Current Opioid Minimization in Spine Surgery

MedChat

Podcast: Current Opioid Minimization in Spine Surgery

Evaluation and Credit: https://www.surveymonkey.com/r/MedChat30

Target Audience

This activity is targeted toward primary care, neurology and spine surgery specialties.

Statement of Need

Approximately 38% of patients are still using opioids one year post-surgery for elective spine procedures.* This rate can be affected by interventions prior to surgery to decrease in-hospital and post-surgery opioid consumption. The goal with new protocols is to either reduce or completely eliminate the opioid prescribing following surgery therefore decreasing the risk of patient abuse and addiction. This program will discuss research being conducted that will highlight effective alternatives to opioids for the management of post-surgical pain, as well as patient characteristics that can lead to opioid use.

Objectives

At the conclusion of this offering, the participant will be able to:

1. Discuss nonopioid modalities for pain management.
2. Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery.
3. Describe the clinical modalities for nonopioid pain control: pre-surgical, intra-operatively and post-surgery.
4. List patient characteristics and modifiable risk factors that contribute to opioid use.

Moderator Joe Flynn, D.O. MPH, FACP Chief Administrative Officer, Norton Medical Group Physician-in-Chief, Norton Cancer Institute

Speaker

Jeffrey Gum, M.D. Spine Surgeon Norton Leatherman Spine Center

Moderator and Planner Disclosures

The moderator and planners for this activity have no relevant relationships to disclose.

Speaker Disclosure

The speaker reports relationships with Medtronic, Acuity, Stryker, NuVasive, and Mazor for his role as consultant; Acuity and NuVasive for royalties; Medtronic and Stryker for Advisory/Editorial; Baxter, Broadwater, and Pacira Pharmaceuticals for honorarium; Cingulate Therapeutics for stock; Intellirod Spine Inc., Pfizer, and Carapedics for research support. All relevant financial relationships have been mitigated.

Commercial Support

There was no commercial support for this activity.

Physician Credits

American Medical Association

Accreditation

Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.

Designation

Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

HB1 / Prescribing Controlled Substances

The Kentucky Board of Medical Licensure has approved the podcast Current Opioid Minimization in Spine Surgery for .75 HB1 credit hours. ID# 0721-H.50-NHC4f.

Resources for Additional Study

Drivers of in-hospital opioid consumption in patients undergoing lumbar fusion surgery https://pubmed.ncbi.nlm.nih.gov/33834124/

Duration and Dosage of Opioids after Spine Surgery: Implications on Outcomes at 1 Year

https://pubmed.ncbi.nlm.nih.gov/32675616/

Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.

Date of Original Release |August 2021

Course Termination Date | August 2024

Contact Information | Center for Continuing Medical, Provider and Nursing Education; [phone] or [e-mail]