Can a novel opioid-free protocol following total knee arthroplasty prevent chronic opioid addiction? A follow-up study of 386 patients
Faculty
Andrew Wickline, MD
Kayleigh Corrado, BS
CME Credits
1
Activity Description:
A novel multimodal protocol was found to significantly reduce the use of opioids in the first 90 days post-TKA in a previous study by the authors. This study aimed to determine if the protocol affected chronic opioid use rates one year out from TKA. This study used the same population of 386 post-TKA patients as the prior study. 356 of these patients were opioid-naive prior to TKA. Patients were identified through a HIPPA-compliant portal and searched on the NYS I-Stop database. If patients had received ≥1 opioid prescription in the 12 months prior to the NYS I-Stop search, they were contacted to determine the reason for the prescription. Patients who had received ≥6 opioid prescriptions in the past year were defined as chronic opioid users. Of the opioid-naive patients, 73 had received an opioid prescription in the past year, and 10 were considered chronic opioid users. Only one of these 10 chronic opioid-users attributed their opioid use to knee pain associated with TKA. Therefore, there was a 2.81% (10/356) chance of an opioid-naive patient becoming a chronic opioid user in this population, and a 0.28% (1/356) chance of an opioid-naive patient becoming a chronic opioid user due to TKA-associated knee pain. Both of these figures are significantly lower than the 8.2% chance of chronic opioid addiction when traditional post-operative recovery methods are used with TKA patients (established by previous studies), suggesting that a novel opioid-sparing protocol can markedly reduce long-term opioid use in TKA patients.
Learning Objectives:
Understand the benefits of an opioid-sparing post-operative protocol relative to traditional post-operative recovery methods.
Expiration Date:
August 2, 2024
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Course Price
$25