A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization
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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344120301242 |
| _version_ | 1818277288827944960 |
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| author | Justin T. Deen, MD William Z. Stone, MD Chancellor F. Gray, MD Hernan A. Prieto, MD Dane A. Iams, MD Andre P. Boezaart, MD, PhD Hari K. Parvataneni, MD |
| author_facet | Justin T. Deen, MD William Z. Stone, MD Chancellor F. Gray, MD Hernan A. Prieto, MD Dane A. Iams, MD Andre P. Boezaart, MD, PhD Hari K. Parvataneni, MD |
| author_sort | Justin T. Deen, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T22:59:10Z |
| format | Article |
| id | doaj.art-724092f085004970b76ee072e77cfa02 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-12T22:59:10Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-724092f085004970b76ee072e77cfa022022-12-22T00:08:52ZengElsevierArthroplasty Today2352-34412020-12-0164731735A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid UtilizationJustin T. Deen, MD0William Z. Stone, MD1Chancellor F. Gray, MD2Hernan A. Prieto, MD3Dane A. Iams, MD4Andre P. Boezaart, MD, PhD5Hari K. Parvataneni, MD6Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA; Corresponding author. Orthopaedic Sports Medicine Institute, 3450 Hull Road, Gainesville, FL 32607, USA. Tel.: +1 407 704 0771.Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USADepartment of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USADepartment of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USADepartment of Orthopedic Surgery, Denver Health, Denver, CO, USADepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USADepartment of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USAOrthopaedic 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.http://www.sciencedirect.com/science/article/pii/S2352344120301242ArthroplastyHipKneeOpioid |
| spellingShingle | Justin T. Deen, MD William Z. Stone, MD Chancellor F. Gray, MD Hernan A. Prieto, MD Dane A. Iams, MD Andre P. Boezaart, MD, PhD Hari K. Parvataneni, MD A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization Arthroplasty Today Arthroplasty Hip Knee Opioid |
| title | A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization |
| title_full | A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization |
| title_fullStr | A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization |
| title_full_unstemmed | A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization |
| title_short | A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization |
| title_sort | simple personalized opioid stratification pathway dramatically reduces opioid utilization |
| topic | Arthroplasty Hip Knee Opioid |
| url | http://www.sciencedirect.com/science/article/pii/S2352344120301242 |
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