Neer Award 2018: the effect of preoperative education on opioid consumption in patients undergoing arthroscopic rotator cuff repair: a prospective, randomized clinical trial
| Autor: | Alexander W. Aleem, Fotios P. Tjoumakaris, Luke S. Austin, Joseph A. Abboud, Charles Wowkanech, Usman Ali M. Syed, Mitchell K. Freedman, Danielle Weekes |
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| Rok vydání: | 2018 |
| Předmět: |
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medicine.medical_specialty Visual Analog Scale Visual analogue scale Narcotic medicine.medical_treatment Awards and Prizes Rotator Cuff Injuries law.invention Arthroscopy 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Rotator cuff Medical history Prospective Studies 030212 general & internal medicine Aged Pain Measurement Pain Postoperative 030222 orthopedics business.industry Chronic pain General Medicine Odds ratio Middle Aged Opioid-Related Disorders medicine.disease Analgesics Opioid medicine.anatomical_structure Preoperative Period Physical therapy Female Surgery business Follow-Up Studies Patient education |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 27:962-967 |
| ISSN: | 1058-2746 |
| Popis: | Background Opioids are commonly administered for the treatment of acute and chronic pain symptoms. The current health care system is struggling to deal with increasing medication abuse and rising mortality rates from overdose. Preoperative patient-targeted education on opioid use is an avenue yet to be explored. The purpose of the study was to determine whether preoperative narcotics education reduces consumption after arthroscopic rotator cuff repair (ARCR). Methods Patients undergoing primary ARCR at our institution were randomized to receiving opioid-related preoperative education or not. Patients filled out preoperative questionnaires detailing complete medical history and visual analog scale (VAS) for pain. Patients completed questionnaires regarding their opioid consumption and pain at their 2-week, 6-week, and 3-month follow-up. Results The study enrolled 140 patients. Patients in the study group consumed significantly less narcotics than the control group at the 3-month follow-up. Patients in the education group were 2.2 times more likely to discontinue narcotic use by the end of follow-up (odds ratio, 2.19; P = .03). In addition, patients with a history of preoperative narcotic use that were in the education group were 6.8 times more likely to discontinue narcotics by the end of follow-up (odds ratio, 6.8; P = .008). Discussion/conclusions The findings of this study determined that preoperative education intervention significantly decreased the number of narcotic pills consumed at 3 months after ARCR. In addition, education resulted in earlier cessation of opioids; therefore, directed patient education can help alleviate the current opioid epidemic. |
| Databáze: | OpenAIRE |
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