Smoking, Pain Intensity, and Opioid Consumption 1–3 Months After Major Surgery: A Retrospective Study in a Hospital-Based Transitional Pain Service

Smoking, Pain Intensity, and Opioid Consumption 1–3 Months After Major Surgery: A Retrospective Study in a Hospital-Based Transitional Pain Service

Abstract Introduction The present study investigated the associations between smoking, pain, and opioid consumption in the 3 months after major surgery in patients seen by the Transitional Pain Service. Current smoking status and lifetime pack-years were expected to be related to higher pain intensi...

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Veröffentlicht in:Nicotine & tobacco research 2018-08, Vol.20 (9), p.1144-1151
Hauptverfasser: Montbriand, Janice J., Weinrib, Aliza Z., Azam, Muhammad A., Ladak, Salima S. J., Shah, B. R., Jiang, Jiao, McRae, Karen, Tamir, Diana, Lyn, Sheldon, Katznelson, Rita, Clarke, Hance A., Katz, Joel
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Original investigations
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container_end_page 1151
container_issue 9
container_start_page 1144
container_title Nicotine & tobacco research
container_volume 20
creator Montbriand, Janice J.
Weinrib, Aliza Z.
Azam, Muhammad A.
Ladak, Salima S. J.
Shah, B. R.
Jiang, Jiao
McRae, Karen
Tamir, Diana
Lyn, Sheldon
Katznelson, Rita
Clarke, Hance A.
Katz, Joel
description Abstract Introduction The present study investigated the associations between smoking, pain, and opioid consumption in the 3 months after major surgery in patients seen by the Transitional Pain Service. Current smoking status and lifetime pack-years were expected to be related to higher pain intensity, more opioid use, and poorer opioid weaning after surgery. Methods A total of 239 patients reported smoking status in their presurgical assessment (62 smokers, 92 past smokers, and 85 never smokers). Pain and daily opioid use were assessed in hospital before postsurgical discharge, at first outpatient visit (median of 1 month postsurgery), and at last outpatient visit (median of 3 months postsurgery). Pain was measured using numeric rating scale. Morphine equivalent daily opioid doses were calculated for each patient. Results Current smokers reported significantly higher pain intensity (p < .05) at 1 month postsurgery than never smokers and past smokers. Decline in opioid consumption differed significantly by smoking status, with both current and past smokers reporting a less than expected decline in daily opioid consumption (p < .05) at 3 months. Decline in opioid consumption was also related to pack-years, with those reporting higher pack-years having a less than expected decline in daily opioid consumption at 3 months (p < .05). Conclusions Smoking status may be an important modifiable risk factor for pain intensity and opioid use after surgery. Implications In a population with complex postsurgical pain, smoking was associated with greater pain intensity at 1 month after major surgery and less opioid weaning 3 months after surgery. Smoking may be an important modifiable risk factor for pain intensity and opioid use after surgery.
doi_str_mv 10.1093/ntr/ntx094
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J. ; Shah, B. R. ; Jiang, Jiao ; McRae, Karen ; Tamir, Diana ; Lyn, Sheldon ; Katznelson, Rita ; Clarke, Hance A. ; Katz, Joel</creator><creatorcontrib>Montbriand, Janice J. ; Weinrib, Aliza Z. ; Azam, Muhammad A. ; Ladak, Salima S. J. ; Shah, B. R. ; Jiang, Jiao ; McRae, Karen ; Tamir, Diana ; Lyn, Sheldon ; Katznelson, Rita ; Clarke, Hance A. ; Katz, Joel</creatorcontrib><description>Abstract Introduction The present study investigated the associations between smoking, pain, and opioid consumption in the 3 months after major surgery in patients seen by the Transitional Pain Service. Current smoking status and lifetime pack-years were expected to be related to higher pain intensity, more opioid use, and poorer opioid weaning after surgery. Methods A total of 239 patients reported smoking status in their presurgical assessment (62 smokers, 92 past smokers, and 85 never smokers). Pain and daily opioid use were assessed in hospital before postsurgical discharge, at first outpatient visit (median of 1 month postsurgery), and at last outpatient visit (median of 3 months postsurgery). Pain was measured using numeric rating scale. Morphine equivalent daily opioid doses were calculated for each patient. Results Current smokers reported significantly higher pain intensity (p &lt; .05) at 1 month postsurgery than never smokers and past smokers. Decline in opioid consumption differed significantly by smoking status, with both current and past smokers reporting a less than expected decline in daily opioid consumption (p &lt; .05) at 3 months. Decline in opioid consumption was also related to pack-years, with those reporting higher pack-years having a less than expected decline in daily opioid consumption at 3 months (p &lt; .05). Conclusions Smoking status may be an important modifiable risk factor for pain intensity and opioid use after surgery. Implications In a population with complex postsurgical pain, smoking was associated with greater pain intensity at 1 month after major surgery and less opioid weaning 3 months after surgery. Smoking may be an important modifiable risk factor for pain intensity and opioid use after surgery.