH AEVLU AEVTX AEXYK AFAFS AFEXP AFKRA AFLOW AFNRJ AFQWF AFWTZ AFZKB AGAYW AGDGC AGGBP AGGDS AGJBK AGKHE AGMZJ AGQMX AGWIL AGWZB AGYKE AHAVH AHBYD AHIZS AHSBF AHYZX AIAKS AIIXL AILAN AIMYW AITGF AJBLW AJDOV AJRNO AJZVZ AKMHD AKQUC ALMA_UNASSIGNED_HOLDINGS ALWAN AMKLP AMXSW AMYLF AMYQR AOCGG ARMRJ ASPBG AVWKF AXYYD AZFZN B-. BA0 BBWZM BDATZ BENPR BGNMA BMSDO CAG CCPQU COF CS3 CSCUP DDRTE DL5 DNIVK DPUIP DU5 EBLON EBS EIOEI EJD EN4 ESBYG FEDTE FERAY FFXSO FIGPU FINBP FNLPD FRRFC FSGXE FWDCC FYUFA G-Y G-Z GGCAI GGRSB GJIRD GNWQR GQ6 GQ7 GQ8 GRRUI GXS HF~ HG5 HG6 HMCUK HMJXF HQYDN HRMNR HVGLF HZ~ I09 IHE IJ- IKXTQ IMOTQ IWAJR IXC IXD IXE IZIGR IZQ I~X I~Z J-C J0Z JBSCW JCJTX JZLTJ KDC KOV KOW KPH LAS LLZTM M4Y MA- N2Q N9A NAPCQ NB0 NDZJH NPVJJ NQJWS NU0 O9- O93 O9G O9I O9J OAM P19 P9S PF0 PQQKQ PT4 PT5 QOK QOR QOS R89 R9I RHV RNI ROL RPX RSV RZK S16 S1Z S26 S27 S28 S37 S3B SAP SCLPG SDE SDH SDM SHX SISQX SJYHP SMD SNE SNPRN SNX SOHCF SOJ SPISZ SRMVM SSLCW SSXJD STPWE SZ9 SZN T13 T16 TSG TSK TSV TT1 TUC U2A U9L UG4 UKHRP UNUBA UOJIU UTJUX UZXMN VC2 VFIZW W23 W48 WJK WK8 YLTOR Z45 Z7U Z7X Z82 Z83 Z87 Z8V Z8W Z91 ZMTXR ZOVNA ~EX AACDK AAJBT AASML AAYZH ABAKF ACAOD ACDTI ACZOJ AEFQL AEMSY AFBBN AGQEE AGRTI AIGIU ALIPV NPM AAYXX CITATION 3V. 7XB 8FK K9. PQEST PQUKI 7X8 |
ID | FETCH-LOGICAL-c326t-df2a423d48ce9f74ca38a6ee7699828752ac5e8bec1c46892612caf0ad33da933 |
IEDL.DBID | 7X7 |
ISSN | 1432-1068 1633-8065 |
IngestDate | Wed Dec 04 05:48:38 EST 2024 Thu Dec 05 03:52:34 EST 2024 Thu Nov 21 23:53:44 EST 2024 Wed Oct 16 00:39:10 EDT 2024 Sat Dec 16 12:06:38 EST 2023 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 8 |
Keywords | Urine toxicology Total knee arthroplasty Total joint arthroplasty Medicaid Total hip arthroplasty Opioids |
Language | English |
License | 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c326t-df2a423d48ce9f74ca38a6ee7699828752ac5e8bec1c46892612caf0ad33da933 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
ORCID | 0000-0003-2748-9988 |
PMID | 37225946 |
PQID | 2890158938 |
PQPubID | 4402924 |
PageCount | 6 |
ParticipantIDs | proquest_miscellaneous_2819276443 proquest_journals_2890158938 crossref_primary_10_1007_s00590_023_03591_1 pubmed_primary_37225946 springer_journals_10_1007_s00590_023_03591_1 |
PublicationCentury | 2000 |
PublicationDate | 2023-12-01 |
PublicationDateYYYYMMDD | 2023-12-01 |
PublicationDate_xml | – month: 12 year: 2023 text: 2023-12-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | Paris |
PublicationPlace_xml | – name: Paris – name: France – name: Heidelberg |
PublicationTitle | European journal of orthopaedic surgery & traumatology |
PublicationTitleAbbrev | Eur J Orthop Surg Traumatol |
PublicationTitleAlternate | Eur J Orthop Surg Traumatol |
PublicationYear | 2023 |
Publisher | Springer Paris Springer Nature B.V |
Publisher_xml | – sequence: 0 name: Springer Nature B.V – name: Springer Paris |
References | Bauer, Hingsammer, Ernstbrunner (CR11) 2018; 42 Carroll, Angst, Clark (CR18) 2004; 29 Ramczykowski, Kruppa, Schildhauer, Dudda (CR20) 2018; 138 Pang, Hsu, Tung, Hung, Chang, Huang (CR17) 2000; 38 Smith, Bido, Collins, Yang, Katz, Losina (CR6) 2017; 99 Doan, Wang, Padjen (CR19) 2019; 20 Guo, Dipietro (CR9) 2010; 89 Wieser, Zingg, Betz, Neubauer, Dora (CR12) 2012; 132 Kurtz, Ong, Lau, Mowat, Halpern (CR14) 2007; 89 Menendez, Ring, Bateman (CR5) 2015; 473 Lehman, Ries, Paiement, Davidson (CR10) 2001; 16 Roche, Law, Sodhi (CR2) 2018; 31 Wilson, Farley, Aizpuru, Wagner, Bradbury, Guild (CR8) 2019; 931 Zywiel, Stroh, Lee, Bonutti, Mont (CR4) 2011; 93 Fox, Merrill, Chang, Califano (CR13) 1995; 1 Courtney, Huddleston, Iorio, Markel (CR15) 2017; 32 Vopat, Messamore, Trent (CR1) 2020; 13 Bell, Shohat, Goswami, Tan, Kalbian, Parvizi (CR3) 2018; 33 Best, Buller, Klika, Barsoum (CR21) 2015; 30 Sundaram, Yakubek, Piuzzi (CR7) 2019; 34 Luzzi, Fleischman, Matthews, Crizer, Wilsman, Parvizi (CR16) 2018; 33 S Guo (3591_CR9) 2010; 89 AJ Luzzi (3591_CR16) 2018; 33 CR Lehman (3591_CR10) 2001; 16 ML Vopat (3591_CR1) 2020; 13 MG Zywiel (3591_CR4) 2011; 93 DE Bauer (3591_CR11) 2018; 42 K Fox (3591_CR13) 1995; 1 MJ Best (3591_CR21) 2015; 30 ME Menendez (3591_CR5) 2015; 473 WW Pang (3591_CR17) 2000; 38 S Kurtz (3591_CR14) 2007; 89 KL Bell (3591_CR3) 2018; 33 T Ramczykowski (3591_CR20) 2018; 138 LV Doan (3591_CR19) 2019; 20 PM Courtney (3591_CR15) 2017; 32 K Sundaram (3591_CR7) 2019; 34 JM Wilson (3591_CR8) 2019; 931 SR Smith (3591_CR6) 2017; 99 K Wieser (3591_CR12) 2012; 132 M Roche (3591_CR2) 2018; 31 IR Carroll (3591_CR18) 2004; 29 |
References_xml | – volume: 20 start-page: 2539 year: 2019 end-page: 2551 ident: CR19 article-title: Preoperative long-acting opioid use is associated with increased length of stay and readmission rates after elective surgeries publication-title: Pain Med doi: 10.1093/pm/pny318 contributor: fullname: Padjen – volume: 31 start-page: 928 year: 2018 end-page: 933 ident: CR2 article-title: Incidence of drug abuse in revision total knee arthroplasty population publication-title: J Knee Surg doi: 10.1055/s-0038-1669915 contributor: fullname: Sodhi – volume: 93 start-page: 1988 year: 2011 end-page: 1993 ident: CR4 article-title: Chronic opioid use prior to total knee arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.J.01473 contributor: fullname: Mont – volume: 138 start-page: 1353 year: 2018 end-page: 1358 ident: CR20 article-title: Total hip arthroplasty following illicit drug abuse publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-018-2980-3 contributor: fullname: Dudda – volume: 473 start-page: 2402 year: 2015 end-page: 2412 ident: CR5 article-title: Preoperative opioid misuse is associated with increased morbidity and mortality after elective orthopaedic surgery publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-015-4173-5 contributor: fullname: Bateman – volume: 1 start-page: 48 year: 1995 end-page: 54 ident: CR13 