TY - JOUR
T1 - The Opioid Epidemic in the United States
T2 - Where Do Patients Requiring Elective Arthroplasty Stand?
AU - Premkumar, Ajay
AU - Zhong, Haoyan
AU - Krell, Ethan
AU - Liu, Jiabin
AU - Memtsoudis, Stavros
AU - Poeran, Jashvant
AU - Della Valle, Alejandro Gonzalez
N1 - Funding Information:
This study was partially funded by the generous donation of Carol and William Browne.
Publisher Copyright:
© American Academy of Orthopaedic Surgeons.
PY - 2022/1/15
Y1 - 2022/1/15
N2 - Introduction:Over the past decade, awareness about opioid abuse in the general community and among prescribers has increased. This study evaluated how opioid prescribing patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) may have changed during a recent 5-year period.Methods:The Truven Health MarketScan database were queried for patients who underwent elective THA and TKA for primary osteoarthritis between 2013 and 2017. The trend analysis evaluated for changes in opioid prescriptions and multivariate regression identified predictors for chronic postoperative opioid use.Results:Data were available for 27,908 THA patients and 47,220 TKA patients. The proportion of opioid naïve patients before THA or TKA increased significantly (P < 0.001). Median oral morphine equivalents prescribed during the first postoperative year after THA or TKA decreased significantly (P < 0.001). The proportion of patients with chronic postoperative opioid use also decreased for TKA patients (P < 0.001).Discussion:A notable, downward trend was seen in the proportion of patients who received opioids before elective arthroplasty, in the amount of opioid prescribed after surgery, and in TKA patients, the frequency of chronic opioid use after surgery. These findings reflect the effectiveness of efforts to combat the opioid epidemic after elective arthroplasty surgery.
AB - Introduction:Over the past decade, awareness about opioid abuse in the general community and among prescribers has increased. This study evaluated how opioid prescribing patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) may have changed during a recent 5-year period.Methods:The Truven Health MarketScan database were queried for patients who underwent elective THA and TKA for primary osteoarthritis between 2013 and 2017. The trend analysis evaluated for changes in opioid prescriptions and multivariate regression identified predictors for chronic postoperative opioid use.Results:Data were available for 27,908 THA patients and 47,220 TKA patients. The proportion of opioid naïve patients before THA or TKA increased significantly (P < 0.001). Median oral morphine equivalents prescribed during the first postoperative year after THA or TKA decreased significantly (P < 0.001). The proportion of patients with chronic postoperative opioid use also decreased for TKA patients (P < 0.001).Discussion:A notable, downward trend was seen in the proportion of patients who received opioids before elective arthroplasty, in the amount of opioid prescribed after surgery, and in TKA patients, the frequency of chronic opioid use after surgery. These findings reflect the effectiveness of efforts to combat the opioid epidemic after elective arthroplasty surgery.
UR - http://www.scopus.com/inward/record.url?scp=85123036614&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-D-21-00360
DO - 10.5435/JAAOS-D-21-00360
M3 - Article
C2 - 34714784
AN - SCOPUS:85123036614
SN - 1067-151X
VL - 30
SP - E213-E222
JO - The Journal of the American Academy of Orthopaedic Surgeons
JF - The Journal of the American Academy of Orthopaedic Surgeons
IS - 2
ER -