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The Efficacy of Preoperative Video-Based Opioid Counseling on Postoperative Opioid Consumption After Total Knee Arthroplasty: A Prospective Randomized Controlled Trial
Journal article   Open access   Peer reviewed

The Efficacy of Preoperative Video-Based Opioid Counseling on Postoperative Opioid Consumption After Total Knee Arthroplasty: A Prospective Randomized Controlled Trial

Arlene R Maheu, Alexandra L Hohmann, Nicholas F Cozzarelli, Irfan A Khan, William J Hozack, Asif M Ilyas and Jess H Lonner
The Journal of arthroplasty, v 39(8), pp S143-S147
23 Feb 2024
DOI: https://doi.org/10.1016/j.arth.2024.02.027
PMID: 38403081
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1016/j.arth.2024.02.027View
Published, Version of Record (VoR) Open

Abstract

total knee arthroplasty TKA video opioids Counseling Education
There are myriad strategies to reduce opioid consumption after total knee arthroplasty (TKA). Recent studies have suggested that preoperative counseling may reduce opioid use after a variety of orthopaedic procedures. The purpose of this study was to investigate whether preoperative video-based patient education regarding opioid use and abuse reduces opioid consumption after TKA. In this prospective randomized controlled trial, patients were randomized before TKA to either receive preoperative video-based counseling or not. Counseling involved a pre-taped 5-minute video that educated patients on statistics regarding the "opioid epidemic" and discussed safe use and alternatives to opioids after TKA. There were no significant differences in baseline patient demographics between groups. All patients received a similar multimodal perioperative pain management protocol and completed a daily diary for two weeks postoperatively. Diary records measured pain levels using a visual analog score (VAS), opioid consumption, side effects experienced, and patient opinion and satisfaction regarding their pain control. Patients in the counseling group consumed significantly less morphine milligram equivalents (MMEs) on postoperative days (PODs) 0-3 (78.8 versus 106.1, P = 0.020) and in week one postoperatively (129.9 versus 180.7, P = 0.028), with a trend of less consumption over two weeks postoperatively (186.9 versus 239.1, P = 0.194). There were no significant differences in the number of patients requiring refills, side effects, or daily pain levels between the two groups. This study found significantly decreased opioid consumption within the first week after TKA in patients who received preoperative video counseling.

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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