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Opioid Prescribing Patterns and Patient Satisfaction with Care.
Maj Nathan S Lanham1, Cpt Kyle Bockelman2, Cpt Michael J Elsenbeck3
1Department of Orthopaedic Surgery, Martin Army Community Hospital, Fort Benning, Georgia.
Journal of Surgical Orthopaedic Advances
|June 28, 2021
Summary
Opioid prescribing patterns, including daily and total doses, did not significantly impact patient satisfaction scores. This study found no association between opioid dosage metrics and high patient satisfaction in orthopaedic care.
Area of Science:
- Orthopaedic Surgery
- Pain Management
- Health Services Research
Background:
- Opioid prescribing is a critical aspect of post-operative care in orthopaedics.
- Understanding the relationship between prescribing patterns and patient satisfaction is essential for improving care quality.
- Previous research has not definitively linked specific opioid dosing strategies to patient-reported outcomes.
Purpose of the Study:
- To investigate the association between opioid prescribing characteristics and patient satisfaction after orthopaedic procedures.
- To analyze the correlation between morphine equivalent daily dosing (MEDD), total morphine equivalent dosing (TMED), and the number of opioid prescriptions with high patient satisfaction.
- To determine if specific opioid prescribing patterns influence patient-reported satisfaction with care.
Main Methods:
- Retrospective analysis of opioid prescriptions and patient satisfaction surveys from 2017-2019.
- Characterization of opioid prescribing by MEDD, TMED, and total prescription count.
- Statistical analysis using odds ratios and confidence intervals to assess the association between prescribing metrics and high patient satisfaction (score of 100/100).
Main Results:
- A total of 1,666 opioid prescriptions were analyzed, with a median MEDD of 204 and a total TMED of 379,660.
- Two hundred and forty-four patient satisfaction surveys were reviewed.
- No statistically significant association was found between high patient satisfaction and MEDD (OR=0.968), TMED (OR=1.00), or the total number of opioid prescriptions (OR=1.003).
Conclusions:
- Opioid prescribing patterns, including dosage and quantity, do not appear to influence patient satisfaction in orthopaedic care.
- The findings suggest that factors other than opioid regimen characteristics may be more influential in determining patient satisfaction.
- Further research is warranted to identify key drivers of patient satisfaction in the context of opioid management post-orthopaedic surgery.
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