Fithian A, et. al - A retrospective cohort analysis was conducted to evaluate variability in opioid prescriptions for orthopedic trauma individuals at an academic level 1 trauma center and examined patient, prescriber, and injury factors associated with prescription practices. Researchers retrospectively distinguished individuals with the malleolar, diaphyseal tibia, plateau, proximal femur and forearm fractures at a level 1 trauma center. This study recruited a total of 101 individuals. The number of opioid pills prescribed at discharge, demographics, and prescriber (MD vs. APP) data were obtained. They performed statistical analysis to compare opioid prescriptions with injury location, patient, and prescriber data. Multivariate linear regression analysis was conducted to investigate factors associated with opioid prescribing. The study found high variability in opioid prescribing practices after fracture fixation. While older patients received fewer, individuals with plateau fractures received more opioids. Compared with APPs, physicians were less likely to overprescribe. This indicates opportunities for a postoperative pain protocol to reduce the overprescription of opioids.