ArticleJSES international2026
The role of a multidisciplinary approach to opioid reduction for patients with operatively treated upper extremity fractures.
Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: The aim of this study was to determine whether a multimodal program for opioid reduction in upper extremity fracture patients decreased (1) inpatient opioid consumption during post-operative days (PODs) 1-4 and (2) outpatient opioid prescription volume. Methods: We conducted a retrospective comparative study of patients with isolated upper extremity fractures admitted to the inpatient orthopedic unit at an academic level 1 trauma center in 2018 and 2020 (pre- and post-program implementation). We calculated total inpatient opioid consumption (measured in morphine milligram equivalents [MMEs]) during POD 1-4 and from opioid prescriptions within 90 days postdischarge. Patients with multiple concurrent fractures, preinjury opioid use, or less than 90-day follow-up were excluded. Descriptive statistics in the form of frequencies (%) and means (standard deviation) were calculated. Linear mixed modeling with repeated measures revealing Results: A total of 128 patients with an operatively treated upper extremity fracture were identified (76 in 2018, 52 in 2020). No differences were seen in patient demographics. Pre-operative peripheral nerve block use was similar between groups ( Conclusion: A multidisciplinary approach is effective for reducing inpatient opioid consumption in operatively treated upper extremity fracture patients, with the greatest reduction seen on POD 1 and 2. Increases in gabapentin prescriptions following protocol implementation may indicate the beneficial role of gabapentin administration in decreasing inpatient opioid consumption.
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