5/ Persistent postoperative opioid use is an important outcome, as it suggests that an opioid-naive patient received opioids meant for short-term use after surgery, but continued to fill them for month or years afterward, which carries significant risks.
Last sentence from a 2017 study: Moral is doctors have known for years they leave pts in pain. "New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness." https://t.co/IklpreOIt6
RT @jacobjamesrich: Persistent use of opioids is about 6% after surgery. That's a ceiling for the addiction rate, which is likely much lowe…
Persistent use of opioids is about 6% after surgery. That's a ceiling for the addiction rate, which is likely much lower. https://t.co/FO5iQcg18x
RT @EricRobertson: *Opioid misuse.
RT @RoyFilmDPT: 6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated wi…
RT @RoyFilmDPT: 6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated wi…
RT @RoyFilmDPT: 6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated wi…
RT @RoyFilmDPT: 6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated wi…
RT @RoyFilmDPT: 6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated wi…
*Opioid misuse.
6% of post-op pts become new persistent opioid users whether surgery was major or minor. This is more closely associated with behavioral and pain disorders. This suggests opioid use is not due to surgical pain but to screenable patient-level predictors. ht
RT @bryanjmara: Chronic opioid use may be less associated with postsurgical pain than addressable factors. #OpioidEpidemic #opioid #opioids…
Chronic opioid use may be less associated with postsurgical pain than addressable factors. #OpioidEpidemic #opioid #opioids #opioidawareness https://t.co/3fDJGZ7DmG
I say that’s bullshit, animals get better care then humans thanks to the lies spread around. Big difference in after care .patients recover slower when left to suffer.
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
This data has been falsified. #CRPS #Cancer #OpioidEpidemic
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
RT @DavidJuurlink: This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complic…
This calls to mind the work of @drchadb, who deemed new, persistent opioid use "... the most common postsurgical complication." https://t.co/d84Zs02b8V https://t.co/Oz3QIV0Bxy
@PulmCrit I think we need to optimize how opioids are used & weaned in the ICU. We need more PICs clinics to bridge the transition gap & assess for these issues. But I question if the findings are more related to surgical proc vs icu sedation prob
Harriet great to see you and thank you for the kind words. Proud of the work of https://t.co/nmExBy7Wnn and was appreciative of the opportunity to share with @FAERanesthesia early scholars and #ANES19 #ANES2019
RT @HarrietHopfMD: Dr. Chad Brummet (@drchadb) kicking it off w riveting talk on contribution of acute opioid prescription for surgery & lo…
Dr. Chad Brummet (@drchadb) kicking it off w riveting talk on contribution of acute opioid prescription for surgery & long term #opioid opioid use, including recommendations for doing better. #opioidcrisis #FAERANES19 #ANES19 #eSAS https://t.co/RqHbr2U
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
Less than 1% of #opioid-naive patients develop OUD when they took #opioids up to 90 days post-op. Why does Congress neglect to protect Americans from overt abuse of CDC #opioid GL?
Data published in BMJ (US study) show less than 1% of post-op patients who took Rx #opioids up to 90 days developed OUD. JAMA data of 6% continuing #opioid past 90 days included patients with #chronicpain. #painpatientsvote
@SenAlexander @SenateGOP @SenateDems @HouseGOP @HouseDemocrats @WSJ @nytimes @washingtonpost @ABC @CBSNews @NBCNews @FoxNews A 1-yr study says 6% post-op pts continue Rx #opioids after 90 days--including pts w/untreated pain pre-op. #PainPatientsVote https
RT @drchadb: @daviesbj Completely aligns with our @JAMASurgery Study. The minor surgery cohort was ~6%. Many studies since have reproduced…
RT @drchadb: @daviesbj Completely aligns with our @JAMASurgery Study. The minor surgery cohort was ~6%. Many studies since have reproduced…
@daviesbj Completely aligns with our @JAMASurgery Study. The minor surgery cohort was ~6%. Many studies since have reproduced the finding. Becoming a new chronic #opioid user is the most common complication after elective surgery. https://t.co/1Sq5kJaEVE
@StefanKertesz @DavidJuurlink Reasonable question but data from #surgery suggest not an issue of post-surgical pain. Top two refs on image- new chronic #opioid use after total knee/hip replacement not associated with #pain outcomes and @JAMASurgery ref no
RT @DavidJuurlink: @drrobbietee @drchadb They've done that math https://t.co/krddsXdFXF https://t.co/fvlfpAQma8
@drrobbietee @drchadb They've done that math https://t.co/krddsXdFXF https://t.co/fvlfpAQma8
Yet rate of new chronic #opioid use similar between major and minor surgery. Moreover change in knee/hip pain 6 months after replacement not associated with likelihood of new chronic use https://t.co/oEm0ntcZfK https://t.co/CfsAGiozc2 @JAMASurgery @PAINthe
Overprescribing #opioid after surgery is common. Well intended but misguided. We made recs patient on actual patient-reported outcomes- recs are refreshed with new data and new recs coming soon https://t.co/n5TUg8eHUN https://t.co/nmExBy7Wnn
RT @jedwardsIII: New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. | Substance Use and Addiction | JAMA Sur…
We found rates of new chronic use after CURATIVE cancer #surgery were higher than similar surgeries not for cancer https://t.co/RdzGfnqgcP https://t.co/enbpmsnHO0
@Rfonsi1 @MDaware Can i get u to read my review of the data here: https://t.co/pLD0lixckK JAMA paper here: https://t.co/Cxryz8gp1b Many others cited in our paper All after the reviews you are citing
@JohnTuckerPhD paper https://t.co/U6lQprJSMz read my whole essay please
A 2017 Study found that about 6% of surgical patients had new persistent #opioid use following surgery, which is more common than previously reported and can be considered one of the most common complications after elective surgery. https://t.co/lBzJxFS2Z1
@KMBoling @DavidJuurlink https://t.co/2oILmt663X This was from last year and one that I personally found very eye opening.
