The Impact of Patient Characteristics and Postoperative Opioid Exposure on Prolonged Postoperative Opioid Use: An Integrative Review

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
Jennifer A LanzillottaMelissa Kalarchian

Abstract

The United States is experiencing an opioid overdose crisis. Research suggests prolonged postoperative opioid use, a common complication following surgery, is associated with opioid misuse, which, in turn, is the greatest risk factor of heroin misuse. The objective of this review is to evaluate how postoperative opioid exposure relates to prolonged use and to identify factors that predict prolonged postoperative opioid use. An integrative review of the literature. Electronic and hand searching methods were used in PubMed, Embase, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, and SCOPUS. Search terms included opioid, opiate, postoperative pain, drug administration, prescribing pattern, prescription, inappropriate prescribing, self-medication, patient-controlled analgesia, opioid-naïve patients, and prolonged opioid use. Data were synthesized by identifying themes reflecting the results of the review. A quality assessment of the articles was also conducted. Fourteen articles were included and two main themes emerged: (1) Surgery places opioid naïve patients at risk for prolonged opioid use and (2) Certain patient characteristics may be predictive of prolonged postoperative opioid...Continue Reading

Citations

Apr 7, 2020·The Journal of Bone and Joint Surgery. American Volume·Andrew J Schoenfeld
Aug 12, 2020·Paediatric Anaesthesia·James XieJoseph Cravero
Jan 7, 2020·The British Journal of Surgery·C Small, H Laycock
Jan 9, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Janet H Van CleaveJennifer Kawi
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May 12, 2020·The Journal of Arthroplasty·Lia D DelaneyJennifer F Waljee
Apr 7, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Samantha AnneTaskin M Monjur
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