Preoperative opioid use in patients undergoing shoulder surgery.
Vidushan NadarajahSean J MeredithJulio J JaureguiMichael P SmudaShaun MedinaMohit N GilotraS Ashfaq HasanR Frank HennPublished in: Shoulder & elbow (2019)
More than one in four patients reported preoperative opioid use. Several health measures, including worse pain, function, and social satisfaction were independently associated with preoperative opioid use. These findings suggest that orthopaedic surgeons need to identify patients using opioids preoperatively in order to effectively establish and execute a plan for pain management, which may include weaning off opioids prior to surgery, managing psychological distress, and optimizing coping strategies.Level of Evidence: III.
Keyphrases
- pain management
- patients undergoing
- end stage renal disease
- chronic pain
- chronic kidney disease
- ejection fraction
- newly diagnosed
- healthcare
- minimally invasive
- mental health
- peritoneal dialysis
- public health
- intensive care unit
- coronary artery disease
- spinal cord injury
- risk assessment
- neuropathic pain
- social media
- sleep quality