article-title: Estimating the costs of substance abuse to the Medicaid hospital care program publication-title: Am J Public Health doi: 10.2105/AJPH.85.1.48 contributor: fullname: Califano – volume: 89 start-page: 219 year: 2010 end-page: 229 ident: CR9 article-title: Factors affecting wound healing publication-title: J Dent Res doi: 10.1177/0022034509359125 contributor: fullname: Dipietro – volume: 99 start-page: 803 year: 2017 end-page: 808 ident: CR6 article-title: Impact of preoperative opioid use on total knee arthroplasty outcomes publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.16.01200 contributor: fullname: Losina – volume: 33 start-page: 3246 year: 2018 end-page: 3251 ident: CR3 article-title: Preoperative opioids increase the risk of periprosthetic joint infection after total joint arthroplasty publication-title: J Arthroplast doi: 10.1016/j.arth.2018.05.027 contributor: fullname: Parvizi – volume: 42 start-page: 101 year: 2018 end-page: 107 ident: CR11 article-title: Total knee arthroplasty in patients with a history of illicit intravenous drug abuse publication-title: Int Orthop doi: 10.1007/s00264-017-3655-3 contributor: fullname: Ernstbrunner – volume: 34 start-page: 1909 year: 2019 end-page: 1913 ident: CR7 article-title: Total joint arthroplasty outcomes in patients with a previously failed toxicology screen: a propensity score-matched analysis publication-title: J Arthroplast doi: 10.1016/j.arth.2019.05.002 contributor: fullname: Piuzzi – volume: 33 start-page: 2734 year: 2018 end-page: 2739 ident: CR16 article-title: The {Bundle Busters”: incidence and costs of postacute complications following total joint arthroplasty publication-title: J Arthroplast doi: 10.1016/j.arth.2018.05.015 contributor: fullname: Parvizi – volume: 38 start-page: 143 issue: 3 year: 2000 end-page: 148 ident: CR17 article-title: Is total knee replacement more painful than total hip replacement? publication-title: Acta Anaesthesiol Sin contributor: fullname: Huang – volume: 132 start-page: 1037 year: 2012 end-page: 1044 ident: CR12 article-title: Total hip replacement in patients with history of illicit injecting drug use publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-012-1509-4 contributor: fullname: Dora – volume: 89 start-page: 780 year: 2007 end-page: 785 ident: CR14 article-title: Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200704000-00012 contributor: fullname: Halpern – volume: 931 start-page: 948 year: 2019 ident: CR8 article-title: The impact of preoperative opioid use disorder on complications and costs following primary total hip and knee arthroplasty publication-title: Adv Orthop contributor: fullname: Guild – volume: 30 start-page: 1137 year: 2015 end-page: 1141 ident: CR21 article-title: Outcomes following primary total hip or knee arthroplasty in substance misusers publication-title: J Arthroplasty doi: 10.1016/j.arth.2015.01.052 contributor: fullname: Barsoum – volume: 16 