Addressing the Opioid Crisis One Surgical Patient at a Time: Outcomes of a Novel Perioperative Pain Program

Ronen Shechter, Traci J. Speed, Erin Blume, Sarabdeep Singh, Kayode Williams, Colleen G. Koch, Marie N. Hanna

Research output: Contribution to journalArticle

Abstract

Opioid prescriptions in the surgical setting have been implicated as contributors to the opioid epidemic. The authors hypothesized that a multidisciplinary approach to perioperative pain management for patients on chronic opioid therapy could decrease postoperative opioid requirements while reducing postoperative pain scores and improving functional outcomes. Therefore, a Perioperative Pain Program (PPP) for chronic opioid users was implemented. This study presents outcomes from the first 9 months of the PPP. Sixty-one patients met the inclusion criteria. Opioid consumption in morphine milligram equivalent (MME) was calculated and physical and health status of patients was assessed with the Brief Pain Inventory, Short-Form McGill Pain Questionnaire, and Short Form-12. Preliminary results showed significant reduction in MME, improved pain scores, and improved function for surgical patients on chronic opioids. PPP effectively reduced opioid usage without negatively influencing patient-reported outcomes, such as physical pain score assessment and health-related quality of life.

Original languageEnglish (US)
Pages (from-to)5-15
Number of pages11
JournalAmerican Journal of Medical Quality
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2020

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Keywords

  • chronic opioids
  • multimodal
  • opioid epidemic
  • pain management
  • perioperative

ASJC Scopus subject areas

  • Health Policy

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