Has a Prescription-limiting Law in Rhode Island Helped to Reduce Opioid Use After Total Joint Arthroplasty?

Clinical Orthopaedics and Related Research
Daniel B C ReidAlan H Daniels

Abstract

In the United States, since 2016, at least 28 of 50 state legislatures have passed laws regarding mandatory prescribing limits for opioid medications. One of the earliest state laws (which was passed in Rhode Island in 2016) restricted the maximum morphine milligram equivalents provided in the first postoperative prescription for patients defined as opioid-naïve to 30 morphine milligram equivalents per day, 150 total morphine milligram equivalents, or 20 total doses. While such regulations are increasingly common in the United States, their effects on opioid use after total joint arthroplasty are unclear. (1) Are legislative limitations to opioid prescriptions in Rhode Island associated with decreased opioid use in the immediate (first outpatient prescription postoperatively), 30-day, and 90-day periods after THA and TKA? (2) Is this law associated with similar changes in postoperative opioid use among patients who are opioid-naïve and those who are opioid-tolerant preoperatively? Patients undergoing primary THA or TKA between January 1, 2016 and June 28, 2016 (before the law was passed on June 28, 2016) were retrospectively compared with patients undergoing surgery between June 1, 2017 and December 31, 2017 (after the law's im...Continue Reading

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Citations

May 28, 2020·The Journal of Trauma and Acute Care Surgery·John A HarvinLillian S Kao
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
Jul 31, 2020·The Journal of Surgical Research·Alexa K PiusCharles D MacLean
Aug 31, 2021·The Journal of Arthroplasty·Dustin J RandallDrew D Moore
Aug 15, 2021·Journal of Shoulder and Elbow Surgery·Yazdan RajiRobert J Gillespie
Sep 30, 2021·Substance Abuse Treatment, Prevention, and Policy·Daniel J CunninghamBrian D Lewis

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