Cluster-Randomized Trial of Opiate-Sparing Analgesia
after Discharge from Elective Hip Surgery
Opiate abuse has become one of the most rapidly growing public health concerns in the US. The incidence of opiate abuse increased five-fold from 2010 to 2016, and 33,000 deaths were reported from overdoses in 20151,2. Orthopedic surgeons have traditionally relied heavily on opiates after hip replacement despite no clear evidence of benefit. Patients have typically been discharged with up to 100 tablets, and it is not uncommon for patients to misuse these medications after hip surgery. Consequently, nearly 5% of previously opiate-naïve patients go on to become chronic abusers3,4. Multimodal analgesia may reduce or even obviate the need for opiates after elective hip surgery.