Opioid Stewardship in Orthopaedic Surgery: Principles and Practice

JBJS Rev. 2020 Aug;8(8):e1900175-8. doi: 10.2106/JBJS.RVW.19.00175.


The abuse of prescription opioid pain medication has contributed to the U.S. opioid crisis. Opioid stewardship programs ensure that our patients receive the safest and most effective opioid regimens. Opioid stewardship programs involve a multidisciplinary team, including pharmacists, orthopaedic surgeons, nurses, pain management personnel, and anesthesiologists. All of these stakeholders work together to formulate the best evidence-based use of these medications.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / administration & dosage*
  • Drug Prescriptions / standards*
  • Humans
  • Opioid-Related Disorders / prevention & control*
  • Orthopedic Procedures*
  • Pain Management
  • Pain, Postoperative / prevention & control*


  • Analgesics, Opioid