Journal article
The Effect of Preoperative Opioid Education on Opioid Consumption After Outpatient Orthopedic Surgery: A Prospective Randomized Trial
Orthopedics (Thorofare, N.J.), v 44(2), 123
01 Mar 2021
PMID: 33561870
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Pain management and opioid consumption following outpatient orthopedic surgery may be influenced by several variables, including knowledge of safe opioid use. A prospective randomized study was undertaken to understand the effect of preoperative opioid education on opioid consumption following outpatient orthopedic surgeries. A total of 237 patients undergoing outpatient orthopedic surgeries were prospectively randomized to receive preoperative opioid education or not. Postoperative data collected included the number of pills taken, daily visual analog scale (VAS) pain scores, adverse events, and attitude toward the pain experience. A total of 107 patients were randomized to receive preoperative education and 130 to not receive preoperative education. On average, 27 pills were prescribed to each patient. The preoperative opioid education group consumed significantly fewer opioids (6 pills) when compared with the group not receiving education (12 pills) (P<.05). The findings were the same with upper and lower extremity surgeries. Overall, the 2 groups of patients had similar daily VAS scores and were satisfied with their postoperative pain experience irrespective of opioid education. Of the total opioid pills prescribed during the study, only 46% were ultimately consumed. Preoperative education significantly reduced the number of prescription opioid pills and total morphine equivalents consumed by patients in the period following outpatient orthopedic surgery, with no negative effects on pain experience. This finding was consistent in both upper and lower extremity surgery. Approximately twice the number of opioids were prescribed than ultimately consumed by patients.
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Details
- Title
- The Effect of Preoperative Opioid Education on Opioid Consumption After Outpatient Orthopedic Surgery: A Prospective Randomized Trial
- Creators
- Asif M. Ilyas - Thomas Jefferson UniversityTalia Chapman - Thomas Jefferson UniversityBenjamin Zmistowski - Thomas Jefferson UniversityKristin Sandrowski - Thomas Jefferson UniversityJack Graham - Thomas Jefferson UniversitySommer Hammoud - Thomas Jefferson University
- Publication Details
- Orthopedics (Thorofare, N.J.), v 44(2), 123
- Publisher
- Slack Inc
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000634508300035
- Scopus ID
- 2-s2.0-85105469083
- Other Identifier
- 991021838162104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics