Study: Orthopedic Surgery Patients Given Too Many Opioids

Most patients going home with opioid painkillers after orthopedic surgery at Johns Hopkins University didn’t use all the pills they were given, suggesting that these medications are routinely overprescribed, a researcher said here.

Among 93 patients interviewed during the succeeding 4 weeks after discharge, 85% of those who had stopped taking the drugs still had them in the cabinet, said Mark Bicket, MD, of Hopkins’ division of pain medicine in Baltimore.

And many of the patients had large numbers of tablets remaining: 28% had 20 or more pills still in their possession, and 24% retained doses at least 200 morphine-equivalent.

Bicket presented the findings at the American Pain Society’s annual meeting.

Nearly 20% of the patients were no longer taking the opioids when interviewed on the 2nd day after discharge; a little less than half had stopped at the 2-week mark.

About 10% of the patients had 80 or more unused pills after stopping, Bicket said.

The upshot, he said, is that more research is needed on determining how much painkiller medication patients are really likely to need after orthopedic surgery — and the results need to be conveyed to surgeons, who do most of the prescribing.

He said surgeons currently have little to go on, and so they tend to be liberal in prescribing in order to minimize complaints about inadequate pain control during recovery.

By John Gever | MedPage Today

Image Credit: MedPage Today

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About Peter Coffaro 1134 Articles

A growth-driven and strategic executive, Peter Coffaro commands more than 20 years of progressive management success within the medical device industry. As a District Sales Manager for Stryker Orthopaedics, Peter was responsible for managing and directing a regional sales force to achieve sales and profit goals within the Rocky Mountain region. Previously, he was the Director of Sales & Marketing for Amp Orthopedics. In this role, Peter was responsible for planning, developing, and leading all sales and marketing initiatives. Peter is a former orthopedic distributor in the Pacific Northwest. He has also worked with DePuy Orthopaedics as well as Zimmer, and held positions in sales, sales training, and sales management. Peter has an extensive background in organizational development, business development, sales management, negotiating and P&L management. Peter holds a B.S. degree in Biology from Northern Illinois University.

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