Persistent Opioid Use Following Major Orthopedic Surgery.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2025-05-29 DOI:10.1007/s11916-025-01404-0

Rahib K Islam, Brynne E Tynes, Victoria T Tong, Anton Pelto, Matthew Bratton, Kazi N Islam, Richard D Urman, Shahab Ahmadzadeh, Harish Siddaiah, Ross Rieger, Jeffrey Sterritt, Sahar Shekoohi, Alan D Kaye

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引用次数: 0

Abstract

Purpose of review: This narrative review addresses the growing public health concern of persistent opioid use following major orthopedic surgery. It aims to identify and analyze the critical factors that contribute to the transition from acute to persistent opioid consumption in this context.

Recent findings: Patient-related characteristics, including pre-existing conditions and prior substance use, are critical predictors of prolonged opioid use. Additionally, surgery-related factors such as the type and duration of procedures complicate postoperative pain management. The prevalence of persistent opioid use after surgery remains high despite the emergence of effective Enhanced Recovery After Surgery protocols and patient education initiatives. Multimodal analgesia is highlighted as a vital strategy for reducing the risk of long-term opioid dependency. Persistent opioid use after orthopedic surgery poses significant challenges, including increased risks of physical and mental health complications, the development of opioid use disorder, and a substantial economic burden on healthcare systems. Targeted interventions and continuous research are essential to mitigate these risks, reduce long-term opioid dependency, and improve overall patient outcomes.

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重大骨科手术后阿片类药物的持续使用。

综述目的：这篇叙述性综述探讨了重大骨科手术后持续使用阿片类药物引起的日益严重的公共卫生问题。它的目的是确定和分析在这种情况下导致从急性到持续性阿片类药物消费过渡的关键因素。近期发现：患者相关特征，包括既往疾病和既往药物使用，是阿片类药物长期使用的关键预测因素。此外，手术相关的因素，如手术的类型和持续时间使术后疼痛管理复杂化。尽管出现了有效的增强术后恢复方案和患者教育倡议，但术后持续使用阿片类药物的发生率仍然很高。多模式镇痛被强调为降低长期阿片类药物依赖风险的重要策略。骨科手术后持续使用阿片类药物带来了重大挑战，包括增加身心健康并发症的风险，阿片类药物使用障碍的发展以及卫生保健系统的重大经济负担。有针对性的干预措施和持续的研究对于减轻这些风险、减少长期阿片类药物依赖和改善患者的整体预后至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.