A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization

Justin T. Deen, MD; William Z. Stone, MD; Chancellor F. Gray, MD; Hernan A. Prieto, MD; Dane A. Iams, MD; Andre P. Boezaart, MD, PhD; Hari K. Parvataneni, MD

Arthroplasty Today (Dec 2020)

A Simple, Personalized Opioid Stratification Pathway Dramatically Reduces Opioid Utilization

Justin T. Deen, MD,
William Z. Stone, MD,
Chancellor F. Gray, MD,
Hernan A. Prieto, MD,
Dane A. Iams, MD,
Andre P. Boezaart, MD, PhD,
Hari K. Parvataneni, MD

Affiliations

Justin T. Deen, MD: Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA; Corresponding author. Orthopaedic Sports Medicine Institute, 3450 Hull Road, Gainesville, FL 32607, USA. Tel.: +1 407 704 0771.
William Z. Stone, MD: Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA
Chancellor F. Gray, MD: Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA
Hernan A. Prieto, MD: Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA
Dane A. Iams, MD: Department of Orthopedic Surgery, Denver Health, Denver, CO, USA
Andre P. Boezaart, MD, PhD: Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA
Hari K. Parvataneni, MD: Department of Orthopedic Surgery and Rehabilitation, University of Florida College of Medicine, Gainesville, FL, USA

Journal volume & issue: Vol. 6, no. 4
pp. 731 – 735

Abstract

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Orthopaedic surgeons account for the largest proportion of opioid prescriptions in the United States among surgical specialties. In total joint arthroplasty, increased opioid use has been associated with poorer clinical and functional outcomes. Despite an abundance of literature on opioid mitigation strategies, most fail to provide personalized prescriptions. Typically, most protocols prescribe the same opioid regimen regardless of patient factors or the extent of the planned procedure. We present a simple opioid stratification pathway that can be used by physicians and office staff as they prepare patients for arthroplasty. We have found this to be easy to implement, effective, and sustainable at a tertiary academic institution and allows for iterative improvements over time.

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

About the journal

Abstract

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