Reduced opioid prescribing following arthroscopic meniscectomy does not negatively impact patient satisfaction

Bloom, David A.; Manjunath, Amit K.; Kaplan, Daniel J.; Egol, Alexander J.; Campbell, Kirk A.; Strauss, Eric J.; Alaia, Michael J.

doi:10.1016/j.knee.2021.01.020

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Responses were assessed with a Likert scale of 1 to 5 (very poor to very good) and converted to a score from 0 (very poor) to 100 (very good). 3 Additionally, the percentage of questions with the highest possible rating selected was calculated to obtain the “top box” scores for each patient. 2 , 3 , 16 These converted and top box scores were averaged for the total and domain scores for the total cohort.…”

Section: Methodsmentioning

confidence: 99%

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Correlation of Press Ganey Scores With Early Patient Satisfaction After Anterior Cruciate Ligament Reconstruction

Kung

Gilroy

Weir

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Patient satisfaction metrics are commonly used to assess the quality of health care and affect reimbursement. The Press Ganey Ambulatory Surgery (PGAS) is a satisfaction survey that has emerged as a prominent quality assessment tool; however, no data exist on whether PGAS scores correlate with early postsurgical satisfaction during the PGAS survey administration period in patients who underwent anterior cruciate ligament reconstruction (ACLR). Purpose: To determine if PGAS scores correlate with measures of satisfaction and patient-reported outcomes (PROs) at 2 weeks postoperatively in ACLR patients. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: A retrospective review of patients who underwent ACLR at a single institution was performed. Patients who completed the PGAS survey and PROs at 2 weeks postoperatively were included in the study. Surgical satisfaction was measured with the Surgical Satisfaction Questionnaire (SSQ-8), and PROs included 6 Patient-Reported Outcomes Measurement Information System domains. Bivariate analysis between PGAS and PRO scores was conducted using the Spearman rank correlation coefficient ( r S). Results: Of the 716 patients who received the PGAS survey after ACLR, 81 patients completed the survey, and 39 patients also completed PROs and were included in the study. Total converted (mean scaled score) and “top box” (percentages of questions with highest rating selected) PGAS scores showed no significant correlations with the SSQ-8 ( r S =–0.24; P = .14). There were no significant correlations between SSQ-8 and PGAS domain scores except for a negative correlation with Facility domain top box scores ( r S =–0.33; P = .04), meaning that patients with higher surgical satisfaction had lower PGAS Facility scores. Total PGAS (converted and top box scores) and PGAS domain scores showed no significant correlation with any of the other PROs. Conclusion: PGAS scores showed no significant positive correlation with surgical satisfaction, function, pain, mental health, activity, or expectations of surgery in patients 2 weeks after ACLR. This suggests little to no relationship between PGAS score and surgical satisfaction in the early recovery period after ACLR.

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Section: Methodsmentioning

confidence: 99%

“… 3 Additionally, the percentage of questions with the highest possible rating selected was calculated to obtain the “top box” scores for each patient. 2 , 3 , 16 These converted and top box scores were averaged for the total and domain scores for the total cohort.…”

Section: Methodsmentioning

confidence: 99%

Correlation of Press Ganey Scores With Early Patient Satisfaction After Anterior Cruciate Ligament Reconstruction

Kung

Gilroy

Weir

et al. 2022

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

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“… 18 , 19 When patients are prescribed fewer opioids, there is no change in patient satisfaction regarding pain control. 20 A multidisciplinary expert panel published recommendations for 20 common procedures after using a 3-step modified Delphi technique. For arthroscopic partial meniscectomy, they recommended zero to ten 5-mg oxycodone tablets as a reasonable range for postoperative pain control.…”

mentioning

confidence: 99%

Access to an Educational Video Preoperatively Has No Effect on Postoperative Opioid Use After Arthroscopic Partial Meniscectomy of the Knee: A Prospective Cohort Study

Lubitz,

Latario,

Ogbeide-Latario

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Evidence-Based Orthopaedic Post-Operative Opioid Prescribing Recommendations Following Sports Medicine Knee Surgery

et al. 2023

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Over the last two decades, the opioid epidemic in the United States has caused significant harm in terms of illnesses, deaths, and economic costs. To address this public health crisis, healthcare providers must take responsibility for appropriately using and managing these drugs. They should adhere to evidence-based guidelines for prescribing opioids. Several measures have been implemented to reduce excessive opioid use, including Prescription Drug Monitoring Programs, educational campaigns, and multiple pain relief methods. Surgeons, especially those who perform orthopedic and musculoskeletal procedures, have been identified as high-volume opioid prescribers. However, there is a lack of clear guidelines for appropriate opioid dosages and pain management strategies for common sports medicine knee surgeries. Therefore, the aim is to create comprehensive, evidence-based guidelines for postoperative pain relief for such procedures.

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Reduced opioid prescribing following arthroscopic meniscectomy does not negatively impact patient satisfaction

Cited by 3 publications

References 20 publications

Correlation of Press Ganey Scores With Early Patient Satisfaction After Anterior Cruciate Ligament Reconstruction

Correlation of Press Ganey Scores With Early Patient Satisfaction After Anterior Cruciate Ligament Reconstruction

Access to an Educational Video Preoperatively Has No Effect on Postoperative Opioid Use After Arthroscopic Partial Meniscectomy of the Knee: A Prospective Cohort Study

Evidence-Based Orthopaedic Post-Operative Opioid Prescribing Recommendations Following Sports Medicine Knee Surgery

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