start-page: 330 year: 2001 end-page: 335 ident: CR10 article-title: Infection after total joint arthroplasty in patients with human immunodeficiency virus or intravenous drug use- publication-title: J Arthroplast doi: 10.1054/arth.2001.21454 contributor: fullname: Davidson – volume: 13 start-page: 71 year: 2020 end-page: 76 ident: CR1 article-title: Urine screening for opioid and illicit drugs in the total joint arthroplasty population publication-title: Kans J Med doi: 10.17161/kjm.v13i1.13623 contributor: fullname: Trent – volume: 29 start-page: 576 year: 2004 end-page: 591 ident: CR18 article-title: Management of perioperative pain in patients chronically consuming opioids publication-title: Reg Anesth Pain Med doi: 10.1097/00115550-200411000-00011 contributor: fullname: Clark – volume: 32 start-page: 1 year: 2017 end-page: 5 ident: CR15 article-title: Socioeconomic risk adjustment models for reimbursement are necessary in primary total joint arthroplasty publication-title: J Arthroplast doi: 10.1016/j.arth.2016.06.050 contributor: fullname: Markel – volume: 931 start-page: 948 year: 2019 ident: 3591_CR8 publication-title: Adv Orthop contributor: fullname: JM Wilson – volume: 29 start-page: 576 year: 2004 ident: 3591_CR18 publication-title: Reg Anesth Pain Med doi: 10.1097/00115550-200411000-00011 contributor: fullname: IR Carroll – volume: 31 start-page: 928 year: 2018 ident: 3591_CR2 publication-title: J Knee Surg doi: 10.1055/s-0038-1669915 contributor: fullname: M Roche – volume: 89 start-page: 219 year: 2010 ident: 3591_CR9 publication-title: J Dent Res doi: 10.1177/0022034509359125 contributor: fullname: S Guo – volume: 13 start-page: 71 year: 2020 ident: 3591_CR1 publication-title: Kans J Med doi: 10.17161/kjm.v13i1.13623 contributor: fullname: ML Vopat – volume: 93 start-page: 1988 year: 2011 ident: 3591_CR4 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.J.01473 contributor: fullname: MG Zywiel – volume: 99 start-page: 803 year: 2017 ident: 3591_CR6 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.16.01200 contributor: fullname: SR Smith – volume: 42 start-page: 101 year: 2018 ident: 3591_CR11 publication-title: Int Orthop doi: 10.1007/s00264-017-3655-3 contributor: fullname: DE Bauer – volume: 34 start-page: 1909 year: 2019 ident: 3591_CR7 publication-title: J Arthroplast doi: 10.1016/j.arth.2019.05.002 contributor: fullname: K Sundaram – volume: 132 start-page: 1037 year: 2012 ident: 3591_CR12 publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-012-1509-4 contributor: fullname: K Wieser – volume: 30 start-page: 1137 year: 2015 ident: 3591_CR21 publication-title: J Arthroplasty doi: 10.1016/j.arth.2015.01.052 contributor: fullname: MJ Best – volume: 33 start-page: 2734 year: 2018 ident: 3591_CR16 publication-title: J Arthroplast doi: 10.1016/j.arth.2018.05.015 contributor: fullname: AJ Luzzi – volume: 38 start-page: 143 issue: 3 year: 2000 ident: 3591_CR17 publication-title: