Title
Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction
UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation; Department of Medicine, Division of Preventive and Behavioral Medicine
Publication Date
6-29-2010
Document Type
Article
Subjects
Arthroplasty, Replacement, Knee; Narcotics; Pain; Pain, Postoperative; Patient Satisfaction
Disciplines
Orthopedics | Rehabilitation and Therapy
Abstract
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.
DOI of Published Version
10.1016/j.arth.2010.05.003
Source
J Arthroplasty. 2010 Sep;25(6 Suppl):12-6. Epub 2010 Jun 26. Link to article on publisher's site
Journal/Book/Conference Title
The Journal of arthroplasty
Related Resources
PubMed ID
20580191
Repository Citation
Franklin, Patricia D.; Karbassi, John A.; Li, Wenjun; Yang, Wenyun; and Ayers, David C., "Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction" (2010). Orthopedics and Physical Rehabilitation Publications and Presentations. 8.
https://escholarship.umassmed.edu/ortho_pp/8