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Journal article
A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery
The Journal of hand surgery (American ed.), v 42(10), pp 810-816
01 Oct 2017
PMID: 28890331
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose Prescription opioid misuse has become increasingly prevalent in the United States. Preoperative opioid counseling has been proposed to decrease opioid consumption after surgery. This study aimed to evaluate the effect of preoperative opioid counseling on patients' pain experience and opioid consumption after carpal tunnel release (CTR) surgery.
Methods A prospective comparison of consecutive patients scheduled to undergo CTR surgery was conducted. Patients were randomized to receive either formal preoperative opioid counseling or no counseling. All operations were performed with the same mini-open CTR surgical technique, and the same number of opioids were prescribed after surgery. Daily opioid pill consumption, pain levels, and any adverse reactions were recorded.
Results During the day of surgery and the first day following surgery, patients in the group with counseling reported significantly fewer prescribed opioid pills consumed compared with patients in the group without counseling, while experiencing no significant difference in pain level experience. In addition, patients in the group with counseling reported a significantly lower number of total pain pills consumed over the course of the study than the group without counseling. No major adverse reactions were noted in either group.
Conclusions Preoperative opioid counseling was found to result in a significant decrease in overall opioid consumption after surgery. Copyright (C) 2017 by the American Society for Surgery of the Hand. All rights reserved.
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Details
- Title
- A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery
- Creators
- Todd H. Alter - Rothman InstituteAsif M. Ilyas - Rothman Institute
- Publication Details
- The Journal of hand surgery (American ed.), v 42(10), pp 810-816
- Publisher
- Elsevier
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000412794500006
- Scopus ID
- 2-s2.0-85030166143
- Other Identifier
- 991021838279404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery