Cargando…

Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries

BACKGROUND: 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....

Descripción completa

Detalles Bibliográficos
Autores principales: Okoli, Michael U., Rondon, Alexander J., Townsend, Clay B., Sherman, Matthew B., Ilyas, Asif M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10566975/
https://www.ncbi.nlm.nih.gov/pubmed/35412506
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00226
_version_ 1785119027060801536
author Okoli, Michael U.
Rondon, Alexander J.
Townsend, Clay B.
Sherman, Matthew B.
Ilyas, Asif M.
author_facet Okoli, Michael U.
Rondon, Alexander J.
Townsend, Clay B.
Sherman, Matthew B.
Ilyas, Asif M.
author_sort Okoli, Michael U.
collection PubMed
description BACKGROUND: 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. METHODS: 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). RESULTS: 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. CONCLUSION: 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.
format Online
Article
Text
id pubmed-10566975
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer
record_format MEDLINE/PubMed
spelling pubmed-105669752023-10-12 Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries Okoli, Michael U. Rondon, Alexander J. Townsend, Clay B. Sherman, Matthew B. Ilyas, Asif M. J Am Acad Orthop Surg Glob Res Rev Research Article BACKGROUND: 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. METHODS: 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). RESULTS: 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. CONCLUSION: 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. Wolters Kluwer 2022-04-12 /pmc/articles/PMC10566975/ /pubmed/35412506 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00226 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Okoli, Michael U.
Rondon, Alexander J.
Townsend, Clay B.
Sherman, Matthew B.
Ilyas, Asif M.
Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title_full Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title_fullStr Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title_full_unstemmed Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title_short Comprehensive Analysis of Opioid Use After Common Elective Outpatient Orthopaedic Surgeries
title_sort comprehensive analysis of opioid use after common elective outpatient orthopaedic surgeries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10566975/
https://www.ncbi.nlm.nih.gov/pubmed/35412506
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00226
work_keys_str_mv AT okolimichaelu comprehensiveanalysisofopioiduseaftercommonelectiveoutpatientorthopaedicsurgeries
AT rondonalexanderj comprehensiveanalysisofopioiduseaftercommonelectiveoutpatientorthopaedicsurgeries
AT townsendclayb comprehensiveanalysisofopioiduseaftercommonelectiveoutpatientorthopaedicsurgeries
AT shermanmatthewb comprehensiveanalysisofopioiduseaftercommonelectiveoutpatientorthopaedicsurgeries
AT ilyasasifm comprehensiveanalysisofopioiduseaftercommonelectiveoutpatientorthopaedicsurgeries