</description><identifier>ISSN: 1462-2203</identifier><identifier>EISSN: 1469-994X</identifier><identifier>DOI: 10.1093/ntr/ntx094</identifier><identifier>PMID: 28472423</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Original investigations</subject><ispartof>Nicotine &amp; tobacco research, 2018-08, Vol.20 (9), p.1144-1151</ispartof><rights>The Author(s) 2017</rights><rights>The Author(s) 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-6d813a880ed52757857e0832e36318e84eb468fb4938bda5565c6110e37ecc8b3</citedby><cites>FETCH-LOGICAL-c339t-6d813a880ed52757857e0832e36318e84eb468fb4938bda5565c6110e37ecc8b3</cites><orcidid>0000-0003-0529-8507</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26771845$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26771845$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,1584,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28472423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Montbriand, Janice J.</creatorcontrib><creatorcontrib>Weinrib, Aliza Z.</creatorcontrib><creatorcontrib>Azam, Muhammad A.</creatorcontrib><creatorcontrib>Ladak, Salima S. J.</creatorcontrib><creatorcontrib>Shah, B. R.</creatorcontrib><creatorcontrib>Jiang, Jiao</creatorcontrib><creatorcontrib>McRae, Karen</creatorcontrib><creatorcontrib>Tamir, Diana</creatorcontrib><creatorcontrib>Lyn, Sheldon</creatorcontrib><creatorcontrib>Katznelson, Rita</creatorcontrib><creatorcontrib>Clarke, Hance A.</creatorcontrib><creatorcontrib>Katz, Joel</creatorcontrib><title>Smoking, Pain Intensity, and Opioid Consumption 1–3 Months After Major Surgery: A Retrospective Study in a Hospital-Based Transitional Pain Service</title><title>Nicotine &amp; tobacco research</title><addtitle>Nicotine Tob Res</addtitle><description>Abstract Introduction The present study investigated the associations between smoking, pain, and opioid consumption in the 3 months after major surgery in patients seen by the Transitional Pain Service. Current smoking status and lifetime pack-years were expected to be related to higher pain intensity, more opioid use, and poorer opioid weaning after surgery. Methods A total of 239 patients reported smoking status in their presurgical assessment (62 smokers, 92 past smokers, and 85 never smokers). Pain and daily opioid use were assessed in hospital before postsurgical discharge, at first outpatient visit (median of 1 month postsurgery), and at last outpatient visit (median of 3 months postsurgery). Pain was measured using numeric rating scale. Morphine equivalent daily opioid doses were calculated for each patient. Results Current smokers reported significantly higher pain intensity (p &lt; .05) at 1 month postsurgery than never smokers and past smokers. Decline in opioid consumption differed significantly by smoking status, with both current and past smokers reporting a less than expected decline in daily opioid consumption (p &lt; .05) at 3 months. Decline in opioid consumption was also related to pack-years, with those reporting higher pack-years having a less than expected decline in daily opioid consumption at 3 months (p &lt; .05). Conclusions Smoking status may be an important modifiable risk factor for pain intensity and opioid use after surgery. Implications In a population with complex postsurgical pain, smoking was associated with greater pain intensity at 1 month after major surgery and less opioid weaning 3 months after surgery. 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R.</creatorcontrib><creatorcontrib>Jiang, Jiao</creatorcontrib><creatorcontrib>McRae, Karen</creatorcontrib><creatorcontrib>Tamir, Diana</creatorcontrib><creatorcontrib>Lyn, Sheldon</creatorcontrib><creatorcontrib>Katznelson, Rita</creatorcontrib><creatorcontrib>Clarke, Hance A.</creatorcontrib><creatorcontrib>Katz, Joel</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nicotine &amp; tobacco research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montbriand, Janice J.</au><au>Weinrib, Aliza Z.</au><au>Azam, Muhammad A.</au><au>Ladak, Salima S. J.</au><au>Shah, B. R.</au><au>Jiang, Jiao</au><au>McRae, Karen</au><au>Tamir, Diana</au><au>Lyn, Sheldon</au><au>Katznelson, Rita</au><au>Clarke, Hance A.</au><au>Katz, Joel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smoking, Pain Intensity, and Opioid Consumption 1–3 Months After Major Surgery: A Retrospective Study in a Hospital-Based Transitional Pain Service</atitle><jtitle>Nicotine &amp; tobacco research</jtitle><addtitle>Nicotine Tob Res</addtitle><date>2018-08-14</date><risdate>2018</risdate><volume>20</volume><issue>9</issue><spage>1144</spage><epage>1151</epage><pages>1144-1151</pages><issn>1462-2203</issn><eissn>1469-994X</eissn><abstract>Abstract Introduction The present study investigated the associations between smoking, pain, and opioid consumption in the 3 months after major surgery in patients seen by the Transitional Pain Service. Current smoking status and lifetime pack-years were expected to be related to higher pain intensity, more opioid use, and poorer opioid weaning after surgery. Methods A total of 239 patients reported smoking status in their presurgical assessment (62 smokers, 92 past smokers, and 85 never smokers). Pain and daily opioid use were assessed in hospital before postsurgical discharge, at first outpatient visit (median of 1 month postsurgery), and at last outpatient visit (median of 3 months postsurgery). Pain was measured using numeric rating scale. Morphine equivalent daily opioid doses were calculated for each patient. Results Current smokers reported significantly higher pain intensity (p &lt; .05) at 1 month postsurgery than never smokers and past smokers. Decline in opioid consumption differed significantly by smoking status, with both current and past smokers reporting a less than expected decline in daily opioid consumption (p &lt; .05) at 3 months. 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source JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
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title Smoking, Pain Intensity, and Opioid Consumption 1–3 Months After Major Surgery: A Retrospective Study in a Hospital-Based Transitional Pain Service
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