What question did this study set out to answer?

To prospectively evaluate narcotic consumption patterns and identify independent clinical predictors of opioid use following outpatient foot and ankle procedures.

August 19, 2018Foot & Ankle International

Prospective Evaluation of Utilization Patterns and Prescribing Guidelines of Opioid Consumption Following Orthopedic Foot and Ankle Surgery

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Authors

SSSundeep SainiOcean County College EMElizabeth McDonaldMayo Clinic RSRachel ShakkedThomas Jefferson University Hospital

Discussion

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Implication

Prospective cohort study reveals narcotic overprescription exceeding actual use by nearly twofold after outpatient foot and ankle surgery, indicating the need for refined prescribing guidelines.

Key Points

To prospectively evaluate narcotic consumption patterns and identify independent clinical predictors of opioid use following outpatient foot and ankle procedures.
Conducted a prospective observational cohort study of 988 patients (mean age: 49 years) undergoing outpatient orthopedic foot and ankle surgery.
Tracked demographics, preoperative health, patient-reported outcomes, anesthesia, surgical procedure, and opioid quantities converted to 5-mg oxycodone pill equivalents via morphine equivalent doses.
Applied univariable analyses followed by stepwise backward multivariable linear regression to identify independent predictors of postoperative opioid use.
Patients received prescriptions for nearly twice the quantity of narcotic pain medication that they actually consumed postoperatively.
Stepwise backward regression identified 4 independent predictors of opioid consumption (P < .001), yet a high residual standard error indicated substantial unexplained variance among individual patients.

Cite This Study

Saini et al. (2018) studied this question.

synapsesocial.com/papers/6ab0df90105bfbee92ff6b6d https://doi.org/10.1177/1071100718790243

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Implication

Prospective cohort study reveals narcotic overprescription exceeding actual use by nearly twofold after outpatient foot and ankle surgery, indicating the need for refined prescribing guidelines.

Prospective Evaluation of Utilization Patterns and Prescribing Guidelines of Opioid Consumption Following Orthopedic Foot and Ankle Surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

Prospective Evaluation of Utilization Patterns and Prescribing Guidelines of Opioid Consumption Following Orthopedic Foot and Ankle Surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

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