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e few studies investigating the impact of preoperative opioid use on postoperative outcomes after shoulder surgery. We studied variation in perioperative opioid use after total joint arthroplasty with respect to patient and procedure characteristics in order to inform initiatives to optimize pain relief. We recorded perioperative opioid consumption for a cohort of total joint arthroplasty patients to identify factors underlying variation in perioperative opioid use. Younger patient age, tobacco use, greater symptoms of depression, pr