Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction
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UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDepartment of Orthopedics and Physical Rehabilitation
Document Type
Journal ArticlePublication Date
2010-06-29Keywords
Arthroplasty, Replacement, KneeNarcotics
Pain
Pain, Postoperative
Patient Satisfaction
Orthopedics
Rehabilitation and Therapy
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Show full item recordAbstract
We examined the prevalence of narcotic use before and after total knee arthroplasty (TKA) and its association with post-TKA pain relief and satisfaction. Data on 6364 primary, unilateral TKA patients in a national registry were analyzed. Before TKA, 24% of patients were prescribed one form of narcotic. Of these, 14% reported continued narcotic use at 12 months after TKA, whereas the majority discontinued use. Only 3% of patients who did not use narcotics before TKA had a narcotics prescription at 12 months. Patients who used narcotics before TKA were more likely to have a narcotic prescription at 12 months post-TKA, reported greater pain at 12 months, and were more likely to be dissatisfied with TKA outcome. These findings have implications for patient pre-TKA counseling.Source
J Arthroplasty. 2010 Sep;25(6 Suppl):12-6. Epub 2010 Jun 26. Link to article on publisher's siteDOI
10.1016/j.arth.2010.05.003Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43068PubMed ID
20580191Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.arth.2010.05.003