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Treatment Innovation in Orthopedic Surgery: A Case Study from Hospital for Special Surgery

Published online by Cambridge University Press:  01 January 2021

Seth A. Waldman ,
Joseph R. Schottenfeld  and
Abbe R. Gluck
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Extract

Excessive prescribing of pain medications after surgery has contributed to the epidemic of opioid misuse and diversion in the United States. Pain specialists may be particularly well situated to address these issues. We describe an attempt to reverse the trend at an orthopedic surgical hospital by implementing a peri-operative assessment and treatment service which minimizes preoperative opioid use, when necessary implements addiction treatment, and encourages early tapering from opioids.

Type
Symposium Articles
Information
Journal of Law, Medicine & Ethics , Volume 46 , Issue 2: Law and the Opioid Crisis: An Inter-Disciplinary Examination , Summer 2018 , pp. 238 - 240
Copyright
Copyright © American Society of Law, Medicine and Ethics 2018

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References

Morris, B.J. and Mir, H.R., “The Opioid Epidemic: Impact on Orthopaedic Surgery,” Journal of the American Academy of Orthopaedic Surgery 23, no. 5 (2015): 267–271.Google Scholar
Armaghani, S.J. et al., “Preoperative Opioid Use and Its Association with Perioperative Opioid Demand and Postoperative Opioid Independence in Patients Undergoing Spine Surgery,” Spine 39, no. 25 (2014): E1524-1530.Google Scholar
Angst, M.S. and Clark, J.D., “Opioid-Induced Hyperalgesia: A Qualitative Systematic Review,” Anesthesiology 104, no. 3 (2006): 570-587.Google Scholar
See Morris, supra note 1.Google Scholar
Dowel, D., Haegerich, T.M., and Chou, R., “CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016,” Morbidity and Mortality Weekly Reports Recommendations and Reports 65, no. 1 (2016):1–49.Google Scholar
Soffin, E.M. et al., “An Evidence-Based Approach to the Prescription Opioid Epidemic in Orthopedic Surgery,” Anesthesia & Analgesia 125, no. 5 (2017):1704-1713.Google Scholar
“Preoperative Reduction of Opioid Use Before Total Joint Arthroplasty,” Journal of Arthroplasty 31 (2016): S282–287, at S283-286; see also: K.M. Dunn et al., “Opioid Prescriptions for Chronic Pain and Overdose: a Cohort Study,” Annals of Internal Medicine 152, no. 2 (2010): 85-92.Google Scholar
Clarke, H., “Transitional Pain Medicine: Novel Pharmacological Treatments for the Management of Moderate to Severe Post-Surgical Pain,” Expert Review of Clinical Pharmacology 9, no. 3 (2016): 345–349.Google Scholar