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Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty

BACKGROUND: In an effort to combat the opioid epidemic, state legislation was passed to limit postoperative narcotic prescribing. The purpose of this study was to assess if the legislation had an impact on patients’ perception of pain management after total hip arthroplasty (THA) and total knee arth...

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Autores principales: Paterno, Anthony V., Barnes, Ryan H., Lin, Feng-Chang, Tsujimoto, Tamy H.M., Del Gaizo, Daniel J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784311/
https://www.ncbi.nlm.nih.gov/pubmed/35106345
http://dx.doi.org/10.1016/j.artd.2021.10.017
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author Paterno, Anthony V.
Barnes, Ryan H.
Lin, Feng-Chang
Tsujimoto, Tamy H.M.
Del Gaizo, Daniel J.
author_facet Paterno, Anthony V.
Barnes, Ryan H.
Lin, Feng-Chang
Tsujimoto, Tamy H.M.
Del Gaizo, Daniel J.
author_sort Paterno, Anthony V.
collection PubMed
description BACKGROUND: In an effort to combat the opioid epidemic, state legislation was passed to limit postoperative narcotic prescribing. The purpose of this study was to assess if the legislation had an impact on patients’ perception of pain management after total hip arthroplasty (THA) and total knee arthroplasty (TKA). We hypothesized that patients would not perceive their pain management experience to be impacted. METHODS: A prospective survey study was performed on all consenting patients undergoing primary THA or TKA at a large academic center from July 2019 to February 2020. Patients taking opioids preoperatively were excluded. Surveys given preoperatively and at 2 weeks postoperatively assessed patients' concerns surrounding postoperative pain control and their perception of the impact of a newly implemented legislation. Descriptive analysis and Spearman’s rho correlation coefficients were performed. RESULTS: Ninety-three patients met inclusion criteria and consented. Seventy-nine (29 THA and 50 TKA) completed both surveys. Preoperatively, 9.2% of patients were concerned that the legislation would impact their pain management, despite 43.0% having pain concerns. Postoperatively, 87.0% of patients felt that the legislation had no or mild effect on pain control. Although 36.7% of patients reported moderate to severe postoperative pain, 15.2% of patients reported being dissatisfied with pain control. There was no statistical correlation between preoperative pain concern and feelings that the legislation impacted pain. CONCLUSIONS: After primary THA and TKA, our data suggest that patients’ perception of their pain management was not impacted by the legislation. Prescribers should be reassured that the decreased allowable opioids does not hinder the patients’ perception of their pain management experience.
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spelling pubmed-87843112022-01-31 Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty Paterno, Anthony V. Barnes, Ryan H. Lin, Feng-Chang Tsujimoto, Tamy H.M. Del Gaizo, Daniel J. Arthroplast Today Original Research BACKGROUND: In an effort to combat the opioid epidemic, state legislation was passed to limit postoperative narcotic prescribing. The purpose of this study was to assess if the legislation had an impact on patients’ perception of pain management after total hip arthroplasty (THA) and total knee arthroplasty (TKA). We hypothesized that patients would not perceive their pain management experience to be impacted. METHODS: A prospective survey study was performed on all consenting patients undergoing primary THA or TKA at a large academic center from July 2019 to February 2020. Patients taking opioids preoperatively were excluded. Surveys given preoperatively and at 2 weeks postoperatively assessed patients' concerns surrounding postoperative pain control and their perception of the impact of a newly implemented legislation. Descriptive analysis and Spearman’s rho correlation coefficients were performed. RESULTS: Ninety-three patients met inclusion criteria and consented. Seventy-nine (29 THA and 50 TKA) completed both surveys. Preoperatively, 9.2% of patients were concerned that the legislation would impact their pain management, despite 43.0% having pain concerns. Postoperatively, 87.0% of patients felt that the legislation had no or mild effect on pain control. Although 36.7% of patients reported moderate to severe postoperative pain, 15.2% of patients reported being dissatisfied with pain control. There was no statistical correlation between preoperative pain concern and feelings that the legislation impacted pain. CONCLUSIONS: After primary THA and TKA, our data suggest that patients’ perception of their pain management was not impacted by the legislation. Prescribers should be reassured that the decreased allowable opioids does not hinder the patients’ perception of their pain management experience. Elsevier 2022-01-18 /pmc/articles/PMC8784311/ /pubmed/35106345 http://dx.doi.org/10.1016/j.artd.2021.10.017 Text en © 2021 The Authors https://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 Original Research
Paterno, Anthony V.
Barnes, Ryan H.
Lin, Feng-Chang
Tsujimoto, Tamy H.M.
Del Gaizo, Daniel J.
Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title_full Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title_fullStr Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title_full_unstemmed Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title_short Legislation Limiting Postoperative Opioid Prescribing Does Not Impact Patients' Perception of Pain Management After Total Joint Arthroplasty
title_sort legislation limiting postoperative opioid prescribing does not impact patients' perception of pain management after total joint arthroplasty
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784311/
https://www.ncbi.nlm.nih.gov/pubmed/35106345
http://dx.doi.org/10.1016/j.artd.2021.10.017
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