Acta Anaesthesiol Sin contributor: fullname: WW Pang – volume: 20 start-page: 2539 year: 2019 ident: 3591_CR19 publication-title: Pain Med doi: 10.1093/pm/pny318 contributor: fullname: LV Doan – volume: 89 start-page: 780 year: 2007 ident: 3591_CR14 publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200704000-00012 contributor: fullname: S Kurtz – volume: 16 start-page: 330 year: 2001 ident: 3591_CR10 publication-title: J Arthroplast doi: 10.1054/arth.2001.21454 contributor: fullname: CR Lehman – volume: 33 start-page: 3246 year: 2018 ident: 3591_CR3 publication-title: J Arthroplast doi: 10.1016/j.arth.2018.05.027 contributor: fullname: KL Bell – volume: 32 start-page: 1 year: 2017 ident: 3591_CR15 publication-title: J Arthroplast doi: 10.1016/j.arth.2016.06.050 contributor: fullname: PM Courtney – volume: 138 start-page: 1353 year: 2018 ident: 3591_CR20 publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-018-2980-3 contributor: fullname: T Ramczykowski – volume: 1 start-page: 48 year: 1995 ident: 3591_CR13 publication-title: Am J Public Health doi: 10.2105/AJPH.85.1.48 contributor: fullname: K Fox – volume: 473 start-page: 2402 year: 2015 ident: 3591_CR5 publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-015-4173-5 contributor: fullname: ME Menendez |
SSID | ssj0015915 |
Score | 2.3258955 |
Snippet | Introduction
Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty... Previous studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA) have higher... IntroductionPrevious studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA)... INTRODUCTIONPrevious studies have demonstrated that patients with positive preoperative urine toxicology (utox) screens prior to total joint arthroplasty (TJA)... |
SourceID | proquest crossref pubmed springer |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 3555 |
SubjectTerms | Medicaid Medicine Medicine & Public Health Original Article Prescription drugs Surgical Orthopedics Toxicology Traumatic Surgery |
SummonAdditionalLinks | – databaseName: SpringerLINK - Czech Republic Consortium dbid: AGYKE link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3dS8MwEA-ygfji90d1SgTfNGNtmn48Dtkck-nLBhOEkKapDKEdayfqX--lX0OmD3tumrR3Se4uv7tfELoJYM6CYekQj0lK7NCjJJAyIlKzy1lUKJPp4uTRkzOY2MMpm67quPNk9wqRzDfqutYtL5MkYGKIZp0zCYQ8TbA9ejU2uw8vj70aPICnrKyP-fvN3zZozbFcA0VzW9PfQ-OqYqdIMXlvL7OgLb_XCRw3-Y19tFv6nrhbTJYDtKXiQ7Q9KtH1I_T6vMygF5XiJMI56C5mIS6ZV1Osy80WbwmMhsfDLtYnuHius4STZYqL5K8PhfXpvcJZ8jnL-bC_MOxLOlY-RpN-b3w_IOXtC6Any8lIGFkCfK3Q9qTyI9eWgnrCUcp1IEKDOItZQjLlwRwwpe14vuYikyLqiJDSUPiUnqBGnMTqDGEpAgiUaEfIyLcVlfoaBQ3pRjYLoC_TQLeVPvi8INngNZ1yLjAOAuO5wDi0blUq4-WCS7nGS00GzpdnoOv6MSwVjX-IWIEkuMYMLRccQGqg00LV9XDUhY3Ntx0D3VV6W3X-_7ecb9b8Au3o6-qLdJgWamSLpboEpyYLrspJ_AN81O14 priority: 102 providerName: Springer Nature |
Title | Outcomes of medicaid patients undergoing TJA with previous positive urine toxicology screens |
