2022
Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review
Ruberto R, Farah O, Lopez C, Hickernell T. Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e94-e106. PMID: 36580055, DOI: 10.5435/jaaos-d-22-00232.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidArthroplasty, Replacement, HipGlucocorticoidsHumansPain, PostoperativePostoperative Nausea and VomitingSteroidsConceptsTotal joint arthroplastyPostoperative surgical complicationsPostoperative painSystematic reviewPerioperative glucocorticoidsPerioperative steroidsPostoperative nauseaSurgical complicationsGlucocorticoid administrationJoint arthroplastyMultimodal pain controlPerioperative glucocorticoid administrationPerioperative steroid administrationPostoperative opioid utilizationRescue medication useAdditional randomized trialsCommon orthopaedic proceduresNotable adverse effectsRange of motionIntravenous glucocorticoidsHospital lengthOpioid utilizationPain controlPain scoresPostoperative length
2021
State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort.
Lopez C, Boddapati V, Jobin C, Hickernell T. State Medical Cannabis Laws Associated With Reduction in Opioid Prescriptions by Orthopaedic Surgeons in Medicare Part D Cohort. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: e188-e197. PMID: 32404683, DOI: 10.5435/jaaos-d-19-00767.Peer-Reviewed Original ResearchConceptsMedical cannabis lawsMedicare Part D patientsState medical cannabis lawsTotal daily dosesDaily dosesOpioid medicationsOpioid prescriptionsOrthopaedic surgeonsOpioid prescribingD patientsSignificant reductionPopulation-based ecological studyTotal opioid prescriptionsCannabis lawsAnalgesic optionsAnalgesic alternativeOpioid useHigh prescribersOrthopedic patientsPatient cohortD cohortSignificant associationPatient accessMedicationsOpioids
2020
Opioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients
Kaidi A, Lakra A, Jennings E, Neuwirth A, Geller J, Shah R, Cooper H, Hickernell T. Opioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients. JAAOS Global Research And Reviews 2020, 4: e20.00066. PMID: 32656479, PMCID: PMC7322780, DOI: 10.5435/jaaosglobal-d-20-00066.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidArthroplasty, Replacement, KneeHumansPain, PostoperativePractice Patterns, Physicians'PrescriptionsRetrospective StudiesConceptsChronic opioid usersOpioid-naive patientsMorphine equivalent dosesOpioid prescriptionsOpioid useChronic usersOpioid usersOrthopaedic departmentChronic preoperative opioid useTotal joint arthroplasty outcomesEquivalent dosesElective total hipJoint arthroplasty outcomesMore opioid prescriptionsPreoperative opioid useTotal joint arthroplastyUrban medical centerCurrent opioid epidemicNaive patientsOpioid prescribingPostoperative periodPrescribing patternsPostoperative intervalsTotal hipArthroplasty outcomes
2018
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Hickernell T, Lakra A, Berg A, Cooper H, Geller J, Shah R. Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty? The Journal Of Arthroplasty 2018, 33: 3637-3641. PMID: 30170713, DOI: 10.1016/j.arth.2018.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCannabinoid Receptor AgonistsCannabinoidsClinical ProtocolsCohort StudiesDronabinolFemaleHumansLength of StayMaleMiddle AgedMorphinePain ManagementPain MeasurementPain, PostoperativePatient SatisfactionPhysical Therapy ModalitiesRetrospective StudiesConceptsLength of stayNausea/vomitingMorphine equivalentsTotal joint arthroplastyDronabinol groupTJA patientsPhysical therapyVisual analog scale pain scoreVisual analog scale scoreMultimodal pain regimenOpioid morphine equivalentsPost-arthroplasty patientsPrimary TJA patientsTotal morphine equivalentsScale pain scoresAnalog scale scoreBody mass indexEffects of dronabinolMann-Whitney U testT-testStudent's t-testAnesthesiologists (ASA) scoreMultimodal painPain regimenPain scores