Editor's Note A large study led by researchers at McMaster University in Ontario, Canada, identified 10 predictors of opioid overdose after prescription for chronic pain, as published by CMAJ (Canadian Medical Association Journal) on October 23. While there are screening tools to identify patients at higher risk of addiction or…
Editor's Note A 5-day limit on opioid pain medication prescriptions in Michigan did not negatively impact patient-reported pain levels or satisfaction, JAMA Network October 13 reports. The study, titled "Changes in surgical opioid prescribing and patient-reported outcomes after implementation of an insurer opioid prescribing limit," was published by JAMA Health…
Editor's Note This cohort study, published by the British Journal of Anesthesia in September 2023, finds that surgical patients who are discharged with prescribed opioids have higher risks of hospital readmission and mortality. The study looked at data from a territory-wide retrospective cohort of patients in Hong Kong who underwent…
Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, examines the association between intraoperative opioid administration and postoperative pain and opioid use. A total of 61, 249 surgical patients were included in the analysis. The researchers found that increased intraoperative: fentanyl and…
Editor's Note A new study led by researchers at Massachusetts General Hospital (MGH) finds reduced opioid administration during surgery unintendedly increased postoperative pain and opioid use. The retrospective cohort study included 61,249 individuals who underwent noncardiac surgery with general anesthesia from April 2016 to March 2020. The maximal pain score…
Editor's Note The Food and Drug Administration (FDA), on April 13, updated prescribing information for all opioid pain medications, including requiring all packaging to have updated labeling and safety information. This includes stating that: for both immediate-release (IR) and extended release/long acting (ER/LA) opioid pain medications, the risk of overdose…
Editor's Note The American Society of Anesthesiologists (ASA), on March 29, issued a news report urging the public to learn to recognize and respond to an opioid overdose, now that the Food and Drug Administration has approved naloxone for sale over the counter. Naloxone, which is commonly sold as a…
Editor's Note This study led by researchers from the Centers for Medicare and Medicaid Services and Centers for Disease Control and Prevention finds that federal actions taken to expand telehealth use for Medicare patients with opioid use disorder (OUD) and to facilitate provision of medications for OUD (MOUD) were associated…
Editor's Note This study from the University of Michigan, Ann Arbor, finds that total hip (THA) and total knee (TKA) arthroplasty patients could be prescribed less opioids after surgery without the need for refills. The analysis included a cohort of 120,889 opioid-naïve primary total joint arthroplasty patients aged 18 to…
The headlines are attention grabbing: hospitals forced to pay millions of dollars after employees were found to have stolen opioids and other controlled substances. After being discovered and investigated by the Drug Enforcement Agency (DEA), the agents uncovered a number of issues: poor record-keeping, inventory, tracking, and other failures that…
