دورية أكاديمية
أعرض في EDS

Patient factors influencing the choice of opioid versus non-opioid postoperative analgesia following common sports procedures: a prospective survey study.

التفاصيل البيبلوغرافية
العنوان: Patient factors influencing the choice of opioid versus non-opioid postoperative analgesia following common sports procedures: a prospective survey study.
المؤلفون: Castle JP; Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA., Jildeh TR; Michigan State University College of Human Medicine, 4660 Hagadorn Rd Suite 420, East Lansing, MI, 48823, USA., Abbas MJ; Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA., Hennekes ME; Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA., Buckley PJ; Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA., Shabet CL; University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI, 40109, USA., Cotter DL; Ascension St. John Hospital, 22101 Moross Rd, Detroit, MI, 48236, USA., Moutzouros V; Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI, 48202, USA.
المصدر: Journal of orthopaedics [J Orthop] 2023 Apr 12; Vol. 40, pp. 1-6. Date of Electronic Publication: 2023 Apr 12 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: COAA Country of Publication: India NLM ID: 101233220 Publication Model: eCollection Cited Medium: Print ISSN: 0972-978X (Print) Linking ISSN: 0972978X NLM ISO Abbreviation: J Orthop Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Calicut, India] : COAA, [2004]-
مستخلص: Purpose: Despite established opioid-free protocols for postoperative analgesia after common orthopaedic sports procedures, many patients continue to request opioids postoperatively. The purpose of this study was to elucidate patient factors influencing preferences for opioid versus nonopioid postoperative analgesia.
Methods: Patients (age >/ = 15) without a history of a documented chronic pain disorder who were scheduled for one of ten sports procedure types from August 2020 to May 2021 were eligible for inclusion. Patients were excluded if undergoing revision surgery, had concomitant injuries, had opioids use >3 months preoperatively, or unable to read English. Recruitment ended after 100 patients enrolled. At the patients' preoperative visit, patients were administered a written survey assessing pain medication preferences. Participants completed the Opioid Risk Tool survey, as well as Visual Analog Scale and Patient-Reported Outcome Measurement Information System surveys.
Results: One hundred patients participated in the study. Forty-two patients preferred opioids versus 58 patients preferring nonopioid postoperative analgesia. Patients preferring opiates were more likely to have had previous surgery (90.2% vs. 69.6%, p = 0.023) with post-operative pain managed with opiates (87.5% vs 55.4%, p = 0.003), higher preoperative Visual Analog Scale score (6±3.5 vs. 3±2, p < 0.001), reported post-operative pain as a reason for opioids preference (88.1% vs 20.0%, p < 0.001), and were less concerned about addiction (4.8% vs. 45.5%, p < 0.001) and side effects (11.9% vs. 52.7%, p < 0.001). For every unit increase in Visual Analog Scale score, the odds of preferring opioid pain control increased 1.41 times.
Conclusions: Patients with a history of prior surgery utilizing opioid pain control, higher Visual Analog Scale scores preoperatively, and concern for inadequately managed postoperative pain were more likely to prefer opioid pain control following common orthopaedic sports procedures. Patients may benefit from increased preoperative education about opioid risks and the role of multimodal pain management regimens.
Competing Interests: Dr. Moutzouros reports industry relationships with Stryker, Arthrex, and Smith & Nephew for travel and education support. All relationships are outside of the submitted work.
