The effect of the orthopaedic trauma association’s (OTA) pain management guidelines on opioid prescriptions, pain control, and refills in outpatient orthopaedic trauma surgery

Effect of a Multimodal Analgesic Protocol on Short-Term and Long-Term Opioid Use After Orthopaedic Trauma

“…This study expands on the existing literature 30 suggesting that multicomponent interventions specifically aimed at reducing acute opioid use can also reduce likelihood of long-term opioid use (an absolute risk reduction of over 4% in our study), which may decrease the subsequent likelihood of OUD and other related complications. 31 This is particularly encouraging in the light of recent literature suggesting that the implementation of the OTA guidelines was associated with a reduction in discharge MME, but these reductions were negated by a doubling in refill requests from 20% to 42%; 4 although we did not measure refill requests, the rate of patients filling multiple prescriptions in our study significantly decreased after the intervention.…”

“…The OTA guidelines have been met with enthusiasm, and implementation of these guidelines and similar strategies seems to reduce opioid use immediately after discharge. [4][5][6][7] However, these have not been associated with reductions in long-term opioid use. 4 The primary purpose of this study was to evaluate the efficacy of a multimodal analgesic protocol at reducing opioid use in the short and long term after orthopaedic trauma.…”

“…The OTA guidelines have been met with enthusiasm, and implementation of these guidelines and similar strategies seems to reduce opioid use immediately after discharge. 4–7 However, these have not been associated with reductions in long-term opioid use. 4…”

“…[4][5][6][7] However, these have not been associated with reductions in long-term opioid use. 4 The primary purpose of this study was to evaluate the efficacy of a multimodal analgesic protocol at reducing opioid use in the short and long term after orthopaedic trauma. analgesic protocol.…”

Institutional Opioid Prescription Guidelines are Effective in Reducing Post-Operative Prescriptions Following Urologic Surgery: Results From the American Urologic Association 2018 Census

“…26 A prospective cohort study at an academic urban level I trauma center of 90 patients undergoing outpatient orthopedic trauma surgery demonstrated that implementation of pain management guidelines caused a drop in the percentage of patients receiving oxycodone from 100% to 27%, with these patients receiving the less potent hydrocodone instead. 27 Additionally, in a previous study of patients undergoing partial mastectomy, cholecystectomy, or hernia repair, defining postoperative opioid requirements through patient surveys and disseminating operation-specific guidelines for opioid prescribing to surgeons was able to decrease the number of opioids initially prescribed by more than half without subsequently increasing refill prescriptions. 28 There are several key limitations of the study to note.…”