Economic Considerations of Acute Pain Medicine Programs

Gray, Chancellor F.; Smith, Cameron R.; Zasimovich, Yury; Tighe, Patrick J.

doi:10.1097/bto.0000000000000241

Cited by 3 publications

(1 citation statement)

References 86 publications

(37 reference statements)

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“…Total knee arthroplasty (TKA) is one of the most commonly performed surgical procedures, with more than 750,000 arthroplasties performed in the United States in 2017 [1]. Acute pain post-TKA is often severe [2], can delay early rehabilitation [3], interferes with functional ability [4], causes deterioration of health status [5], and places a burden on health care resources [6].…”

Section: Introductionmentioning

confidence: 99%

AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain

et al. 2020

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Objective The relationship between preexisting osteoarthritic pain and subsequent post-total knee arthroplasty (TKA) pain is not well defined. This knowledge gap makes diagnosis of post-TKA pain and development of management plans difficult and may impair future investigations on personalized care. Therefore, a set of diagnostic criteria for identification of acute post-TKA pain would inform standardized management and facilitate future research. Methods The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public–private partnership with the US Food and Drug Administration (FDA), the American Pain Society (APS), and the American Academy of Pain Medicine (AAPM) formed the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) initiative to address this goal. A multidisciplinary work group of pain experts was invited to conceive diagnostic criteria and dimensions of acute post-TKA pain. Results The working group used contemporary literature combined with expert opinion to generate a five-dimensional taxonomical structure based upon the AAAPT framework (i.e., core diagnostic criteria, common features, modulating factors, impact/functional consequences, and putative mechanisms) that characterizes acute post-TKA pain. Conclusions The diagnostic criteria created are proposed to define the nature of acute pain observed in patients following TKA.

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Section: Introductionmentioning

confidence: 99%

AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain

et al. 2020

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Inclusion of Pain Management Services in Ambulatory Surgical Centers

Pak

2021

Pain Control in Ambulatory Surgery Centers

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Effect of Opioids on All-cause Mortality and Opioid Addiction in Total Hip Arthroplasty: a Korea Nationwide Cohort Study

et al. 2021

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Background The purpose of this study was to investigate the use of opioids before and after total hip arthroplasty (THA), to find out the effect of opioid use on mortality in patients with THA, and to analyze whether preoperative opioid use is a risk factor for sustained opioid use after surgery using Korean nationwide cohort data. Methods This retrospective nationwide study identified subjects from the Korean National Health Insurance Service-Sample cohort (NHIS-Sample) compiled by the Korean NHIS. The index date (time zero) was defined as 90 days after an admission to a hospital to fulfill the eligibility criteria of the THA. Results In the comparison of death risk according to current use and the defined daily dose of tramadol and strong opioids in each patient group according to past opioid use, there were no statistically significant differences in the adjusted hazard ratio for death compared to the current non-users in all groups ( P > 0.05). Past tramadol and strong opioid use in current users increased the risk of the sustained use of tramadol and strong opioids 1.45-fold (adjusted rate ratio [aRR]; 95% confidence interval [CI], 1.12–1.87; P = 0.004) and 1.65-fold (aRR; 95% CI, 1.43–1.91; P < 0.001), respectively, compared to past non-users. Conclusion In THA patients, the use of opioids within 6 months before surgery and within 3 months after surgery does not affect postoperative mortality, but a past-use history of opioid is a risk factor for sustained opioid use. Even after THA, the use of strong opioids is observed to increase compared to before surgery.

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Economic Considerations of Acute Pain Medicine Programs

Cited by 3 publications

References 86 publications

AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain

AAAPT Diagnostic Criteria for Acute Knee Arthroplasty Pain

Inclusion of Pain Management Services in Ambulatory Surgical Centers

Effect of Opioids on All-cause Mortality and Opioid Addiction in Total Hip Arthroplasty: a Korea Nationwide Cohort Study

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