URI | https://link.springer.com/article/10.1007/s00590-023-03591-1 https://www.ncbi.nlm.nih.gov/pubmed/37225946 https://www.proquest.com/docview/2890158938 https://search.proquest.com/docview/2819276443 |
Volume | 33 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LS8NAEF60vXgRxVe0lhW86WKTzfMkUVqlYhVpoYIQNpuN9NLUNhX9985sHkWKngJJ2Cwzk53HNw9CzmOQWVAsHeY7kjM78TmLpUyZxO5yFhfKdLA4-XHg3o_s_tgZlwG3RZlWWZ2J-qBOMokx8isExEwHtKt_PftgODUK0dVyhMYmaZoWqHKQZ29cO1ygqfUEAzA5OEMAsSya0aVzuuqSgcZi2MTOZOZvxbRmba4hpVoB9XbIdmk50rBg9S7ZUNM98va0zGH_akGzlGqcXEwSWjZLXVCsEJu_Z7AeHfZDikFXOsPEXvD3aZGv9akoBtwVzbOviW5h_U3hKEH3dp-Met3h7T0rByYAaS03Z0lqCTCPEtuXKkg9WwruC1cpzwWnClwjxxLSUT6wzZS26wfYPkyKtCMSzhMRcH5AGtNsqo4IlSIG34Z3hEwDW3GJkw8QhU1tJ4a1TINcVNSKZkVfjKjugKxpGwFtI03bCN5uVQSNyn9kEa04apCz-jFIN0IWYqqAEhHCfJYHNhs3yGHBiPpz3IOzKLBdg1xWnFkt_vdejv_fywnZwonyRcZKizTy-VKdgt2Rx20tXG3SDO9eH7pwvekOnl_g7sgKfwCUatdk |
link.rule.ids | 314,780,784,12056,21388,27924,27925,31719,31720,33744,33745,41081,41523,42150,42592,43310,43805,52111,52234 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LT8MwDLZgHOCCQLzGM0jcIGJtmq49IUCg8RoIDYkDUpSmKdplHawg-PfYaTaEEJxbpa2d-pHP_gywl-GeRcfS4ok0gkd5InhmTMENscuFQttAUnPyTTfuPESXj_LRH7iNfFnl2CY6Q52Xhs7IDwkQCyR61-Ro-MJpahShq36ExjTMEHO6bMDMyVn37n6CI8jUzTDAoENwghB924xrnnN9lxx9Ficau4AHP13Tr3jzF1bqXND5Asz72JEd18pehCk7WIKn27cKv8COWFkwh5Trfs48XeqIUY_Y63OJ67He5TGjY1c2pNJezPhZXbH1bhkduVtWlR99R2L9ydCYUIK7DA_nZ73TDvcjE1C4YVzxvAg1Bkh5lBibFu3IaJHo2Np2jGkVJkcy1EbaBBUXmChOUiIQM7po6VyIXKdCrEBjUA7sGjCjM8xuREubIo2sMDT7gHDYIpIZrhU0YX8sLTWsmTHUhAPZyVahbJWTrcK7N8cCVf4vGalvnTZhd3IZ9zeBFnpgURKKgL6wjVGbaMJqrYjJ40QbrVEaxU04GGvme_G_32X9_3fZgdlO7-ZaXV90rzZgjubL1_Urm9CoXt_sFkYhVbbtt9oXAB7Xow |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1LT8MwDI4QSBMXxJvCgCBxg2hr0-dxAqYx2OCwSTsgRWmaol3aaesQ_HvsvgANDpybppHtxnY--wshlyHYLDiWNvMdxZkd-ZyFSsVMIbucxaU2HWxOHgzd3tjuT5zJty7-vNq9giSLngZkaUqy1iyKW3XjW94zycDfMKSgMxnkPxvoitDSx1anxhHgmVO2yvz-3k93tBJjruCjudvpbpOtMl6knULBO2RNJ7ukMSgR8T3y8rTMYP16QdOY5kC5nEa0ZEtdUGwRm7-mMDUd9TsUT13pDCt7IeGnRcHWm6Z44q5plr5Pcw7rDwp7Cea3-2TcvRvd9Fh5YwLI1nIzFsWWhPgosn2lg9izleS-dLX2XMiqIDdyLKkc7YPeTGW7foD8YUrGbRlxHsmA8wOynqSJPiJUyRCSG96WKg5szRVefYAwbGw7IcxlGuSqEpyYFcQYoqZAzsUsQMwiF7OA0c1KtqL8SRYCMU7TgYDJN8hF_RjMGzELmWiQhECcz_IgaOMGOSx0Un-Oe7AZBbZrkOtKSV-T_72W4_8NPyeN59uueLwfPpyQTbxtvqhmaZL1bL7UpxCTZOFZbnafT2fYow |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Outcomes+of+medicaid+patients+undergoing+TJA+with+previous+positive+urine+toxicology+screens&rft.jtitle=European+journal+of+orthopaedic+surgery+%26+traumatology&rft.au=Moore%2C+Michael&rft.au=Shendrik%2C+Irina&rft.au=Roof%2C+Mackenzie+A&rft.au=Sicat%2C+Chelsea+Sue&rft.date=2023-12-01&rft.eissn=1432-1068&rft.volume=33&rft.issue=8&rft.spage=3555&rft.epage=3560&rft_id=info:doi/10.1007%2Fs00590-023-03591-1&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1432-1068&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1432-1068&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1432-1068&client=summon |