Research Article
Volume 12 Issue 12 - 2021
Opioid Prescription Trends After Arthroscopic Knee Surgery, 2009 - 2014
Joaquin Moya-Angeler1*, Carlos de la Torre3, Djibril Ba2, Guodong Liu2, William Gallagher1, Wayne J Sebastianelli1 and Dov A Bader1
1Department of Orthopedics and Rehabilitation, College of Medicine, The Pennsylvania State University, University Park, PA, USA
2Department of Public Health Sciences, PennState Hershey College of Medicine, Pennsylvania, USA
3Hospital de la Ribera, Alzira, Valencia, Spain
*Corresponding Author: Joaquin Moya-Angeler, Department of Orthopedics and Rehabilitation, College of Medicine, The Pennsylvania State University, University Park, PA, USA and Universidad de Murcia Medical School, Murcia, Spain.
Received: October 04, 2021; Published: November 26, 2021


Background: Opioid prescription (OP) patterns among orthopaedic surgeons are often guided by multiple factors that are not well understood and can result in patients being prescribed an excessive number of opioids.

Purpose: The purpose of this study was threefold: to assess the perioperative OP trends, from 2005 to 2014, in patients undergoing five ambulatory knee procedures, to determine whether trend differences existed among procedures and to evaluate the risk factors associated with a higher OP.

Methods: Data was collected from the Market Scan® database. Search was performed using current procedural terminology codes (CPT-4) for patients with isolated anterior cruciate ligament reconstruction (IACLR), ACLR with any other intervention (ACLR+), isolated meniscectomy (IM), isolated meniscal repair (IMR) and isolated chondroplasty (IC), of age from 18 or older with and without peripheral nerve block (PNB). Patients who filled an opioid prescription in the range of four weeks before to four weeks after the intervention were included. Drugs included were Hydrocodone/Acetaminophen, Oxycodone/Acetaminophen, Tramadol and Hydromorphone/ Hydrochloride.

Results: OP trends displayed similar patterns for all opioids and procedures evaluated with no significant differences in prescription patterns among procedures (p > 0.05). Variables associated with a higher OP were the US West and South regions (p < 0.001), female sex (p < 0.001), year beyond 2004 (p < 0.001), younger age (p < 0.001) and presence of PNB (p < 0.001).

Conclusion: Over the past decade there has been an escalation in the perioperative OP trends in patients undergoing ambulatory knee surgery in the US with no significant differences in OP trends among procedures.

Keywords: Knee; Arthroscopy; Opioids; Prescription; Perioperative


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Citation: : Joaquin Moya-Angeler., et al. “Opioid Prescription Trends After Arthroscopic Knee Surgery, 2009 - 2014”. EC Orthopaedics 12.12 (2021): 14-21.

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