A Prospective Evaluation of Patient-Reported Opioid Utilization After Nonoperative Treatment of Fractures and Dislocations

The Journal of Bone and Joint Surgery. American Volume
Hongyi ZhuXianyou Zheng

Abstract

Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. A total of 1,513 consecutive patients in China who underwent nonoperative treatment of a fracture and/or dislocation and who were prescribed opioids were studied over a 3-month period. Demographic information, alcohol consumption, smoking status, injury location, volume of prescription, and consumption patterns were recorded and were summarized. The mean number of opioid pills prescribed was 14.7, and the mean patient-reported number of pills consumed was 7.2. Overall, 152 patients (10.0%) reported taking no prescribed opioid analgesics, and 924 patients (61.1%) ceased their prescribed opioids prior to completing the regimen. Injury location, alcohol consumption, and type of fracture or dislocation were all significantly associated with the patient-reported number of opioid pills consumed (p < 0.05). Patients with fracture...Continue Reading

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Citations

May 17, 2019·The Journal of Bone and Joint Surgery. American Volume·Timothy R DanielsJacob Matz
Jul 19, 2019·The Journal of Bone and Joint Surgery. American Volume·Jason D YoungGeorge S M Dyer
Apr 7, 2020·The Journal of Bone and Joint Surgery. American Volume·Jeffrey N Katz, Emma E Williams

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