ArticleJournal of orthopaedic trauma2017
Patterns of Opioid Prescribing for an Orthopaedic Trauma Population.
Article in Journal of orthopaedic trauma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prescription Patterns, Associated Factors, and Outcomes of Opioids for Operative Foot and Ankle Fractures: A Systematic Review.Clinical orthopaedics and related research · 2022Pooled it
- Opioid Prescribing Patterns and Complications in the Dermatology Medicare Population.JAMA dermatology · 2018Pooled it
- Intravenous Ibuprofen Reduces Opioid Consumption During the Initial 48 Hours After Injury in Orthopedic Trauma Patients.Journal of orthopaedic trauma · 2020Trial
- Prevalence and risk of chronic opioid use in orthopaedic polytrauma patients.Archives of orthopaedic and trauma surgery · 2025Article
- Trends in the use of opioid and non-opioid analgesics after TBI with and without polytrauma.Trauma surgery & acute care open · 2025Article
- Operative treatment of clavicle fractures results in more opioids prescribed as compared to non-operative management.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Opioid utilization after orthopaedic trauma hospitalization among Medicaid-insured adults.Frontiers in public health · 2024Article
- The impacts of anxiety and depression on outcomes in orthopaedic trauma surgery: a narrative review.Annals of medicine and surgery (2012) · 2023Article
- Impact of clinical decision support on controlled substance prescribing.BMC medical informatics and decision making · 2023Observational
- A systematic review of patient-centered interventions for improving pain outcomes and reducing opioid-related risks in acute care settings.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Long-term opioid use following bicycle trauma: a register-based cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Trust but Verify: Discordance in Opioid Reporting Between the Electronic Medical Record and a Statewide Database.Cureus · 2022Article
- Association of Preoperative Opioid Use With Postoperative Opioid Use and Patient-Reported Outcomes in Ankle Fracture Fixation Patients.Foot & ankle orthopaedics · 2022Article
- Preoperative Opioid Informed Consent and Prescribing Practices in Children Undergoing Orthopaedic Trauma Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Pain Management Strategies After Orthopaedic Trauma: A Mixed-Methods Study with a View to Optimizing Practices.Journal of pain research · 2022Article
- Pain management on a trauma service: a crisis reveals opportunities.Trauma surgery & acute care open · 2022Article
- Article
- A Work in Progress: National Opioid Prescription Reductions Across Orthopaedic Subspecialties in a Contemporary Medicare Sample of 5,026,911 Claims.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Article
- National Trends in Use of Regional Anesthesia and Postoperative Patterns of Opioid Prescription Filling in Shoulder Arthroscopy: A Procedure-Specific Analysis in Patients With or Without Recent Opioid Exposure.Orthopaedic journal of sports medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo determine opioid-prescribing practices to the orthopaedic trauma (OT) population at one Level I trauma center.
designA retrospective study of discharge prescriptions for adult patients with OT. Prescription details, injury burden, and patient demographics were abstracted for patients from initial injury through a 2-month follow-up.
settingLevel I trauma center. PATIENTS/
participantsAdult patients with OT admitted over a 30-day period (n = 110).
interventionAll discharge and follow-up opioid prescriptions were recorded. MAIN OUTCOME MEASUREMENTS: Morphine milligram equivalents (MMEs) per day, number of opioid prescriptions, type/dose of medication prescribed.
resultsOne hundred thirty-five discharge prescriptions were written for 110 patients with orthopaedic injuries during the review period. All patients received opioids at the time of discharge. The MMEs prescribed at the time of discharge was 114 mg (54-300 mg) for a mean of 7.21 days (2-36.7 days). Although patients with preinjury risk factors were prescribed discharge opioids for a similar duration (7.00 days vs. 7.30 days, P = 0.81) than those without risk factors, they were prescribed significantly more MMEs than those without (130 vs. 108, P < 0.05) and were more likely to receive extended-release and long-acting opioids than those without (42.11% vs. 21.98%).
conclusionsPain management after OT continues to be opioid-centric despite involving a population at risk. Further focus on prescriber and patient education, risk evaluation with mitigation, guideline development, and comprehensive pain management strategies are warranted in the OT population. LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.