Opioid over-prescription after total joint arthroplasty: Findings from patient reported opioid consumption journals

被引：2

作者：

Dwyer, Maureen K. ^{[1
,2
]}

Melnic, Christopher M. ^{[1
,2
]}

Tumpowsky, Catharine ^{[2
]}

Humphrey, Tyler ^{[1
,2
]}

Hosseinzadeh, Shayan ^{[1
]}

Bedair, Hany S. ^{[1
,2
]}

机构：

[1] Massachusetts Gen Hosp, Dept Orthopaed Surg, 55 Fruit St, Boston, MA 02114 USA

[2] Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USA

来源：

JOURNAL OF ORTHOPAEDICS | 2022年 / 29卷

关键词：

For indexing: opioid; Patient journal; Total joint arthroplasty;

D O I：

10.1016/j.jor.2021.12.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We sought to determine postoperative opioid consumption for opioid-naive patients undergoing total knee and hip arthroplasty (THA and TKA) procedures via an observational cohort study, consisting of 55 patients who underwent either primary unilateral TKA (n = 28) or THA (n = 27). Patients were provided with a journal to track daily consumption of pain medicine. Patients were prescribed an average of 67 opioid pills postoperatively; however, they consumed an average of 31 pills (214 morphine equivalent doses - MED). TKA patients received (p = 0.01) and consumed (p = 0.005) higher amounts of opioids. On average, patients ceased opioid usage at 14 days post-operatively.

引用

页码：1 / 5

页数：5

共 8 条

[1] Characterization of Post-Operative Opioid Use Following Total Joint Arthroplasty
Dwyer, Maureen K.
Tumpowsky, Cathrine M.
Hiltz, Nancy L.
Lee, JoAnn
Healy, William L.
Bedair, Hany S.
[J]. JOURNAL OF ARTHROPLASTY, 2018, 33 (03) : 668 - 672
[2] Association Between Quantity of Opioids Prescribed After Surgery or Preoperative Opioid Use Education With Opioid Consumption
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Anastasio, Albert T.
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[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (24): : 2464 - 2466
[3] The James A. Rand Young Investigator's Award: Large Opioid Prescriptions Are Unnecessary After Total Joint Arthroplasty: A Randomized Controlled Trial
Hannon, Charles P.
Calkins, Tyler E.
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[J]. JOURNAL OF ARTHROPLASTY, 2019, 34 (07) : S4 - S10
[4] Oral Opioids Are Overprescribed in the Opiate-Naive Patient Undergoing Total Joint Arthroplasty
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[J]. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2019, 27 (15) : E702 - E708
[5] Identifying opioid prescribing patterns for high-volume prescribers via cluster analysis
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[6] Mandatory Prescription Limits and Opioid Utilization Following Orthopaedic Surgery
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[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2019, 101 (10)
[7] Excess Opioid Medication and Variation in Prescribing Patterns Following Common Orthopaedic Procedures
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[8] The 2018 Chitranjan S. Ranawat, MD Award: Developing and Implementing a Novel Institutional Guideline Strategy Reduced Postoperative Opioid Prescribing After TKA and THA
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Hevesi, Mario
Trousdale, Eleanor R.
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Trousdale, Robert T.
Pagnano, Mark W.
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[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2019, 477 (01) : 104 - 113

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