Stambough JB, Hui R, Siegel ER, et al. - This study was intended to present narcotic refills and patient satisfaction with pain control after total joint arthroplasty. Researchers examined pre- and post-operative narcotic prescriptions filled for 438 consecutive total joint arthroplasty (TJA) patients applying the state’s mandatory opioid prescription monitoring program. Individuals were classified into 3 groups based on the number of post-TJA narcotic refills obtained and logistic regression analysis was performed to compare demographics, surgical factors, and satisfaction with pain control. A higher rates of satisfaction with early pain control were reported in patients who received fewer narcotic prescriptions and overall MMEs. The outcomes are consistent with other studies in exhibiting that elevated pre-operative narcotic use portends higher rates of post-operative refills. There seems to be a subset of THA individuals > 65 years of age who may be candidates for opioid-sparing analgesia.