The Journal of the American Academy of Orthopaedic Surgeons
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J Am Acad Orthop Surg · Apr 2020
Who Is Prescribing Opioids Preoperatively? A Survey of New Patients Presenting to Tertiary Care Adult Reconstruction Clinics.
Preoperative opioid use is detrimental to outcomes after hip and knee arthroplasty. This study aims to identify the prevalence of preoperative opioid prescriptions and the specialty and practice setting of the prescriber, as well as the percentage of patients who do not report their opioid prescriptions and any variables associated with preoperative opioid prescriptions. ⋯ Level III, retrospective cohort study.
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J Am Acad Orthop Surg · Apr 2020
ReviewA Review of Inpatient Opioid Consumption and Discharge Prescription Patterns After Orthopaedic Procedures.
Tailoring opioid prescriptions to inpatient use after orthopaedic procedures may effectively control pain while limiting overprescription but may not be common in the current orthopaedic practice. ⋯ Level III, Retrospective Cohort Study.
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J Am Acad Orthop Surg · Apr 2020
Standardized, Patient-specific, Postoperative Opioid Prescribing After Inpatient Orthopaedic Surgery.
Opioid-related mortality has increased over the past 2 decades, leading to the recognition of a nationwide opioid epidemic and prompting physicians to reexamine their opioid prescribing practices. At our institutions, we had no protocol for prescribing opioids upon discharge after inpatient orthopaedic surgery, resulting in inconsistent and potentially excessive prescribing. Here, we report the results of the implementation of a patient-specific protocol using an opioid taper calculator to standardize opioid prescribing at discharge after inpatient orthopaedic surgery. ⋯ Level II.