Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction
  • Patricia D. Franklin , University of Massachusetts Medical School
  • John A. Karbassi , University of Massachusetts Medical School
  • Wenjun Li , University of Massachusetts Medical School
  • Wenyun Yang , University of Massachusetts Medical School
  • David C. Ayers , University of Massachusetts Medical School
Article
UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation; Department of Medicine, Division of Preventive and Behavioral Medicine
Date
6-29-2010
Document Type
Article
Medical Subject Headings
Arthroplasty, Replacement, Knee; Narcotics; Pain; Pain, Postoperative; Patient Satisfaction
Abstract

We examined the prevalence of narcotic use before and after total knee arthroplasty (TKA) and its association with post-TKA pain relief and satisfaction. Data on 6364 primary, unilateral TKA patients in a national registry were analyzed. Before TKA, 24% of patients were prescribed one form of narcotic. Of these, 14% reported continued narcotic use at 12 months after TKA, whereas the majority discontinued use. Only 3% of patients who did not use narcotics before TKA had a narcotics prescription at 12 months. Patients who used narcotics before TKA were more likely to have a narcotic prescription at 12 months post-TKA, reported greater pain at 12 months, and were more likely to be dissatisfied with TKA outcome. These findings have implications for patient pre-TKA counseling.

Rights and Permissions
Citation: J Arthroplasty. 2010 Sep;25(6 Suppl):12-6. Epub 2010 Jun 26. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Citation Information
Patricia D. Franklin, John A. Karbassi, Wenjun Li, Wenyun Yang, et al.. "Reduction in narcotic use after primary total knee arthroplasty and association with patient pain relief and satisfaction" Vol. 25 Iss. 6 Suppl
Available at: http://works.bepress.com/franklinp/25/