Journal article
Written Prescription for Over-the-Counter Nonopioid Pain Medications Does Not Increase the Likelihood of Use after Ambulatory Hand and Upper Extremity Surgery
Journal of hand and microsurgery, Vol.14(1), pp.85-91
09/07/2020
DOI: 10.1055/s-0040-1715917
PMCID: PMC8898152
PMID: 35256832
Abstract
Introduction This study looked to determine how providing written prescriptions of nonopioids affected postoperative pain medication usage and pain control.
Materials and Methods Patients undergoing hand and upper-extremity surgery (n = 244) were recruited after the implementation of a postoperative pain control program encouraging nonopioids before opioids. Patients were grouped based on procedure type: bone (n = 66) or soft tissue (n = 178). Patients reported postoperative medication consumption and pain control scores. Two-tailed t-tests assuming unequal variance were performed to look for differences in postoperative pain control and medication consumption between those who were and were not given written prescriptions for nonopioids.
Results For both soft tissue and bone procedure patients, a written prescription did not significantly affect patients' postoperative pain control or medication consumption. Regardless of receiving a written prescription, patients who underwent soft tissue procedures consumed significantly more daily nonopioids than opioids.
Conclusion Receiving written prescriptions for nonopioids may not have a significant effect on postoperative pain control or medication consumption. Patients undergoing soft tissue hand and upper extremity procedures may be more likely to consume more daily nonopioids than opioids postoperatively compared to bone procedure patients regardless of whether they receive a written prescription for nonopioids.
Details
- Title: Subtitle
- Written Prescription for Over-the-Counter Nonopioid Pain Medications Does Not Increase the Likelihood of Use after Ambulatory Hand and Upper Extremity Surgery
- Creators
- Daniel J. Lynch - The Ohio State University Wexner Medical CenterJames S. Lin - The Ohio State University Wexner Medical CenterKanu S. Goyal - The Ohio State University Wexner Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of hand and microsurgery, Vol.14(1), pp.85-91
- DOI
- 10.1055/s-0040-1715917
- PMID
- 35256832
- PMCID
- PMC8898152
- NLM abbreviation
- J Hand Microsurg
- ISSN
- 0974-3227
- eISSN
- 0974-6897
- Publisher
- Thieme Medical Publishers
- Number of pages
- 7
- Language
- English
- Date published
- 09/07/2020
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985237501102771
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