A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization.
Arthroplast Today
; 6(4): 731-735, 2020 Dec.
Article
in En
| MEDLINE
| ID: mdl-32923559
ABSTRACT
Orthopaedic surgeons account for the largest proportion of opioid prescriptions in the United States among surgical specialties. In total joint arthroplasty, increased opioid use has been associated with poorer clinical and functional outcomes. Despite an abundance of literature on opioid mitigation strategies, most fail to provide personalized prescriptions. Typically, most protocols prescribe the same opioid regimen regardless of patient factors or the extent of the planned procedure. We present a simple opioid stratification pathway that can be used by physicians and office staff as they prepare patients for arthroplasty. We have found this to be easy to implement, effective, and sustainable at a tertiary academic institution and allows for iterative improvements over time.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
/
Prognostic_studies
Language:
En
Journal:
Arthroplast Today
Year:
2020
Document type:
Article
Affiliation country:
Estados Unidos