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Treatment Innovation in Orthopedic Surgery: A Case Study from Hospital for Special Surgery
Seth A Waldman1, Joseph R Schottenfeld1, Abbe R Gluck1
1Seth A. Waldman, M.D., is Director, Division of Pain Management, Department of Anesthesiology, Critical Care & Pain Management, at the Hospital for Special Surgery in New York. Joseph Schottenfeld, is a member of the Yale Law School class of 2019. Abbe R. Gluck, J.D., is Professor of Law and Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School. She earned her J.D. from Yale Law School.
Abstract:
Excessive prescribing of pain medications after surgery has contributed to the epidemic of opioid misuse and diversion in the United States. Pain specialists may be particularly well situated to address these issues. We describe an attempt to reverse the trend at an orthopedic surgical hospital by implementing a peri-operative assessment and treatment service which minimizes preoperative opioid use, when necessary implements addiction treatment, and encourages early tapering from opioids.
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