Not in the dataset. Other studies of surgery the outcome of new persistent #opioid use not different between major and minor surgery https://t.co/1Sq5kJaEVE
You will need to read the entire study not just the first page . The refs you are seeing are from another study. Both refs 3 and 4 are surgery https://t.co/1Sq5kJaEVE https://t.co/8zgJwOeoT4 https://t.co/m5YahglqE9
@hally0987 @DavidJuurlink @AnnalsofEM https://t.co/Ie1nAeQ4EP https://t.co/CC5TspFKhP Not being prescribed opioids is a safe strategy in the vast majority of nonmalignant pain conditions. There are exceptions which can be determined at the bedside Opioids
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
New Persistent Opioid Use After Minor and Major Surgery in US Adults https://t.co/2j95aHcs2M https://t.co/zRd2mRK7GD
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
There is so much we could do to prevent this.
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
Wait, you mean...data analysis and thoughtfully implemented plans are the key to fighting the #opioidcrisis ? It’s not mandatory minimums? 🤦♂️
RT @DavidJuurlink: Another: some patients new to opioids after surgery don't stop taking them. Paraphrasing @drchadb: "New, persistent opi…
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
Brummett: New Persistent Opioid Use After Minor and Major ... - The JAMA Network https://t.co/p8ee8bloXs #pmwc18
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
Did you intentionally leave orthopedic surgeries out or is that just what your database gave you? #opioidepidemic https://t.co/ntFHsgkKZT
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
RT @drchadb: @ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most comm…
@ASRA_Society @kevinmd thanks for highlighting our work showing 6% rate of new persistent #opioid use after surgery. Most common postop complication https://t.co/nmExBy7Wnn https://t.co/oEm0ntuAEk @JAMASurgery @JAMA_current @UM_IHPI https://t.co/PyYcJItX3S
10 Points for @Toxdoc120 for reading the article before retweeting in opposition. True that severity of surgery not associated much as he lack of assoc btwn TKA and THA outcomes and new chronic use- prospective data https://t.co/EXA9IDiJVu @PAINthejournal
@drbknight @DavidJuurlink @drchadb Not necessarily true. In Brummett study, similar rates for minor and major procedures. Patient level factors like psych dx, SUD hx, for example were more predictive for persistent opioid use than procedure itself. https
RT @EMARIANOMD: @drchadb To your credit @drchadb, you have given us plenty of data in addition to your experience: https://t.co/7jHFp56rX8…
RT @EMARIANOMD: @drchadb To your credit @drchadb, you have given us plenty of data in addition to your experience: https://t.co/7jHFp56rX8…
@drchadb To your credit @drchadb, you have given us plenty of data in addition to your experience: https://t.co/7jHFp56rX8 and https://t.co/AM05pnhoHq and https://t.co/eEm2JMWzsy and https://t.co/Rqsd4toffB and more...
“New persistent opioid use…can be considered one of the most common complications after elective surgery.” https://t.co/tMhMZG8aZp
RT @DavidJuurlink: Important study. New, persistent opioid use "one of the most common complications after elective surgery." https://t.co/…
RT @drchadb: @SeanDowdy1 thanks for quoting our work. #opioid dependence is he most common complication after elective surgery https://t.co…
RT @drchadb: @SeanDowdy1 thanks for quoting our work. #opioid dependence is he most common complication after elective surgery https://t.co…
@SeanDowdy1 thanks for quoting our work. #opioid dependence is he most common complication after elective surgery https://t.co/nmExBy7Wnn is working to make change https://t.co/ulnDc8VayP @JAMASurgery @UM_IHPI @MichaelEnglesbe @waljeejenn @leejs5 @harbauc
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…
RT @NSCsafety: "New persistent opioid use is more common than previously reported and can be considered one of the most common complication…