Table 2.
Opioid Prescription Trends by Procedure Type and by Preoperative Opioid Exposure
| Variable | Procedure Type | Opioid Exposed Versus Naive | |||||||||
| Achilles, N = 128 | ACLR, N = 433 | BJA, N = 149 | DBR, N = 62 | HVC, N = 69 | RCR, N = 542 | Total, N = 1,383 | P | Opioid, Naive, N = 1,096 | Opioid Exposed, N = 287 | P | |
| Filled another Rx | 20.3% (26) | 21.7% (94) | 45.0% (67) | 22.6% (14) | 29.0% (20) | 44.5% (241) | 33.4% (462) | <0.001 | 26.4% (289) | 60.4% (174) | <0.001 |
| Prolonged >6-mo use | 3.9% (5) | 3.2% (14) | 16.8% (25) | 14.5% (9) | 11.6% (8) | 16.2% (88) | 10.8% (149) | <0.001 | 6.0% (66) | 29.2% (84) | <0.001 |
| Preop opioid usage | 16.4% (21) | 11.1% (48) | 26.2% (39) | 17.7% (11) | 14.5% (10) | 29.2% (158) | 20.8% (287) | <0.001 | — | 100% (287) | — |
| Avg no. Rxs | 1.2 (0.4) | 1.4 (1.3) | 3.3 (3.8) | 2.2 (2.2) | 2.4 (2.0) | 3.0 (3.3) | 2.6 (3.0) | — | 2.6 (3.0) | — | |
| Total MME received | 149.1 (135.3) | 378.3 (1,398.9) | 2,459.0 (4,769.9) | 1,128.4 (2,582.0) | 1,116.5 (2,165.2) | 3,244.9 (13,556.5) | 2,276.9 (10,303.9) | — | 2,276.9 (10,303.9) | — | |
| Avg MME/Rx | 127.2 (99.1) | 159.6 (212.8) | 628.4 (1,392.7) | 259.6 (335.7) | 266.4 (293.0) | 418.6 (796.9) | 371.0 (802.6) | — | 371.0 (802.6) | — | |
| Mean MME of the initial Rx | 295.5 (136.0) | 329.2 (209.1) | 164.7 (159.0) | 183.1 (90.9) | 211.4 (69.4) | 309.6 (223.2) | 290.6 (221.8) | 283.7 (170.0) | 305.4 (297.6) | 0.237 | |
| Postop opioid usage | 20.3% (26) | 21.7% (94) | 45.0% (67) | 22.6% (14) | 29.0% (20) | 44.5% (241) | 33.4% (462) | <0.001 | |||
| Avg no. Rxs | 1.6 (1.5) | 1.6 (1.1) | 3.4 (4.9) | 2.2 (1.6) | 2.3 (2.8) | 3.1 (4.1) | 2.7 (3.7) | 1.6 (1.1) | 4.5 (5.4) | <0.001 | |
| Total MME received | 295.4 (352.5) | 330.2 (610.1) | 2,284.2 (6,403.0) | 633.2 (867.8) | 842.1 (2,512.7) | 2,792.1 (11,736.4) | 1,927.2 (8,895.2) | 309.7 (283.1) | 4,629.1 (14,149.2) | <0.001 | |
| Avg MME/Rx | 169.9 (73.7) | 178.9 (129.2) | 282.3 (414.9) | 221.7 (217.0) | 194.7 (215.7) | 365.2 (577.7) | 292.5 (460.6) | 186.0 (106.3) | 470.5 (706.2) | <0.001 | |
ACLR = anterior cruciate ligament reconstruction, Avg = average; BJA = basal joint arthroplasty, DBR = distal biceps repair, HVC = hallux valgus correction, MME = morphine milligram equivalents, Preop = preoperative, Postop = postoperative; RCR = rotator cuff repair, Rx = prescription