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CI 1.02, 8.65), opioid use (OR 2.89, 95% CI 1.07, 7.82), and worse back pain intensity score (OR 1.27, 95% CI 1.05, 1.53). Multijoint involvement was highly prevalent in this LS-OA surgical sample. Its association with poorer postsurgery outcome supports a comprehensive approach to OA management and care. Knowledge of multijoint symptoms should inform patient education, shared decision-making, and recommendations for postsurgical rehabilitation and self-management strategies. Multijoint involvement was highly prevalent in this LS-OA sur
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