Evidence map›Paper›PMID 40809061›Full record

ArticleArthroplasty today2025

Fewer Pills for Fewer Problems: Strategies for Reducing Postoperative Opioid Prescribing Following Total Joint Arthroplasty.

Catherine M Call, Mary Noyes, Kamli N W Faour, Diane Jeselskis, Adam J Rana

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Catherine M CallTufts University School of Medicine, Boston, MA, USA.
Mary NoyesTufts University School of Medicine, Boston, MA, USA.
Kamli N W FaourTufts University School of Medicine, Boston, MA, USA.
Diane JeselskisMMP Orthopedics & Sports Medicine, Maine Medical Center, Portland, ME, USA.
Adam J RanaTufts University School of Medicine, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Opioid overprescribing is a concern within the field of arthroplasty, and a growing body of evidence suggests surgeons can prescribe smaller quantities of opioids for orthopaedic postoperative pain management without compromising patient care. Current literature indicates prescribing trends in arthroplasty are shifting in response. Our institution has prioritized quality improvement projects focused on multimodal pain control for patients undergoing total joint arthroplasty procedures in an active attempt to reduce postoperative narcotic use. We highlight tips for instituting similar initiatives based on our institution's experience, including communication strategies, the importance of establishing the expectation for postoperative pain management by the orthopaedic surgery team, and the role for postoperative pill counts. Future initiatives aimed to facilitate these changes, including the upcoming legislation the Nonopioids Prevent Addiction in the Nation Act, are discussed.

Indexed as

OpioidRisk reductionTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID40809061
PMCPMC12343351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.