I'm a medical student at Cindy Kimmel Medical College. Before I get started, I'd just like to thank Arthroscopy Association of North America for allowing me to present my research here today. I would also like to thank my co-investigators for participating in this project with me. This research was conducted in the sports medicine department at Rothman Institute under the supervision of Dr. Samer Hamoud. The name of our project is Postoperative Opioid Usage Following Outpatient Arthroscopic Sports Medicine Procedures. These are disclosures. I have no financial disclosures at this time. So the odds of death from opioid overdose have risen to the fifth highest in this country in 2017. This has surpassed motor vehicle collisions for the first time ever. People in this country have a 1 in 96 odds of dying from opioid overdose, a grim statistic, but one that sheds light onto the seriousness of the epidemic that we face in this country today. The total number of opioid prescriptions peaked in 2012 at more than 255 million. This amounts to 81.3 prescriptions per 100 people in this country. Limited literature suggests that patients will consume a median of 20 pills following orthopedic foot and ankle procedures, but are oftentimes prescribed twice that amount. The purpose of our study was to elucidate the number of opioid pills patients actually consume in the postoperative period, as well as report on the number of pills that are left over and what patients intend to do with those leftover pills. Our patient population included ages 15 to 40. Procedures that they underwent included ACL reconstruction, meniscectomy, meniscus repair, shoulder labral repair, and hip surgery for femoral acetabular impingement, chondral injuries, and labral tears. These were distributed on postoperative days 1 through 14 and, again, on postoperative day 21. The surveys distributed on postoperative days 1 through 14 asked about the number of opioid pills that were consumed in the previous 24 hours. The survey distributed on postoperative day 21 asked about the number of opioid pills that were consumed in the previous seven days, as well as the number of pills they had remaining and what they intended to do with them, if applicable. These tables describing the demographics of our study population, we have currently 74 patients enrolled at an average age of 26.7 years. The majority of our patients had undergone ACL reconstruction, followed by hip surgery and meniscectomy. These are the results of our patient's opioid consumption in the postoperative period. The table is broken down by the procedures that were included in this study. The second column gives you an idea of the number of opioid pills that are prescribed by our providers after the indicated procedure. The third column is giving you the average number of opioid pills that were consumed, with ACL reconstruction having the highest amount at 16.87 pills. The average number of opioid pills that were remaining in the last 24 hours ranged from 10 to 14. The average number of opioid pills was not reported due to the lack of responses we have obtained in that procedure group. We have no evidence that they consumed opioid pills between postoperative days 15 through 21. These are the results of our patient's intentions of what they would do with their opioids. Our patients had reported they would dispose of them in some way, including flushing them down the street, throwing them in the trash, or giving them to the specified facility. Our patients reported they would keep them for future use, and no one reported that they would dispose of them. Our patients have a large number of opioid pills remaining, following common arthroscopy. These medications have potential for diversion for future use by patients or family members, and can propagate opioid misuse and addiction. We in the orthopedic community should continue to limit the number of opioid pills prescribed in the postoperative period, while maintaining effective analgesia, thereby mitigating access to opioid pills, and reduce the potential habit formation following procedures. Thank you for your time.

opioid usage

postoperative period

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orthopedic community