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Area of Science:

  • Orthopaedic Surgery
  • Pain Management
  • Pharmacology

Background:

  • Orthopaedic surgeons are leading prescribers of opioids in the US.
  • Excessive opioid use in total joint arthroplasty correlates with adverse clinical and functional outcomes.
  • Current opioid mitigation strategies often lack personalization for patients undergoing arthroplasty.

Purpose of the Study:

  • To introduce a straightforward opioid stratification pathway for physicians and staff preparing patients for arthroplasty.
  • To offer a personalized approach to opioid prescribing in joint replacement surgery.
  • To provide a sustainable and adaptable protocol for opioid management.

Main Methods:

  • Development of a simple opioid stratification pathway.
  • Implementation in a tertiary academic institution.
  • Utilizing patient factors and procedure scope for tailored prescriptions.

Main Results:

  • The pathway was found to be easy to implement.
  • The protocol demonstrated effectiveness in managing opioid use.
  • Sustainability was achieved at the academic institution, allowing for ongoing refinement.

Conclusions:

  • A personalized opioid stratification pathway can be effectively implemented in arthroplasty care.
  • This approach offers a sustainable model for optimizing opioid prescribing practices.
  • Tailored opioid regimens can potentially mitigate negative outcomes associated with increased opioid use in joint replacement.