Effect of narcotic prescription limiting legislation on opioid utilization following lumbar spine surgery

The Spine Journal : Official Journal of the North American Spine Society
Daniel B C ReidAlan H Daniels

Abstract

Prescription opioid abuse is a public health emergency. Opioid prescriptions for spine patients account for a large proportion of use. Some states have implemented statutory limits on prescribers, however it remains unclear whether such laws are effective. This investigation compares opioid prescription patterns for patients undergoing lumbar spine surgery before and after the passage of statewide narcotic-limiting legislation in Rhode Island. Retrospective review of prospectively-collected medical and pharmacologic data. Two patient cohorts (pre-law January 1, 2016-June 31, 2016 and post-law June 1, 2017-December 31, 2017) that included all patients undergoing selected lumbar spine surgeries (lumbar discectomy, lumbar decompression without fusion, and posterior lumbar fusion). Demographic and surgical variables were collected from the patient's medical charts, and information on controlled substances was collected from the state prescription drug monitoring program database. Variables collected included the number of pills and total morphine milligram equivalents (MMEs) of the first prescription, number of prescriptions filled within 30 days of surgery, total MMEs filled in the 30-day postoperative period, and total MMEs fille...Continue Reading

Citations

May 15, 2019·Anesthesia and Analgesia·Christopher L WuUNKNOWN Fourth Perioperative Quality Initiative Workgroup
Dec 28, 2019·JAMA Network Open·Sunil AgarwalJennifer F Waljee
Aug 8, 2019·Clinical Orthopaedics and Related Research·Daniel B C ReidAlan H Daniels
Oct 20, 2020·The Journal of Bone and Joint Surgery. American Volume·Jack H RuddellAlan H Daniels
Mar 10, 2020·Annals of Plastic Surgery·Steven A OvadiaSeth R Thaller
Apr 18, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Ariana LottClaudette M Lajam
Jan 23, 2020·The International Journal on Drug Policy·Jackie Yenerall, Melissa McPheeters
Aug 15, 2021·Journal of Shoulder and Elbow Surgery·Yazdan RajiRobert J Gillespie
Dec 19, 2021·Global Spine Journal·Taryn E LeRoyAshley Rogerson

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