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Opioid Consumption After Knee Arthroscopy.

Parth M Kamdar1, Nicole Liddy2, Christopher Antonacci3

  • 1New York Medical College, Valhalla, New York, U.S.A.; Orthopaedic & Neurosurgery Specialists, ONS Foundation for Clinical Research and Education, Greenwich, Connecticut, U.S.A..

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|November 22, 2020
PubMed
Summary
This summary is machine-generated.

Patients undergoing knee arthroscopy consumed significantly fewer opioid pills than prescribed. A guideline of 5 opioid pills is recommended, ensuring high patient satisfaction and low pain scores post-surgery.

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Pharmacology

Background:

  • Opioid prescriptions for knee arthroscopy often exceed actual patient needs.
  • Establishing evidence-based guidelines can optimize postoperative pain management and reduce opioid misuse.

Purpose of the Study:

  • To prospectively observe opioid consumption in patients following knee arthroscopy.
  • To develop an evidence-based guideline for opioid prescription after knee arthroscopy.

Main Methods:

  • A prospective, multicenter observational study involving 100 patients undergoing knee arthroscopy.
  • Patients tracked opioid use, pain scores (Numeric Pain Rating Scale), and satisfaction (Likert scale) for one week.
  • State databases were reviewed for additional opioid prescriptions.

Main Results:

  • The median prescribed opioid dose was 5 pills (37.5 oral morphine equivalent).
  • Median actual consumption was 0 pills (mean 0.6 pills, 4.4 OME), with 74% consuming no opioids.
  • All patients consumed 5 or fewer pills, reported low pain (mean NPRS 1.9/10), high satisfaction (mean 4.4/5), and required no refills.

Conclusions:

  • Current opioid prescribing for knee arthroscopy is excessive.
  • A recommendation of 5 oxycodone 5-mg pills is proposed for patients undergoing knee arthroscopy.
  • This guideline aligns with observed low consumption, high satisfaction, and minimal pain.