(© 2023 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
References: Arthroscopy. 2020 Oct;36(10):2645-2654. (PMID: 32505708)
JAMA Netw Open. 2018 Jun 1;1(2):e180217. (PMID: 30646062)
Am J Sports Med. 2019 Apr;47(5):1051-1056. (PMID: 30943077)
HSS J. 2019 Feb;15(1):57-65. (PMID: 30863234)
J Shoulder Elbow Surg. 2021 Nov;30(11):2445-2454. (PMID: 34391876)
Arthroscopy. 2020 Aug;36(8):2249-2257. (PMID: 32353620)
Arthroscopy. 2021 Jul;37(7):2237-2245. (PMID: 33713756)
Arthroscopy. 2019 Jul;35(7):2083-2088. (PMID: 31167739)
JAMA Surg. 2017 Dec 1;152(12):1175-1176. (PMID: 28813584)
J Bone Joint Surg Am. 2011 Jun 1;93(11):1075-84. (PMID: 21655901)
Anesthesiology. 2009 Sep;111(3):657-77. (PMID: 19672167)
J Am Acad Orthop Surg. 2022 Feb 1;30(3):e327-e335. (PMID: 34723860)
Am J Sports Med. 2021 Dec;49(14):3794-3801. (PMID: 34668795)
Pain Med. 2005 Nov-Dec;6(6):432-42. (PMID: 16336480)
Subst Abus. 2020;41(1):24-28. (PMID: 31306083)
JAMA Surg. 2018 Jan 1;153(1):37-43. (PMID: 28973092)
Arthroscopy. 2018 Jun;34(6):1931-1939. (PMID: 29685836)
J Shoulder Elbow Surg. 2021 Mar;30(3):e114-e120. (PMID: 32650086)
Arthroscopy. 2019 Mar;35(3):864-870.e1. (PMID: 30733030)
JAMA Surg. 2017 Jun 21;152(6):e170504. (PMID: 28403427)
J Arthroplasty. 2018 Aug;33(8):2449-2454. (PMID: 29753617)
Arthroscopy. 2017 Aug;33(8):1467-1472. (PMID: 28571723)
Anesth Analg. 2014 Aug;119(2):454-459. (PMID: 24977636)
Arthroscopy. 2020 Mar;36(3):745-750. (PMID: 31924382)
Arthroscopy. 2021 May;37(5):1567-1572. (PMID: 33340677)
J Bone Joint Surg Am. 2018 Oct 3;100(19):1629-1636. (PMID: 30277992)
Orthop J Sports Med. 2021 Nov 22;9(11):23259671211045954. (PMID: 34881336)
J Shoulder Elbow Surg. 2019 Sep;28(9):1716-1722. (PMID: 31072655)
J Arthroplasty. 2017 Sep;32(9S):S69-S73. (PMID: 28705543)
Orthopedics. 2021 Mar-Apr;44(2):e301-e305. (PMID: 33373466)
J Arthroplasty. 2018 Nov;33(11):3379-3382.e1. (PMID: 30075877)
JAMA Intern Med. 2016 Sep 1;176(9):1286-93. (PMID: 27400458)
J Am Acad Orthop Surg. 2022 Jan 15;30(2):e242-e251. (PMID: 34644714)
Arthroscopy. 2020 Sep;36(9):2478-2485. (PMID: 32438027)
Arthroscopy. 2019 Feb;35(2):575-580. (PMID: 30612767)
Arthrosc Sports Med Rehabil. 2020 Feb 21;2(2):e77-e81. (PMID: 32368742)
Arthroscopy. 2020 Jul;36(7):1813-1820. (PMID: 32200066)
J Bone Joint Surg Am. 2021 Aug 18;103(16):1531-1542. (PMID: 34043598)
Arthroscopy. 2022 Apr;38(4):1077-1085. (PMID: 34838987)
JSES Int. 2020 May 04;4(2):362-365. (PMID: 32490427)
Arthroscopy. 2020 Oct;36(10):2681-2688.e1. (PMID: 32574617)
Am J Sports Med. 2019 Jul;47(9):2130-2137. (PMID: 31303011)
Am J Sports Med. 2017 Nov;45(13):3098-3103. (PMID: 28806097)
فهرسة مساهمة: Keywords: Opioids; Orthopaedic; Pain control; Postoperative; Sports procedures
تواريخ الأحداث: Date Created: 20230501 Latest Revision: 20240603
رمز التحديث: 20240603
مُعرف محوري في PubMed: PMC10130914
DOI: 10.1016/j.jor.2023.04.002
PMID: 37124142
قاعدة البيانات: MEDLINE
الوصف
تدمد:0972-978X
DOI:10.1016/j.jor.2023.04.002