Treatment Innovation in Orthopedic Surgery: A Case Study from Hospital for Special Surgery. Issue 2 (June 2018)

• Record Type: Journal Article
• Authors: Waldman, Seth A.; Schottenfeld, Joseph R.; Gluck, Abbe R.
• Other Names: Ayres Ian guest-editor.; Gluck Abbe R. guest-editor.; Stith Kate guest-editor.
• Is Part Of: Journal of law, medicine & ethics. Volume 46:Issue 2(2018)
• Page Start: 238
• Page End: 240
• Publication Date: 2018-06
• Subjects: Medical laws and legislation -- United States -- Periodicals; Medical care -- Law and legislation -- United States -- Periodicals; Medical ethics -- Periodicals; Jurisprudence -- Periodicals; Legislation, Medical -- Periodicals; Legislation, Nursing -- Periodicals; Ethics -- Periodicals; Forensic Medicine -- Periodicals; Nursing -- Periodicals; Medicine -- Periodicals; Societies -- Periodicals; Medical care -- Law and legislation; Medical ethics; Medical laws and legislation; United States; Periodicals; 344.73041
• DOI: 10.1177/1073110518782924
• Languages: English
• ISSNs: 1073-1105

Abstract

Excessive prescribing of pain medications after surgery has contributed to the epidemic of opioid misuse and diversion in the United States. Pain specialists may be particularly well situated to address these issues. We describe an attempt to reverse the trend at an orthopedic surgical hospital by implementing a peri-operative assessment and treatment service which minimizes preoperative opioid use, when necessary implements addiction treatment, and encourages early tapering from opioids.