Current State of the Opioid Epidemic as it Pertains to Pediatric Orthopaedics From the Advocacy Committee of the Pediatric Orthopaedic Society of North America

Journal of Pediatric Orthopedics
Ellen M RaneyRichard M Schwend

Abstract

The opioid epidemic in the United States has reached crisis proportions. Urgent response is needed. Hydrocodone in combination with acetaminophen is the most prescribed drug in the United States. The most common source of opioids available for misuse is the unused portions of postoperative prescriptions. Among high school seniors, 80% of those who reported nonmedical use of prescription opioids previously had legitimate prescriptions but recreationally used leftover doses. Roughly one-quarter of patients do not take any of their postoperatively prescribed opioids and the remainder take one-third to two-thirds of the prescribed doses. A summary of the literature is presented beginning from historical perspective to current status and pertinent strategies in dealing with this complicated problem. This review includes data from an electronic survey of the members of the Pediatric Orthopaedic Society of North America (POSNA) with regard to the prescriptions they would provide for 7 treatment scenarios. Strategies for the preoperative, intraoperative, and postoperative phases of management of pain as well as strategies for education, research, and advocacy are presented. The Pediatric Orthopaedic Society of North America survey yiel...Continue Reading

References

Jul 10, 2003·Journal of Pain and Symptom Management·Seddon R SavageAaron M Gilson
Jan 7, 2004·Orthopaedic Nursing·Lynda LaMontagneFrances Cohen
Apr 27, 2010·Anesthesia and Analgesia·Lynn M RusySteven J Weisman
Apr 7, 2011·JAMA : the Journal of the American Medical Association·Nora D VolkowSusan R B Weiss
May 9, 2012·Archives of Pediatrics & Adolescent Medicine·Sean Esteban McCabeCarol J Boyd
Aug 21, 2013·The Journal of Pain : Official Journal of the American Pain Society·Sean Esteban McCabeCarol J Boyd
Mar 19, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Maryann Mazer-AmirshahiJesse M Pines
Jun 10, 2015·International Journal of Legal Medicine·Marija BakovicDavor Mayer
Sep 15, 2015·JAMA Pediatrics·Monika K GoyalJames M Chamberlain
Oct 28, 2015·Pediatrics·Richard MiechKennon Heard
May 12, 2016·Journal of Addictive Diseases·Carol J BoydSean Esteban McCabe
Sep 23, 2016·The Journal of Bone and Joint Surgery. American Volume·Daniel R GrantSuken A Shah
Jun 3, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Abigail FingerMarilyn Heng

❮ Previous
Next ❯

Citations

Oct 1, 2019·Anesthesia and Analgesia·Bradley H Lee, Christopher L Wu
Aug 29, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Diana V Liu, Yuan-Chi Lin
Jul 23, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ankith Naduvanahalli VivekanandaswamyRajasekaran Shanmuganathan
Mar 19, 2019·Orthopaedic Nursing·Bryan CombsElizabeth Turcotte
Sep 27, 2020·Spine Deformity·Crystal SeilhamerJulie Balch Samora
Jan 20, 2021·Archives of Disease in Childhood·Sarah SpénardNiina Kleiber
Nov 30, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Francia Y FangJoshua M Abzug

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Sean Esteban McCabeCarol J Boyd
Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse
Nonie S AroraJohn A Hopper
Current Opinion in Otolaryngology & Head and Neck Surgery
Sophia D Becker, Daniel G Becker
© 2022 Meta ULC. All rights reserved