دورية أكاديمية
Predictors of adequate pain control after outpatient hand and upper extremity surgery.
| العنوان: | Predictors of adequate pain control after outpatient hand and upper extremity surgery. |
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| المؤلفون: | Swigler C; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA., Hones KM; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA., King JJ; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA. kingjj@ortho.ufl.edu., Wright TW; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA., Struk AM; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA., Matthias RC; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA. |
| المصدر: | European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2024 Apr; Vol. 34 (3), pp. 1543-1549. Date of Electronic Publication: 2024 Jan 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Paris : Springer-Verlag France |
| مواضيع طبية MeSH: | Analgesics, Opioid*/therapeutic use , Quality of Life*, Humans ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Outpatients ; Upper Extremity/surgery ; Practice Patterns, Physicians' |
| مستخلص: | Purpose: The opioid epidemic has changed practice, though there remains a paucity of data regarding prescribing habits and pain control following outpatient hand surgery. We sought to evaluate patient-related predictors of adequate postoperative pain control. Methods: A retrospective review was performed of a single-center prospectively collected database of elective outpatient surgery on the elbow, forearm, wrist, and/or hand. Patients were asked to complete preoperative and postoperative questionnaires to capture their perception of anticipated pain levels, expected prescription quantity/duration, additional medications used, and overall pain satisfaction. Patient demographics collected included, sex, age, race, tobacco use, and recreational drug use. Further, the questionnaire included the Brief Resilience Score (BRS), EuroQol 5-dimension health-related QOL measure (EQ-5D), and an assessment of patient-reported limitations secondary to their pain. Results: Ninety-six patients completed the pre/postoperative questionnaires and were eligible for analysis. Of these patients, 80% reported adequate pain control. The sex, age, and race of those who reported adequate pain control and inadequate control were not significantly different. BRS scores were not found to be significantly different between groups, although EQ-5D QOL scores were significantly lower in the inadequately controlled group. Tobacco use was more prevalent in the inadequately controlled group. Marijuana use and the presence of a chronic pain diagnosis were not significantly different between groups. Conclusion: Preoperative self-reported quality of life measures and tobacco use appear to have significant effects on postoperative opioid use, suggesting further areas of optimization which may ensure patients are safe and minimize the number of opioid pills required. (© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.) |
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| فهرسة مساهمة: | Keywords: Ambulatory surgery; Arm; Narcotics; Opioids; Orthopedics |
| المشرفين على المادة: | 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20240127 Date Completed: 20240401 Latest Revision: 20240413 |
| رمز التحديث: | 20240413 |
| DOI: | 10.1007/s00590-024-03836-7 |
| PMID: | 38280073 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-1068 |
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| DOI: | 10.1007/s00590-024-03836-7 |