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Study Assesses Opioid Prescribing in Orthopaedics by Country
A study published in the July 17 issue of The Journal of Bone & Joint Surgery found that opioid prescribing habits in orthopaedics may vary significantly in different countries. Orthopaedic residents from academic centers in Haiti, the Netherlands, and the United States responded to questionnaires asking what they would prescribe for post-discharge analgesia. Opioid prescriptions were converted to morphine milligram equivalents (MMEs). The overall mean total MMEs per case was significantly higher among U.S. residents (383 MMEs) compared to residents from the Netherlands (229 MMEs) and Haiti (101 MMEs); the same was true in injury-specific analysis: femur (U.S., 452 MMEs; Netherlands, 315 MMEs; Haiti, 103 MMEs), tibial plateau (459 MMEs, 280 MMEs, and 114 MMEs, respectively), tibial shaft (440 MMEs, 294 MMEs, and 141 MMEs, respectively), wrist (239 MMEs, 78 MMEs, and 63 MMEs, respectively), and ankle (331 MMEs, 190 MMEs, and 85 MMEs, respectively). In the U.S., residents prescribed significantly more MMEs to patients aged < 40 years (432 MMEs) compared to those aged > 70 years (327 MMEs).
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