About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Opioid Use Numbers Go Down in Hip and Knee Replacement Surgery

by Rishika Gupta on October 23, 2017 at 3:38 PM
Font : A-A+

Opioid Use Numbers Go Down in Hip and Knee Replacement Surgery

Opioid usage in hip and knee surgeries has seen significant downfall since 2006, due to the implementation of a multi-modal pain relief drug approach strategy, found a observational study paper presented at ANESTHESIOLOGY 2017 annual meeting.

The study of more than 1 million hip and knee replacement patients is the first to look at the progress being made nationally to implement multimodal pain strategies, meaning using a variety of methods to manage pain, rather than opioids alone.

Advertisement


"Opioids are powerful pain medications but have many unwanted side effects, including the risk of addiction. This has prompted more interest in offering patients multimodal therapies to manage pain while also reducing the amount of opioids prescribed," said Philipp Gerner, B.S., a medical student at University of Massachusetts Medical School, Worcester.

"Our research reflects that there has been steady progress over time toward achieving that goal." Reducing opioid use after joint replacement surgery is critical. More than 1 million Americans have hip or knee replacement surgery every year. Most are prescribed opioids to manage pain as they recover, and about 30 percent develop chronic pain and continue to use opioids a long time after surgery, Gerner said.
Advertisement

Researchers utilized Premiere Perspective, a nationwide database that includes information on joint replacement surgeries performed at 546 hospitals, to examine changes in postoperative pain management between 2006 and 2014 in 377,657 hip replacement and 779,338 knee replacement patients.

They compared the number of patients who received opioids alone after surgery to those who received multimodal therapy, meaning opioids and one to three additional pain management methods, such as peripheral nerve block, acetaminophen, gabapentin/pregabalin, non-steroidal anti-inflammatories (NSAIDs), COX-2 inhibitors or ketamine.

Among patients who had hip replacements, 27 percent (7,896 of 29,010) received opioids alone to manage pain in 2006, compared to only 10 percent (5,311 of 52,208) in 2014. Among knee replacement patients, 23 percent (14,418 of 61,888) received opioids alone to manage pain in 2006, compared to only 7 percent (7,154 of 98,807) in 2014.

Researchers also found multimodal therapy was more commonly used among patients who had joint replacement surgery at small and medium-sized hospitals, rather than those who had the surgery at larger hospitals.

"While we tend to think of large, academic hospitals as implementing changes more effectively, smaller hospitals - especially specialty institutions performing a lot of orthopedic surgeries - may be more open to evidence-based changes in practice to stay competitive," said Stavros G. Memtsoudis, M.D., PhD., senior author of the study and director of critical care services in the Department of Anesthesiology at the Hospital for Special Surgery in New York.

The American Society of Anesthesiologists is committed to ending opioid abuse and has launched several initiatives to combat the epidemic.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Breast Cancer Awareness Month 2021 - It's time to RISE
First-Ever Successful Pig-To-Human Kidney Transplantation
World Osteoporosis Day 2021 -
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Osteoarthritis Cannabis Waist to Hip Ratio Cost Comparison Drug Abuse Knee Replacement Drug Detox Knee Replacement Surgery Bakerīs Cyst Arthroplasty 

Recommended Reading
Persistent Opioid Use After Knee or Hip Replacement Surgery
The reasons patients continue to use opioids may be due to pain in other areas, self-medicating ......
Opioid Use Among Rheumatoid Arthritis Patients in the US
A study on opioid use among elderly found that regular opioid receipt increased slowly, peaked in .....
Long-Term Opioid Use Common Among People With Alzheimer's Disease
Long-term use of transdermal patches was twice as common among persons with Alzheimer's disease....
Bakerīs Cyst
Is there a swelling at the back of your knee that is causing pain when you move your knee consider i...
Cannabis
Cannabis has a long history of medicinal, recreational, and industrial use and comes from a bushy pl...
Drug Abuse
The use of Drugs for reasons other than its prescribed recommendation, is known as Drug abuse or sub...
Drug Detox
Drug detoxification (or drug detox) is a process that helps drug addicts to give up drugs with less ...
Knee Replacement
Make sprinting a possibility! Relieve chronic arthritic pain by having a knee replacement done at ...
Osteoarthritis
Osteoarthritis is one of the commonest joint disorder and occurs as we age due to wear and tear of a...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use