Risk factors for pain after total hip arthroplasty: a systematic review

Zhang, Bo; Rao, Sandesh; Mekkawy, Kevin L.; Rahman, Rafa; Sarfraz, Anzar; Hollifield, Lauren; Runge, Nick; Oni, Julius K.

doi:10.1186/s42836-023-00172-9

Arthroplasty

Table 3 Associations of preoperative pain medication or opioid use and function with pain medication or opioid use after THA

From: Risk factors for pain after total hip arthroplasty: a systematic review

First author	Year	Study design	n	Follow-up	Outcome measures	Associations of poor preoperative pain/function with postoperative pain/opioid use
Prentice [9]	2019	RC	12,560	1 yr	Opioid usage	Number of preoperative opioid prescriptions, preoperative NSAID use, back pain, and non-specific chronic pain associated with greater postoperative opioid use
Bedard [11]	2017	RC	37,393	1 yr	Opioid usage rate	Greater preoperative opioid use associated with greater postoperative opioid use
Pinto [14]	2017	PC	64	2 d	NRS	No association
Goesling [16]	2016	PC	331	6 mo	WOMAC	Greater preoperative opioid use associated with greater postoperative pain and opioid use
Dowsey [22]	2014	PC	835	1 yr	HHS	No association between preoperative pain and postoperative pain; conflicting results for association between preoperative function and postoperative pain
Petrovic [27]	2014	CC	90	1 d	NRS	Higher odds of postoperative pain
Singh [28]	2014	RC	3823	2, 5 yr	VAS for pain	Worse pain in patients using a walking aid
Haverkamp [29]	2013	PC	189	2.3 yr^a	VAS, WOMAC	Worse pain
Judge [2]	2013	PC	1431	1–5 yr	OHS	Worse pain
Pinto [32]	2013	CC	48	4–6 mo	NRS	Higher odds of postoperative pain
Singh [33]	2013	RC	3823	2, 5 yr	HHS	Worse hip pain with preoperative ipsilateral knee pain
Liu [36]	2012	CC	428	1 d	VAS for pain	Higher odds of postoperative pain
Smith [37]	2012	PC	1318	3 yr	HHS	Worse pain
Johansson [43]	2010	PC	75	2 yr	WOMAC, HHS, SF-36	Worse pain
Lavernia [47]	2009	PC	127 ^†	3 yr	WOMAC	Worse pain
Röder [8]	2007	RC	13,766	≤ 10 yr	VAS for pain	No association
Fortin [52]	2002	PC	86	2 yr	WOMAC	Worse pain
Holtzman [53]	2002	PC	1046	1 yr	VAS for pain	Higher odds of postoperative pain
Nilsdotter [56]	2001	PC	162	1 yr	WOMAC	Worse pain
Fortin [58]	1999	PC	116	6 mo	WOMAC	Worse pain

CC Case–control, CI Confidence interval, HHS Harris Hip Score, NRS Numerical rating scale, OHS Oxford Hip Score, OR Odds ratio, PC Prospective cohort, PCS Physical component summary, RC Retrospective cohort, RR Risk ratio, SF-12 12-Item Short-Form Health Survey, SF-36 36-Item Short-Form Health Survey, VAS Visual analog scale, WOMAC Western Ontario and McMaster Universities Arthritis Index
^aMean follow-up. ^†Included THA and total knee arthroplasty cases

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ISSN: 2524-7948

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