Opioid Prescribing Trends Among Workers' Compensation Patients Undergoing Foot and Ankle Surgery.
Foot Ankle Spec
; : 19386400241286594, 2024 Oct 08.
Article
em En
| MEDLINE
| ID: mdl-39380215
ABSTRACT
BACKGROUND:
The purpose of this study was to evaluate opioid usage and prescribing trends among workers' compensation (WC) patients who underwent foot or ankle operative procedures compared with a control group.METHODS:
A retrospective review was conducted for WC and non-WC patients who underwent foot or ankle procedures in a single academic orthopaedic surgery practice. Outcome measures were total morphine milligram equivalents (MME) and number of opioid prescriptions.RESULTS:
A total of 118 patients were identified, including 51 patients in the WC group and 67 in the non-WC group. After index surgery, 67% (34 of 51) of WC patients had 2 or more additional opioid prescriptions compared to 39% (26 of 67) of non-WC patients (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.4-6.7; P = .003). Collectively, there were greater prescriptions of oxycodone MME (P = .002) and hydrocodone MME (P = .07) in the WC cohort.CONCLUSIONS:
Workers' compensation patients seem to be prescribed and consume opioids at a higher rate postoperatively. It is important for treating physicians to be aware of these trends, and discussions with patients regarding expected opioid use when planning surgical intervention may be beneficial. Physicians may need to set expectations preoperatively and suggest there are limits on the amount of opioids that can safely be prescribed. LEVEL OF EVIDENCE Level III, Retrospective cohort study, Prognostic.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Foot & ankle especialist
/
Foot Ankle Spec
/
Foot ankle espec
Assunto da revista:
ORTOPEDIA
/
PODIATRIA
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Estados Unidos