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More than two-thirds of drug overdose deaths in 2017 involved an opioid

More Than Two-Thirds of Drug OD Deaths in 2017 Involved Opioids

Significant increases seen in death rates involving synthetic opioids in 15 of 20 states from 2013 to 2017
Patients with opioid use disorder undergoing cardiac surgery have increased complications and costs

Complications, Costs Up With Cardiac Sx in Opioid Use Disorder

No increased risk of mortality, but increase in incidence of major complications
The labels of prescription opioid painkillers should advise doctors to consider simultaneously prescribing the opioid overdose antidote naloxone

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

Federal government urged to make naloxone more widely available, easier to obtain, and cheaper
Opioid use is associated with small improvements in pain and physical functioning in patients with chronic noncancer pain

Opioids Offer Small Improvement in Pain, Physical Function

Benefits for pain and physical function similar between opioids and nonopioid pain meds
Buprenorphine-naloxone is cost-effective compared with extended-release naltrexone for treating opioid use disorder

Buprenorphine-Naloxone Cost-Effective for Opioid Use Disorder

Treatment costs less than extended-release naltrexone without negative impact on outcomes
Guidelines have been developed for use of opioids for uncomplicated spontaneous vaginal birth; the draft consensus guidelines were published online Dec. 4 in Obstetrics & Gynecology.

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines include use of lowest effective dose, smallest quantity of opioids needed for expected pain
For patients with musculoskeletal pain

Early PT Linked to Less Opioid Use in Musculoskeletal Pain

For opioid-naive patients, early physical therapy tied to less opioid use in shoulder, neck, knee, back pain
Chronic opioid use during pregnancy that causes neonatal abstinence syndrome is associated with smaller neonatal head circumference

Smaller Heads Related to Opioid-Related Neonatal Abstinence Syndrome

Chronic opioid use in pregnancy resulting in NAS linked to smaller head circumference in neonates
An ultrarestrictive opioid prescription protocol can reduce the number of opioids prescribed to patients after gynecologic and abdominal surgery without negative health consequences

Ultrarestrictive Opioid Rx Protocol Cuts Postoperative Opioid Use

UROPP reduces opioids prescribed after gynecologic, abdominal surgery without negative effects
Prescription opioid medications are overprescribed after simple arthroscopic meniscectomy

Opioids Overprescribed After Arthroscopic Meniscectomy

Only 573.5 of 3,765 pills prescribed were consumed by 102 patients undergoing meniscectomy