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A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization

Orthopaedic surgeons account for the largest proportion of opioid prescriptions in the United States among surgical specialties. In total joint arthroplasty, increased opioid use has been associated with poorer clinical and functional outcomes. Despite an abundance of literature on opioid mitigation...

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Detalles Bibliográficos
Autores principales: Deen, Justin T., Stone, William Z., Gray, Chancellor F., Prieto, Hernan A., Iams, Dane A., Boezaart, Andre P., Parvataneni, Hari K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475051/
https://www.ncbi.nlm.nih.gov/pubmed/32923559
http://dx.doi.org/10.1016/j.artd.2020.07.005
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author Deen, Justin T.
Stone, William Z.
Gray, Chancellor F.
Prieto, Hernan A.
Iams, Dane A.
Boezaart, Andre P.
Parvataneni, Hari K.
author_facet Deen, Justin T.
Stone, William Z.
Gray, Chancellor F.
Prieto, Hernan A.
Iams, Dane A.
Boezaart, Andre P.
Parvataneni, Hari K.
author_sort Deen, Justin T.
collection PubMed
description Orthopaedic surgeons account for the largest proportion of opioid prescriptions in the United States among surgical specialties. In total joint arthroplasty, increased opioid use has been associated with poorer clinical and functional outcomes. Despite an abundance of literature on opioid mitigation strategies, most fail to provide personalized prescriptions. Typically, most protocols prescribe the same opioid regimen regardless of patient factors or the extent of the planned procedure. We present a simple opioid stratification pathway that can be used by physicians and office staff as they prepare patients for arthroplasty. We have found this to be easy to implement, effective, and sustainable at a tertiary academic institution and allows for iterative improvements over time.
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spelling pubmed-74750512020-09-11 A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization Deen, Justin T. Stone, William Z. Gray, Chancellor F. Prieto, Hernan A. Iams, Dane A. Boezaart, Andre P. Parvataneni, Hari K. Arthroplast Today Surgical Technique Orthopaedic surgeons account for the largest proportion of opioid prescriptions in the United States among surgical specialties. In total joint arthroplasty, increased opioid use has been associated with poorer clinical and functional outcomes. Despite an abundance of literature on opioid mitigation strategies, most fail to provide personalized prescriptions. Typically, most protocols prescribe the same opioid regimen regardless of patient factors or the extent of the planned procedure. We present a simple opioid stratification pathway that can be used by physicians and office staff as they prepare patients for arthroplasty. We have found this to be easy to implement, effective, and sustainable at a tertiary academic institution and allows for iterative improvements over time. Elsevier 2020-08-27 /pmc/articles/PMC7475051/ /pubmed/32923559 http://dx.doi.org/10.1016/j.artd.2020.07.005 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Surgical Technique
Deen, Justin T.
Stone, William Z.
Gray, Chancellor F.
Prieto, Hernan A.
Iams, Dane A.
Boezaart, Andre P.
Parvataneni, Hari K.
A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title_full A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title_fullStr A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title_full_unstemmed A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title_short A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
title_sort simple, personalized opioid stratification pathway dramatically reduces opioid utilization
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475051/
https://www.ncbi.nlm.nih.gov/pubmed/32923559
http://dx.doi.org/10.1016/j.artd.2020.07.005
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