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Perioperative opioid use and misuse.

Jane Quinlan1, Sarah Rann2, Ruth Bastable3

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Clinical Medicine (London, England)
|November 17, 2019
PubMed
Summary
This summary is machine-generated.

Opioid misuse after surgery is a growing concern. This review examines why patients continue using opioids post-surgery and suggests actions to prevent a perioperative opioid crisis in the UK.

Keywords:
Opioidchronic post-surgical painopioid use disorderprescription opioid misuse

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Area of Science:

  • Public Health
  • Pharmacology
  • Surgery

Background:

  • Prescribed opioid misuse presents a significant public health crisis in North America.
  • Surgery is a key factor contributing to persistent opioid use and misuse.
  • The United Kingdom is experiencing increased opioid consumption, necessitating proactive measures.

Purpose of the Study:

  • To identify the drivers of persistent opioid use following surgical procedures.
  • To propose remedial actions for stakeholders to mitigate perioperative opioid misuse.
  • To prevent the UK from facing its own opioid crisis related to surgical care.

Main Methods:

  • Literature review of identified drivers for persistent opioid use.
  • Analysis of existing data on opioid consumption in the UK.
  • Synthesis of expert recommendations for stakeholder collaboration.

Main Results:

  • Persistent opioid use post-surgery is driven by factors including pain management, psychological dependence, and access.
  • Collaboration between primary and secondary care is crucial for effective mitigation strategies.
  • Proactive interventions are necessary to curb the rise in perioperative opioid misuse.

Conclusions:

  • Addressing the drivers of persistent opioid use is essential to prevent a UK perioperative opioid crisis.
  • Multi-stakeholder collaboration is vital for implementing effective prevention and management strategies.
  • Urgent action is required to mitigate the risks associated with prescribed opioid misuse in the surgical setting.