Opioid Consumption Following Outpatient Upper Extremity Surgery

Rodgers, Jeffrey A.; Cunningham, Kimberly; Fitzgerald, Keely; Finnerty, Edward P.

doi:10.1016/j.jhsa.2012.01.035

Cited by 370 publications

(295 citation statements)

References 9 publications

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“…6,10 Specifically, 76% of patients undergoing CTR surgery have filled at least one prescription for opioid analgesics and 14% have filled a prescription beyond 90 days postoperatively. 4 With a recent national focus on the increasing abuse of prescription opioids in the United States, the use and effectiveness of pre-operative opioid counseling has come under investigation.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery

Alter

Ilyas

2017

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery

Alter

Ilyas

2017

The Journal of Hand Surgery

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“…[24] Novel pharmacologic interventions for the prevention of chronic postsurgical pain There are no clear guidelines for dealing with the management of postoperative pain as patients leave hospital and recover for 3-6 months, [25] or on postoperative opioid prescriptions as patients progress from the hospital setting to the community. [26,27] The TPS utilizes novel pharmacological approaches for patients suffering from moderate to severe acute postsurgical pain. Patients with intense pain, who continue to be seen by the APS for longer than 4 days, consume more than 90 mg/day of oral morphine equivalents are treated by the TPS.…”

Section: Economic Impact From the Development Of Chronic Postsurgicalmentioning

confidence: 99%

Transitional Pain Medicine: novel pharmacological treatments for the management of moderate to severe postsurgical pain

Clarke

2016

Expert Review of Clinical Pharmacology

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“…We extracted patients' American Society for Anesthesiologists (ASA) classification from the anesthesiology reports and recorded the treating surgeon. We also measured the following radiographic parameters at the time of injury prior to reduction and after surgery [1]: ulnarward inclination [2], ulnar variance [3], volar tilt [4], and ulna intact [13]. Patients completed the Pain Catastrophizing Scale, a measure of misinterpretation or overinterpretation of nociception (catastrophic thinking).…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Previous research found that most patients prescribed opioids during recovery from operative treatment of a fracture of the distal radius stop taking opioids within a few days [2]. Knowledge of the factors associated with a second opioid prescription might inform better pain management protocols and encourage decreased and safer use of opioids after orthopedic surgery.…”

Section: Introductionmentioning

confidence: 99%

What Factors are Associated with a Second Opioid Prescription after Treatment of Distal Radius Fractures with a Volar Locking Plate?

Teunis

Stoop

Park

et al. 2015

Hand (New York, N,Y.)

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Purpose Knowledge of factors associated with patient's requests for a second opioid prescription after volar plate fixation of a fracture of the distal radius might inform better pain management protocols and encourage decreased and safer use of opioids. This study tested the primary null hypothesis that there is no difference in demographics, prior opioid prescriptions, injury characteristics, and psychological factors between patients that do and do not receive a second opioid prescription following treatment volar locking plate after distal radius fracture. Patients and Methods We used data on 206 patients enrolled in one of two prospective studies. Their mean age was 53 years±SD 15, and 60 (30 %) were men. Forty-seven (23 %) patients received a second opioid prescription. We recorded additional demographics, AO fracture type, American Society for Anesthesiologists (ASA) classification, radiographic parameters at the time of injury prior to reduction and after surgery, and catastrophic thinking.Results Male sex (odds ratio [OR] 2.2, 95 % confidence interval [CI] 1.0-4.6, partial pseudo R 2 =0.018, P=0.044) and greater dorsal angulation of the articular surface on the lateral post injury radiograph (OR 0.98, 95 % CI 0.96 to 1.0, partial pseudo R 2 =0.033, P=0.040) were associated with a second opioid prescription after surgery (pseudo R 2 0.12, P=0.0071). Conclusions One measure of fracture severity (dorsal displacement) was independently associated with a second opioid prescription, but alone it accounted for 3.3 % of the variation. Other factors such as the patient's expectation prior to surgery, in particular the realization that injury and surgery hurt, might be addressed in future research. Level of Evidence Prognostic II

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Opioid Consumption Following Outpatient Upper Extremity Surgery

Cited by 370 publications

References 9 publications

A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery

A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery

Transitional Pain Medicine: novel pharmacological treatments for the management of moderate to severe postsurgical pain

What Factors are Associated with a Second Opioid Prescription after Treatment of Distal Radius Fractures with a Volar Locking Plate?

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