AOSSM 2023 Annual Meeting Recordings no CME-Postoperative Opioid Usage and Disposal Strategies Following Outpatient Arthroscopic Sports Medicine Procedures: A Prospective Observational Study

Postoperative Opioid Usage and Disposal Strategies Following Outpatient Arthroscopic Sports Medicine Procedures: A Prospective Observational Study

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Video Summary

In this video, the presenter discusses a study aimed at quantifying the amount of opioids used after ACL reconstruction, meniscal procedures, and repair of the hip and shoulder. The study also investigates the allocation of unused pain medications following these procedures. The hypothesis posits that patients are prescribed more opioids than necessary, and younger patients may dispose of their unused opioids in a non-FDA-recommended manner. The study included 185 patients and found that 71% of opioid consumption occurred in the first three days postoperatively. On average, only 39% of the prescribed opioids were utilized, with over 60% going unused. About 25% of patients planned to save the unused opioids despite proper disposal recommendations. Surprisingly, younger patients consumed fewer opioids and had a higher proportion intending responsible disposal. The study has limitations due to its observational nature and the variation among surgeons and centers. The results highlight the importance of addressing acute pain management to minimize opioid use. Procedure-specific opioid recommendations are suggested for a multimodal perioperative pain regimen. (No credits mentioned)

Asset Caption

William Johns, MD

Keywords

opioids

ACL reconstruction

meniscal procedures

hip repair

shoulder repair