Location
LSU Health Sciences Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Background: Reducing opioid consumption remains a central topic amongst public health officials and healthcare providers. Research shows that orthopedic surgeons remain one of the top prescribers of opioids. The purpose of this study is to compare the efficacy of 3 strategies developed in the past 10 years that have shown potential to reduce opioid consumption in orthosurgery patients.
Methods: Online databases were used to identify published studies that focused on opioid reduction interventions among orthopedic surgery clinics. These interventions included opioid-free analgesia (OFA), strict opioid prescribing protocols (SOPP), and perioperative opioid education (POE). After review and exclusion, 32 studies were selected for data extraction and analysis. Analysis included calculation of % change in postoperative MME/patient cumulatively and in the immediate postoperative period and calculation of average pain scores among each intervention.
Results: Data analysis found an overall reduction in cumulative MME/pt for each intervention group, with the greatest difference in the OFA group (80.56%), followed by the SOPP group (48.68%), and finally the POE group (36.16%). This order remained for the % change in MME/pt during the immediate postoperative period (83% OFA vs 41.15% SOPP vs 36.15% POE). Each intervention group found similar or lower postop pain scores compared to the control, with the highest difference reported as a 30% drop in pain score in the OFA group.
Conclusion: This study proposes that creating a standardized approach to reducing opioid consumption in postop orthopedic surgery patients is not only possible but produces significant results across the board. Intervention allows for an average 80% (OFA), 50% (SOPP), and 36% (POE) reduction in MME/pt in the short-term and long-term periods without affecting pain scores.
Recommended Citation
Borel, Mallory, "Comparison of Three Novel Strategies for Reducing Opioid Use After Orthopedic Surgery: a systematic review" (2024). School of Allied Health Professions Research Day. 9.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/9
Included in
Comparison of Three Novel Strategies for Reducing Opioid Use After Orthopedic Surgery: a systematic review
LSU Health Sciences Center - New Orleans
Background: Reducing opioid consumption remains a central topic amongst public health officials and healthcare providers. Research shows that orthopedic surgeons remain one of the top prescribers of opioids. The purpose of this study is to compare the efficacy of 3 strategies developed in the past 10 years that have shown potential to reduce opioid consumption in orthosurgery patients.
Methods: Online databases were used to identify published studies that focused on opioid reduction interventions among orthopedic surgery clinics. These interventions included opioid-free analgesia (OFA), strict opioid prescribing protocols (SOPP), and perioperative opioid education (POE). After review and exclusion, 32 studies were selected for data extraction and analysis. Analysis included calculation of % change in postoperative MME/patient cumulatively and in the immediate postoperative period and calculation of average pain scores among each intervention.
Results: Data analysis found an overall reduction in cumulative MME/pt for each intervention group, with the greatest difference in the OFA group (80.56%), followed by the SOPP group (48.68%), and finally the POE group (36.16%). This order remained for the % change in MME/pt during the immediate postoperative period (83% OFA vs 41.15% SOPP vs 36.15% POE). Each intervention group found similar or lower postop pain scores compared to the control, with the highest difference reported as a 30% drop in pain score in the OFA group.
Conclusion: This study proposes that creating a standardized approach to reducing opioid consumption in postop orthopedic surgery patients is not only possible but produces significant results across the board. Intervention allows for an average 80% (OFA), 50% (SOPP), and 36% (POE) reduction in MME/pt in the short-term and long-term periods without affecting pain scores.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/9