The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.

<h4>Introduction</h4>Diversion of prescription opioid medication is a contributor to the opioid epidemic. Safe handling practices can reduce the risk of diversion. We aimed to understand: 1) if orthopaedic patients received instructions on how to safely handle opioids, 2) their typical s...

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Autores principales:	Kala Sundararajan, Prabjit Ajrawat, Mayilee Canizares, J Denise Power, Anthony V Perruccio, Angela Sarro, Luis Montoya, Y Raja Rampersaud, University Health Network Division of Orthopaedic Surgery
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/278ca90d0dd547faaca62f8c0ecfaede
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spelling	oai:doaj.org-article:278ca90d0dd547faaca62f8c0ecfaede2021-12-02T20:19:28ZThe potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.1932-620310.1371/journal.pone.0256741https://doaj.org/article/278ca90d0dd547faaca62f8c0ecfaede2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256741https://doaj.org/toc/1932-6203<h4>Introduction</h4>Diversion of prescription opioid medication is a contributor to the opioid epidemic. Safe handling practices can reduce the risk of diversion. We aimed to understand: 1) if orthopaedic patients received instructions on how to safely handle opioids, 2) their typical storage/disposal practices, and 3) their willingness to participate in an opioid disposal program (ODP).<h4>Methods</h4>Cross-sectional study of adult orthopaedic patients who completed an anonymous survey on current or past prescription opioid use, instruction on handling, storage and disposal practices, presence of children in the household, and willingness to participate in an ODP. Frequencies and percentages of responses were computed, both overall and stratified by possession of unused opioids.<h4>Results</h4>569 respondents who reported either current or past prescription opioid use were analyzed. 44% reported receiving storage instructions and 56% reported receiving disposal instructions from a health care provider. Many respondents indicated unsafe handling practices: possessing unused opioids (34%), using unsafe storage methods (90%), and using unsafe disposal methods (34%). Respondents with unused opioids were less likely to report receiving handling instructions or using safe handling methods, and 47% of this group reported having minors or young adults in the household. Respondents who received storage and disposal instructions were more likely to report safe storage and disposal methods. Seventy-four percent of respondents reported that they would participate in an ODP.<h4>Conclusion</h4>While many orthopaedic patients report inadequate education on safe opioid handling and using unsafe handling practices, findings suggest targeted education is associated with better behaviours. However, patients are willing to safely dispose of unused medication if provided a convenient option. These findings suggest a need to address patient knowledge and behavior regarding opioid handling to reduce the risk of opioid diversion.Kala SundararajanPrabjit AjrawatMayilee CanizaresJ Denise PowerAnthony V PerruccioAngela SarroLuis MontoyaY Raja RampersaudUniversity Health Network Division of Orthopaedic SurgeryPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256741 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kala Sundararajan Prabjit Ajrawat Mayilee Canizares J Denise Power Anthony V Perruccio Angela Sarro Luis Montoya Y Raja Rampersaud University Health Network Division of Orthopaedic Surgery The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
description	<h4>Introduction</h4>Diversion of prescription opioid medication is a contributor to the opioid epidemic. Safe handling practices can reduce the risk of diversion. We aimed to understand: 1) if orthopaedic patients received instructions on how to safely handle opioids, 2) their typical storage/disposal practices, and 3) their willingness to participate in an opioid disposal program (ODP).<h4>Methods</h4>Cross-sectional study of adult orthopaedic patients who completed an anonymous survey on current or past prescription opioid use, instruction on handling, storage and disposal practices, presence of children in the household, and willingness to participate in an ODP. Frequencies and percentages of responses were computed, both overall and stratified by possession of unused opioids.<h4>Results</h4>569 respondents who reported either current or past prescription opioid use were analyzed. 44% reported receiving storage instructions and 56% reported receiving disposal instructions from a health care provider. Many respondents indicated unsafe handling practices: possessing unused opioids (34%), using unsafe storage methods (90%), and using unsafe disposal methods (34%). Respondents with unused opioids were less likely to report receiving handling instructions or using safe handling methods, and 47% of this group reported having minors or young adults in the household. Respondents who received storage and disposal instructions were more likely to report safe storage and disposal methods. Seventy-four percent of respondents reported that they would participate in an ODP.<h4>Conclusion</h4>While many orthopaedic patients report inadequate education on safe opioid handling and using unsafe handling practices, findings suggest targeted education is associated with better behaviours. However, patients are willing to safely dispose of unused medication if provided a convenient option. These findings suggest a need to address patient knowledge and behavior regarding opioid handling to reduce the risk of opioid diversion.
format	article
author	Kala Sundararajan Prabjit Ajrawat Mayilee Canizares J Denise Power Anthony V Perruccio Angela Sarro Luis Montoya Y Raja Rampersaud University Health Network Division of Orthopaedic Surgery
author_facet	Kala Sundararajan Prabjit Ajrawat Mayilee Canizares J Denise Power Anthony V Perruccio Angela Sarro Luis Montoya Y Raja Rampersaud University Health Network Division of Orthopaedic Surgery
author_sort	Kala Sundararajan
title	The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
title_short	The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
title_full	The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
title_fullStr	The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
title_full_unstemmed	The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.
title_sort	potential for diversion of prescribed opioids among orthopaedic patients: results of an anonymous patient survey.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/278ca90d0dd547faaca62f8c0ecfaede
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The potential for diversion of prescribed opioids among orthopaedic patients: Results of an anonymous patient survey.

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