Satisfaction with pain relief after operative treatment of an ankle fracture

Helmerhorst, Gijs T.T.; Lindenhovius, Anneluuk L.C.; Vrahas, Mark; Ring, David; Kloen, Peter

doi:10.1016/j.injury.2012.08.018

Cited by 88 publications

(82 citation statements)

References 9 publications

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“…This suggests that increased opioid medication may not be the best strategy for decreasing pain intensity. Most of our secondary findings are consistent with prior work [13,19,21,36]. Opioid intake did not correlate with injury severity or number of fractures [21].…”

Section: Discussionsupporting

confidence: 90%

“…Most of our secondary findings are consistent with prior work [13,19,21,36]. Opioid intake did not correlate with injury severity or number of fractures [21]. Preadmission use of opioids was associated with dissatisfaction and greater pain intensity after TKA [19].…”

Section: Discussionsupporting

confidence: 87%

“…Although there are a couple studies of patients in the emergency department that document a correlation between greater opioid use and greater satisfaction with pain relief [14,32], the finding that administration of more opioids does not improve satisfaction with pain relief is consistent with other studies of orthopaedic patients. Helmerhorst et al [21] found that less opioid use was associated with less pain and greater satisfaction with pain relief after operative fixation of an ankle fracture. Carragee et al [10] compared morphine use after a fracture of the femur in American and Vietnamese patients and found that although the American patients used much more morphine than the Vietnamese patients (30 mg/kg versus 0.9 mg/kg), they were less satisfied with their pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…Patients in the United States use far more opioid analgesics than patients in other countries but do not experience less pain or greater satisfaction with pain relief [21,25,31]. For acute postoperative orthopaedic pain, opioid medication was associated with less satisfaction with pain relief after ankle fracture surgery [21,35].…”

Section: Introductionmentioning

confidence: 99%

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Opioid Use After Fracture Surgery Correlates With Pain Intensity and Satisfaction With Pain Relief

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Bekkers

Arnstein

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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158

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Background In 2012, Medicare began to tie reimbursements to inpatient complications, unplanned readmissions, and patient satisfaction, including satisfaction with pain management. Questions/purposes We aimed to identify factors that correlate with (1) pain intensity during a 24-hour period after surgery; (2) less than complete satisfaction with pain control; (3) less than complete satisfaction with staff attention to pain relief while in the hospital; and we also wished (4) to compare inpatient and discharge satisfaction scores. Methods Ninety-seven inpatients completed measures of pain intensity (numeric rating scale), satisfaction with pain relief, self-efficacy when in pain, and symptoms of depression days after operative fracture repair. The amount of opioid used in oral morphine equivalents taken during the prior 24 hours was calculated. Through initial bivariate One of the authors (AGJB) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period from ''AnnaFonds Travel grant'' (Dutch Orthopaedic travel grant), Leiden, the Netherlands (less than USD 10,000); ''VSBfonds'', Utrecht, the Netherlands, a nonmedical study grant (less than USD 10,000); and ''Prins Bernhard Cultuurfonds, Banning-de Jong fonds'', Amsterdam, the Netherlands, a nonmedical study grant (less than USD 10,000). One of the authors (SB) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than 10,000 USD from a VU University ''Faculty Fund'', Amsterdam, the Netherlands. One of the authors (PMA) has received funding from Connell Nursing Research Scholarship (less than USD 10,000); the Nurse Practitioner Healthcare Foundation (less than USD 10,000); the American Pain Society and the American Association of Nurse Practitioners (less than USD 10,000); the Nurse Practitioner Healthcare Foundation (less than USD 10,000); and F.D. Davis Publishers (less than USD 10,000). One of the authors (DR) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period from a study-specific grant from Skeletal Dynamics (USD 10,000-100,000) (Miami, FL, USA); is a consultant for Wright Medical (Memphis, TN, USA), Skeletal Dynamics, and Biomet (Warsaw, IN, USA) (less than USD 10,000); received honoraria from AO North America (Paoli, PA, USA), and AO International (less than USD 10,000); and received royalties from Wright Medical (less than USD 10,000). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. and then multivariate analysis, we identified factors that we...

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Opioid Use After Fracture Surgery Correlates With Pain Intensity and Satisfaction With Pain Relief

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Bekkers

Arnstein

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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158

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“…Despite uncertainty regarding the long-term effectiveness of opioids for treating chronic musculoskeletal pain [35,43] and emerging evidence that preoperative opioid use is associated with greater pain, disability, and dissatisfaction after orthopaedic surgery [10,25,31,32,42,53], opioids continue to be prescribed. Although it is well established that high-risk opioid use (abuse or dependence) may result from prolonged opioid exposure during the preoperative period [57], little is known about its prevalence and effect in the perioperative orthopaedic surgery setting.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Opioid Misuse is Associated With Increased Morbidity and Mortality After Elective Orthopaedic Surgery

Menendez

Ring

Bateman

2015

Clinical Orthopaedics &Amp; Related Research

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302

176

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Background Many patients having discretionary orthopaedic surgery take opioids daily, either with a prescription or illicitly, however little is known regarding the prevalence and effect of high-risk opioid use (eg, abuse, dependence) in the perioperative orthopaedic setting. Questions/purposes We sought (1) to determine the prevalence of opioid abuse and dependence in patients undergoing major elective orthopaedic surgery; (2) to characterize the relationship of opioid abuse and dependence with in-hospital postoperative mortality and adverse events, failure to rescue, prolonged length of stay, and nonroutine disposition; and (3) to identify factors associated with high-risk opioid use.

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Lifetime prevalence of and factors associated with non-traumatic musculoskeletal pains amongst surgeons and patients

Bernstein

Sood

Mellema

et al. 2016

International Orthopaedics (SICOT)

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Satisfaction with pain relief after operative treatment of an ankle fracture

Cited by 88 publications

References 9 publications

Opioid Use After Fracture Surgery Correlates With Pain Intensity and Satisfaction With Pain Relief

Opioid Use After Fracture Surgery Correlates With Pain Intensity and Satisfaction With Pain Relief

Preoperative Opioid Misuse is Associated With Increased Morbidity and Mortality After Elective Orthopaedic Surgery

Lifetime prevalence of and factors associated with non-traumatic musculoskeletal pains amongst surgeons and patients

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