The majority of surgical patients receive an opioid and many will go on to become long-term users1

While opioids have been a mainstay in postsurgical pain control, they are also at the center of an ongoing national crisis. For many patients undergoing surgery, it is their first exposure to opioids.
99 percent
Patients that receive an opioid to manage postsurgical pain2*
*
In a retrospective study of hospital discharge data (N=37,031).
1 out of 15: Surgical patients that go on to long-term opioid use3†
† In a prospective longitudinal study (N=109).
7 common surgeries are associated with an increased risk of chronic opioid use4‡
Diagram of surgical procedures and locations on the body where risk is highest for long-term postsurgical opioid use
From a retrospective analysis using administrative health claims data that compared opioid-naïve surgical patients (n=641,941) to a reference group of opioid-naïve nonsurgical patients (n=18,011,137) undergoing total hip arthroplasty, total knee arthroplasty, laparoscopic or open cholecystectomy, open appendectomy, cesarean delivery, and simple mastectomy, transurethral prostate resection, laparoscopic appendectomy, functional endoscopic sinus surgery, and cataract surgery.
68 percent
People using painkillers (nonmedically) diverted from a friend or relative
§ According to the 2013 National Survey on Drug Use and Health among past year users aged 12 or older (N≈37,000).
Visual representation of risk of migration from prescription opioid pills to heroin use
4 out of 5: New heroin users who started out by misusing opioids
¶ From an analysis of the 2008–2010 National Surveys on Drug Use and Health to examine patterns of heroin use and risk behaviors among past year nonmedical users of opioid pain relievers.

Leading health organizations urge a shift towards a multimodal approach, away from opioids.7,8

American Society of Anesthesiologists
A multimodal analgesic approach should be employed whenever possible.
- American Society of Anesthesiologists
2012 Guidelines for Perioperative Pain Management
The Joint Commission
The best approach may be to start with a non-opioid.
- The Joint Commission (JCOH)

Evidence-based care pathways support multimodal analgesia for accelerated patient recovery.9,10

Enhanced Recovery After Surgery (ERAS) protocols are patient-centered, evidence-based models for perioperative care. Multimodal, opioid-reducing approaches are the recommended standard for improving recovery while reducing complications and cost.

Consider patients who would benefit from an alternative to opioids

  • All patients whose use of opioids may impact recovery goals2
  • Patients at risk for opioid-related adverse events (eg, sleep apneic, ≥65 years old, male, obese)8
  • Patients at risk for misuse and abuse of opioids (eg, substance abuse disorder, depression)4
Most patients would prefer a non-opioid option to control their pain.11
89 percent of patients said they were concerned about side effects of and addiction to opioids. 79 percent of patients said they preferred a non-opioid pain management option
2 HCPs sitting at a table having a discussion about opioid scrutiny
HCP explaining patients' needs for opioid alternatives


*
From a survey of 500 adults in the US who had an orthopedic or soft tissue surgery and 200 US surgeons who perform these procedures.