Prospective Evaluation of an Opioid Reduction Protocol in Hand Surgery

Journal of Hand Surgery

Volumn 43, Issue 6, 2018, Pages 516-522.e1

  Dwyer, C Liam ^a   Soong, Maximillian ^a   Hunter, Alice ^a   Dashe, Jesse ^a   Tolo, Eric ^a   Kasparyan, N George ^a  

^a LAHEY HOSPITAL AND MEDICAL CENTER   (United States)

Author keywords

Carpal tunnel; distal radius; opioids; prescriptions

Indexed keywords

CODEINE; HYDROCODONE; NON PRESCRIPTION DRUG; OPIATE; OXYCODONE; PARACETAMOL; TRAMADOL; ANALGESIC AGENT; NARCOTIC ANALGESIC AGENT;

ADULT; AGED; ARTICLE; CARPAL TUNNEL SYNDROME; COHORT ANALYSIS; CONTROLLED STUDY; DISTAL RADIUS FRACTURE; FEMALE; HAND SURGERY; HUMAN; MAJOR CLINICAL STUDY; MALE; ORTHOPEDIC SURGEON; PATIENT SATISFACTION; PILL; POSTOPERATIVE PAIN; PRACTICE GUIDELINE; PRESCRIPTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; VISUAL ANALOG SCALE; VOLAR PLATE FIXATION; BONE PLATE; CLINICAL PROTOCOL; DECOMPRESSION SURGERY; DRUG UTILIZATION; MASSACHUSETTS; MIDDLE AGED; OPIATE ADDICTION; OSTEOSYNTHESIS; PATIENT EDUCATION; PRESCRIPTION DRUG MISUSE; QUESTIONNAIRE; RADIUS FRACTURE; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; ANALGESICS, NON-NARCOTIC; ANALGESICS, OPIOID; BONE PLATES; CARPAL TUNNEL SYNDROME; CLINICAL PROTOCOLS; DECOMPRESSION, SURGICAL; DRUG PRESCRIPTIONS; DRUG UTILIZATION; FEMALE; FRACTURE FIXATION, INTERNAL; HUMANS; MALE; MASSACHUSETTS; MIDDLE AGED; OPIOID-RELATED DISORDERS; PAIN, POSTOPERATIVE; PATIENT EDUCATION AS TOPIC; PATIENT SATISFACTION; PRESCRIPTION DRUG MISUSE; PROSPECTIVE STUDIES; RADIUS FRACTURES; SURVEYS AND QUESTIONNAIRES;

EID: 85043374066     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2018.01.021     Document Type: Article

References (17)

1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. Prescription opioid overdose data. https://www.cdc.gov/drugoverdose/data/overdose.html. Accessed June 12, 2017.
2. Lucas, C.E., Vlahos, A.L., Ledgerwood, A.M., Kindness kills: the negative impact of pain as the fifth vital sign. J Am Coll Surg 205:1 (2007), 101–107.
3. Manchikanti, L., Fellows, B., Ailinani, H., et al. Therapeutic use, abuse, and nonmedical use of opioids: a ten-year perspective. Pain Physician 13:5 (2010), 401–435.
4. Fenton, J.J., Jerant, A.F., Bertakis, K.D., Franks, P., The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med 172:5 (2012), 405–411.
5. Harris, K.L., Curtis, J., Larsen, B., et al. Opioid pain medication use after dermatologic surgery. JAMA Dermatol 149:3 (2013), 317–321.
6. Bates, C., Laciak, R., Southwick, A., Bishoff, J., Overprescription of postoperative narcotics: a look at postoperative pain medication delivery, consumption and disposal in urological practice. J Urol 185:2 (2011), 551–555.
7. Rodgers, J., Cunningham, K., Fitzgerald, K., et al. Opioid consumption following outpatient upper extremity surgery. J Hand Surg Am 37:4 (2012), 645–650.
8. Kim, N., Matzon, J.L., Abboudi, J., et al. A prospective evaluation of opioid utilization after upper-extremity surgical procedures: identifying consumption patterns and determining prescribing guidelines. J Bone Joint Surg Am, 98(20), 2016, e89.
9. Stanek, J.J., Renslow, M.A., Kalliainen, L.K., The effect of an educational program on opioid prescription patterns in hand surgery: a quality improvement program. J Hand Surg Am 40:2 (2015), 341–346.
10. Lozano Calderón, S.A., Paiva, A., Ring, D., Patient satisfaction after open carpal tunnel release correlates with depression. J Hand Surg Am 33:3 (2008), 303–307.
11. Helmerhorst, G.T., Vranceanu, A.M., Vrahas, M., Smith, M., Ring, D., Risk factors for continued opioid use one to two months after surgery for musculoskeletal trauma. J Bone Joint Surg Am 96:6 (2014), 495–499.
12. Chapman, T., Kim, N., Maltenfort, M., Ilyas, A.M., Prospective evaluation of opioid consumption following carpal tunnel release surgery. Hand 12:1 (2017), 39–42.
13. O'Neil, J.T., Wang, M.L., Kim, N., Maltenfort, M., Ilyas, A.M., Prospective evaluation of opioid consumption after distal radius fracture repair surgery. Am J Orthop 46:1 (2017), E35–E40.
14. Riddle, D.L., Wade, J.B., Jiranek, W.A., Kong, X., Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Clin Orthop Relat Res 468 (2010), 798–806.
15. Rennick, A., Atkinson, T., Cimino, N.M., Strassels, S.A., McPherson, M.L., Fudin, J., Variability in opioid equivalence calculations. Pain Med 17:5 (2016), 892–898.
16. Graham, B., Defining and measuring patient satisfaction. J Hand Surg Am 41:9 (2016), 929–931.
17. Bot, A.G., Bekkers, S., Arnstein, P.M., Smith, R.M., Ring, D., Opioid use after fracture surgery correlates with pain intensity and satisfaction with pain relief. Clin Orthop Relat Res 472:8 (2014), 2542–2549.