2018
DOI: 10.1016/j.pmn.2018.07.003
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The Impact of Patient Characteristics and Postoperative Opioid Exposure on Prolonged Postoperative Opioid Use: An Integrative Review

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Cited by 25 publications
(22 citation statements)
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“…In the USA, a survey of patients receiving chronic opioid therapy revealed that 27 per cent were first started on opioids after surgery and a recent systematic review found that fewer than half of opioid prescriptions issued after surgery are used by the patient following discharge, highlighting a potential source for diversion and misuse of opioid supply. Patients who are already on opioids or benzodiazepines, or diagnosed with substance use or another mental health disorder, are at greatest risk of prolonged postoperative use.…”
Section: Pharmacological Management Of Postoperative Painmentioning
confidence: 99%
“…In the USA, a survey of patients receiving chronic opioid therapy revealed that 27 per cent were first started on opioids after surgery and a recent systematic review found that fewer than half of opioid prescriptions issued after surgery are used by the patient following discharge, highlighting a potential source for diversion and misuse of opioid supply. Patients who are already on opioids or benzodiazepines, or diagnosed with substance use or another mental health disorder, are at greatest risk of prolonged postoperative use.…”
Section: Pharmacological Management Of Postoperative Painmentioning
confidence: 99%
“…The immediate risk of increased opioid consumption in the immediate postoperative period includes respiratory depression, 14 which is especially undesirable after thoracic surgery. Studies evaluating patient characteristics and factors that are associated with persistent opioid use among patients after surgery demonstrate that opioid exposure in the perioperative period is one such factor 15,16 . However, it is unknown whether the association between opioid exposure and persistent opioid use occurs in a dose‐dependent fashion.…”
Section: Discussionmentioning
confidence: 99%
“…Every year more than 10 million Americans have surgery as inpatients (Steiner, Karaca, Moore, Imshaug, & Pickens, 2017) and postoperative opioids are typically prescribed, particularly after major surgery (Hill, Stucke, Billmeier, Kelly, & Barth Jr, 2017). There is a growing body of literature claiming a link between postoperative opioid use as the initiating event in precipitating longterm opioid use and potential SUD (Hah, Bateman, Ratliff, Curtin, & Sun, 2017;Lanzillotta, Clark, Starbuck, Kean, & Kalarchian, 2018). The number of patients affected varies considerably from a high of 13% of opioid-naive patients after hand surgeries (Johnson et al, 2016) to a low of 1.41% of total knee arthroplasty patients and 0.6% for total hip arthroplasty patientsdall reporting opioid use after 90 days postoperatively (Lanzillotta et al, 2018;Sun, Darnall, Baker, & Mackey, 2016).…”
Section: Misperception 10: Prescription Opioids Used Postoperatively mentioning
confidence: 99%