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Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
Journal article   Open access   Peer reviewed

Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries

Michael U Okoli, Alexander J Rondon, Clay B Townsend, Matthew B Sherman, Asif M Ilyas and Opioid Use in Orthopaedic Surgery Study Group (Philip Seger, BS; Olivia Julian, BS; Kelvin Fenelon, BS; Terence Thomas, BS)
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, v 6(4), 21
12 Apr 2022
DOI: https://doi.org/10.5435/JAAOSGlobal-D-21-00226
PMID: 35412506
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.5435/JAAOSGlobal-D-21-00226View
Published, Version of Record (VoR) Open

Abstract

Analgesics, Opioid - therapeutic use Humans Opioid-Related Disorders - complications Opioid-Related Disorders - drug therapy Opioid-Related Disorders - epidemiology Orthopedic Procedures - adverse effects Outpatients Pain, Postoperative - drug therapy
Prescription opioid abuse remains an ongoing public health crisis, especially in orthopaedic surgery. The purpose of the present study is to analyze opioid-prescribing patterns and investigate risk factors for prolonged opioid use after common outpatient orthopaedic surgical procedures. After institutional review board approval, a review of 1,384 patients undergoing common elective outpatient orthopaedic procedures from January 2018 to June 2019 was conducted. Data on controlled substance prescriptions were obtained from the prescription drug monitoring program website. Statistical analysis was done to identify predictors for a second opioid prescription and prolonged opioid use (>6 months). Over 10% (150/1,384) of patients were still using opioids beyond 6 months. Of the opioid exposed patients, 60.4% (174/288) filled at least 1 additional opioid prescription postoperatively, and 29.2% (84/288) filled prescriptions beyond 6 months, compared with 26.4% (289/1,096) and 6.0% (66/1,096) of opioid-naive patients, respectively. Following multivariate analysis, significant predictors for filling a second opioid prescription included preoperative opioid use, current smoker status, benzodiazepine use, psychiatric disorder, and advanced age. This study revealed risk factors for prolonged opioid use after orthopaedic surgery. Surgeons should be mindful of these risk factors and counsel patients regarding postoperative pain management.

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14 Record Views
16 citations in Web of Science
13 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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