Editor's Note A new study led by researchers at Massachusetts General Hospital (MGH) finds reduced opioid administration during surgery unintendedly increased postoperative pain and opioid use. The retrospective cohort study included 61,249 individuals who underwent noncardiac surgery with general anesthesia from April 2016 to March 2020. The maximal pain score…

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Editor's Note The Food and Drug Administration (FDA), on April 13, updated prescribing information for all opioid pain medications, including requiring all packaging to have updated labeling and safety information. This includes stating that: for both immediate-release (IR) and extended release/long acting (ER/LA) opioid pain medications, the risk of overdose…

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Editor's Note The American Society of Anesthesiologists (ASA), on March 29, issued a news report urging the public to learn to recognize and respond to an opioid overdose, now that the Food and Drug Administration has approved naloxone for sale over the counter. Naloxone, which is commonly sold as a…

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Editor's Note This study led by researchers from the Centers for Medicare and Medicaid Services and Centers for Disease Control and Prevention finds that federal actions taken to expand telehealth use for Medicare patients with opioid use disorder (OUD) and to facilitate provision of medications for OUD (MOUD) were associated…

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Editor's Note This study from the University of Michigan, Ann Arbor, finds that total hip (THA) and total knee (TKA) arthroplasty patients could be prescribed less opioids after surgery without the need for refills. The analysis included a cohort of 120,889 opioid-naïve primary total joint arthroplasty patients aged 18 to…

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The headlines are attention grabbing: hospitals forced to pay millions of dollars after employees were found to have stolen opioids and other controlled substances. After being discovered and investigated by the Drug Enforcement Agency (DEA), the agents uncovered a number of issues: poor record-keeping, inventory, tracking, and other failures that…

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Editor's Note This study by researchers from Harvard Medical School, Boston, finds that telehealth is a comparable alternative to in-person care of patients with opioid use disorder (OUD). This cohort study analyzed data on 1,768 clinicians who treated 11,801 patients with OUD via telehealth visits during COVID-19 prepandemic (March 14,…

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Editor's Note This study by researchers at the Massachusetts General Hospital, Boston, finds that patients participating in an Enhanced Recovery after Surgery (ERAS) program were prescribed significantly fewer opioids at discharge, compared to patients before ERAS was instituted. A total of 3,983 patients were included (1,929 pre-ERAS and 2,054 post-ERAS).…

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Editor's Note This study by researchers at The Ohio State University Wexner Medical Center and College of Medicine, Columbus, finds that the first year of COVID-19 saw a 113% increase in “Years of Life Lost” (YLL) among adolescents and young people in the US because of unintentional drug overdoses. Among…

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