Team Approach: Use of Opioids in Orthopaedic Practice. Issue 3 (27th March 2023)

• Record Type: Journal Article
• Authors: Pasqualini, Ignacio; Rullán, Pedro J.; Deren, Matthew; Krebs, Viktor E.; Molloy, Robert M.; Nystrom, Lukas M.; Piuzzi, Nicolas S.
• Is Part Of: JBJS reviews. Volume 11:Issue 3(2023)
• Publication Date: 2023-03-27
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Periodicals; Electronic journals; Periodicals; 617.47
• DOI: 10.2106/JBJS.RVW.22.00209
• Languages: English
• ISSNs: 2329-9185

Abstract

Abstract : » The opioid epidemic represents a serious health burden on patients across the United States. » This epidemic is particularly pertinent to the field of orthopaedics because it is one of the fields providing the highest volume of opioid prescriptions. » The use of opioids before orthopaedic surgery has been associated with decreased patient-reported outcomes, increased surgery-related complications, and chronic opioid use. » Several patient-level factors, such as preoperative opioid consumption and musculoskeletal and mental health conditions, contribute to the prolonged use of opioids after surgery, and various screening tools for identifying high-risk drug use patterns are available. » The identification of these high-risk patients should be followed by strategies aimed at mitigating opioid misuse, including patient education, opioid use optimization, and a collaborative approach between health care providers.