(234) Examination of opioid discharge prescriptions, consumption and disposal in an orthopedic population

Bockman, Christina; Dale, Rebecca; Dong, Jing; Krashin, Daniel; Gordon, Deb; Peperzak, Katherin A; Matcalf, C.; Breuner, Andrea K; Lesnik, I.

doi:10.1016/j.jpain.2017.02.126

Cited by 4 publications

(1 citation statement)

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“…Orthopedic surgeons are often cited as the third-highest opioid prescribers [20]. Multidisciplinary approaches to mitigating the burden of opioid overprescription and misuse have helped identify strategies to decrease the rate of patients’ opioid misuse after orthopedic surgery [1, 3, 4, 25]. Policy-level solutions to combating the opioid crisis show the most promise in reducing unnecessary access to opioid painkillers and preventing long-term addiction to them [24].…”

Section: Introductionmentioning

confidence: 99%

Interdisciplinary Mitigation of Opioid Misuse in Musculoskeletal Patients

Saigal

Jones

2019

HSS Journal®

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Background: The opioid prescribing patterns of orthopedic surgeons have been shown to play a role in exacerbating rates of opioid misuse among postsurgical patients. Demonstrable success has been appreciated by combining policy-level approaches and clinical education-based strategies to inform patients of alternative modalities of post-operative analgesia. Questions/ Purposes: The purpose of this review was to address two questions: What are the most substantiated measures orthopedic surgeons can take to limit opioid misuse or addiction among their patients? What advantages are gained in orthopedic surgeons' collaborating with other healthcare professionals with influence over patients' post-operative opioid exposure? Methods: We searched two databases for articles on multidisciplinary policybased solutions to mitigating the opioid overdose crisis among musculoskeletal patients. Articles produced from the search were searched for further evidence supporting the use of standardized clinical and administrative protocols in mitigating opioid misuse within this patient population. Successful approaches to mitigating misuse of opioids in this demographic were synthesized from recurring themes in the studies. Results: Multiple articles support orthopedic surgeons being aware of the risk factors for chronic opioid use among their patients, as well as multidisciplinary strategies involving orthopedic surgeons and other healthcare/governmental professionals to address the burden of the opioid crisis on surgical patients. Conclusions: Addressing the misuse of opioids among orthopedic patients requires appropriate prescribing practices and long-term support of patients. Collaboration between surgeons and policymaking entities is recognized as an effective population-wide approach to preventing opioid dependence, misuse, and addiction. Keywords interdisciplinary. multilateral. opioid overdose crisis. post-operative pain management. orthopedic surgery. musculoskeletal patients. medico-legal collaboration. health policy. bioethics. anesthesia. nursing

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