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Papers of the Week

2020 Jul

J Shoulder Elbow Surg



Increased opioid use following rotator cuff repair associated with prior opioid use and surgeon prescription patterns.


Chapman CG, Hudspeth J, Floyd SB, Carnahan R, Thigpen CA, Kissenberth MJ
J Shoulder Elbow Surg. 2020 Jul; 29(7S):S115-S125.
PMID: 32646593.


Prescription opioids are standard of care for postoperative pain management after musculoskeletal surgery, but there is no guideline or consensus on best practices. Variability in the intensity of opioids prescribed for postoperative recovery has been documented, but it is unclear whether this variability is clinically motivated or associated with provider practice patterns, or how this variation is associated with patient outcomes. This study described variation in the intensity of opioids prescribed for patients undergoing rotator cuff repair (RCR) and examined associations with provider prescribing patterns and patients' long-term opioid use outcomes.