Effect of CURES Legislation on Narcotic Prescriptions After Soft-tissue Hand Surgery.

Conor Spady, Damien Cannon, Montri Daniel Wongworawat, David E Ruckle, Rusheel Nayak, Brittany McPhee
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Abstract

California's Controlled Substance Utilization Review and Evaluation System (CURES) was mandated in 2018 to monitor and limit opiate prescriptions. This study evaluated the effects of this legislation on postoperative opioid prescriptions of patients undergoing soft tissue hand surgery. Patients receiving carpal tunnel release, trigger finger release, and ganglion excisions 18 months prior to and 18 months after CURES were selected. The primary outcome was milligram morphine equivalent (MME) prescribed at the surgical encounter and at first postoperative visit. There were 758 patients in the pre-CURES cohort and 701 patients in the post-CURES cohort. In the pre-CURES cohort, there was 116.9 ± 123.8 MME prescribed post op and 10.2 ± 70.8 at first follow-up, whereas post-CURES had 58.8 ± 68.4 MME and 1.1 ± 14.1 for post-op and first follow-up respectively. Findings of this study indicate state regulations may play a role in reducing narcotic consumption following soft tissue hand surgery. (Journal of Surgical Orthopaedic Advances 33(2):122-124, 2024).

CURES 立法对手部软组织手术后麻醉剂处方的影响。
加利福尼亚州的 "受控物质使用审查和评估系统"(CURES)于 2018 年被授权对阿片类药物处方进行监控和限制。本研究评估了这项立法对手部软组织手术患者术后阿片类药物处方的影响。研究选取了在 CURES 之前 18 个月和之后 18 个月接受腕管松解术、扳机指松解术和神经节切除术的患者。主要结果是手术时和术后首次就诊时的吗啡毫克当量(MME)处方。CURES前队列中有758名患者,CURES后队列中有701名患者。在 CURES 之前的队列中,术后处方为 116.9 ± 123.8 毫西米,首次随访为 10.2 ± 70.8 毫西米;而在 CURES 之后的队列中,术后处方为 58.8 ± 68.4 毫西米,首次随访为 1.1 ± 14.1 毫西米。这项研究结果表明,国家法规可能会在减少手部软组织手术后的麻醉剂用量方面发挥作用。(外科矫形外科进展杂志》33(2):122-124,2024 年)。
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