Variation in perioperative opioid use after total joint arthroplasty

J Orthop. 2021 May 7:25:162-166. doi: 10.1016/j.jor.2021.05.003. eCollection 2021 May-Jun.

Abstract

Objective: We studied variation in perioperative opioid use after total joint arthroplasty with respect to patient and procedure characteristics in order to inform initiatives to optimize pain relief.

Methods: We recorded perioperative opioid consumption for a cohort of total joint arthroplasty patients to identify factors underlying variation in perioperative opioid use.

Results: Younger patient age, tobacco use, greater symptoms of depression, private insurance, and knee arthroplasty were associated with increased opioid consumption.

Conclusions: Awareness of the patient characteristics associated with increased perioperative opioid use can help inform implementation of targeted strategies for safe, optimal pain relief and satisfaction.

Keywords: Opioid; Pain; Total hip arthroplasty; Total joint arthroplasty; Total knee arthroplasty.