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The opioid epidemic: impact on orthopaedic surgery
The Journal of the American Academy of Orthopaedic Surgeons
|April 26, 2015
Summary
Opioid misuse is rising, posing risks to orthopedic patients. Surgeons must identify at-risk individuals using patient history, behavior monitoring, and risk assessment tools to mitigate opioid abuse.
Area of Science:
- Orthopaedic Surgery
- Pain Management
- Public Health
Background:
- Opioid use and non-therapeutic diversion have increased significantly in the U.S.
- Orthopaedic patients face risks from both prescribed and illicit opioid use.
- Orthopaedic surgeons are major prescribers of opioids.
Purpose of the Study:
- To highlight the risks of opioid abuse in orthopaedic patients.
- To inform orthopaedic surgeons about identifying patients at risk for non-therapeutic opioid use.
- To present objective measures for risk assessment.
Main Methods:
- Review of patient history elements.
- Recognition of aberrant behaviors associated with opioid misuse.
- Utilization of prescription drug monitoring programs (PDMPs).
- Application of validated opioid risk-assessment tools.
Main Results:
- Objective measures can help identify patients at risk for opioid misuse.
- A multi-faceted approach is necessary for effective risk assessment.
- Early identification allows for intervention and prevention of negative consequences.
Conclusions:
- Orthopaedic surgeons play a crucial role in addressing the opioid crisis.
- Implementing risk-assessment strategies is vital for patient safety.
- Understanding and mitigating non-therapeutic opioid use is essential for individual and societal well-being.
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