Preoperative Patient Education May Decrease Postoperative Opioid Use After Meniscectomy.
Journal
Arthroscopy, sports medicine, and rehabilitation
ISSN: 2666-061X
Titre abrégé: Arthrosc Sports Med Rehabil
Pays: United States
ID NLM: 101765256
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
29
06
2019
accepted:
08
10
2019
entrez:
9
4
2020
pubmed:
9
4
2020
medline:
9
4
2020
Statut:
epublish
Résumé
To identify the current opioid prescribing and use practices after arthroscopic meniscectomy and to evaluate the role of preoperative patient education in decreasing postoperative opioid consumption. Patients undergoing arthroscopic meniscectomy were prospectively identified for inclusion. They were placed into 1 of 2 groups: Group 1 received no education regarding opioid use after surgery, whereas group 2 received a standardized overview on postoperative opioid use. Patients were assigned to the groups consecutively: Patients treated at the beginning of the study were assigned to group 1, and patients treated at the end of the study were assigned to group 2. Data from group 1 were used to identify "normal" opioid prescribing and use practices and to guide patients in group 2 regarding normal postoperative opioid use. Patients were surveyed weekly for 4 weeks after surgery to determine the number of opioids taken. Postoperative opioid consumption was analyzed and compared between the 2 groups. A total of 62 patients completed the study (32 in group 1 and 30 in group 2). Patients in group 1 were prescribed an average of 42.0 opioid pills (95% confidence interval [CI], 34.0-51.0 pills) and used an average of 15.84 pills (95% CI, 9.26-22.4 pills) after surgery, whereas patients in group 2 used an average of 4.00 pills (95% CI, 2.12-5.88 pills) after surgery. Patients in group 2 used 11.84 fewer opioid pills ( Preoperative patient education regarding opioids may decrease postoperative opioid consumption and the duration for which patients take opioid pills after arthroscopic meniscectomy. Level II, prospective comparative study.
Identifiants
pubmed: 32266356
doi: 10.1016/j.asmr.2019.10.006
pii: S2666-061X(19)30027-6
pmc: PMC7120832
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e33-e38Informations de copyright
© 2019 by the Arthroscopy Association of North America. Published by Elsevier Inc.
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