Less stress linked to reducing opioid use after ankle surgery: 6 takeaways

With the U.S. facing an opioid epidemic, the Journal of the American Academy of Orthopaedic Surgeons published a study linking less stress and improved coping strategies to a lower need for opioids following ankle fracture surgery.

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Here are six takeaways:

 

1. In the study, opioid intake was compared with disability and satisfaction with surgery and pain relief both at the time of suture removal and at the follow-up appointment.

 

2. No association was found between opioid intake and disability, satisfaction with the surgery or satisfaction with pain management at the time of suture removal or follow-up appointments.

 

3. Opioid use was associated with pain due to activity and greater catastrophic thinking at suture removal and follow-up appointments.

 

4. Greater disability was associated with catastrophic thinking and a poor response to the surgery and pain.

 

5. The study found, 83 percent of patients were using opioids at the time of the suture removal. At the time of follow-up appointments, 24 percent of patients were using opioids.

 

6. David Ring, MD, author of the study, said, “The pre-operative discussion of pain relief is important. Patients also should be screened for symptoms of depression, less effective coping strategies and the risk for misuse.

 

More articles on practice management:
7 top reasons physicians choose to leave medical practice today
Minority representation among orthopedic residents: 7 insights
New Wisconsin clinic to include orthopedic and spine center: 5 things to know

 

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