Chronic Opioid Usage in Surgical Patients in a Large Academic Center.
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TLDR
Overall prevalence of chronic opioid usage in surgical patients is high with widespread disparity among different sex, age, ethnicity, BMI, and subspecialty groups, and information obtained from this study provides clues to reduce chronic opioid used.Abstract:
Objective:The objective of this study is to investigate the prevalence and disparity of chronic opioid usage in surgical patients and the potential risk factors associated with chronic opioid usage.Background:Chronic opioid usage is common in surgical patients; however, the characteristics of opioidread more
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Chronic Opioid Use After Surgery: Implications for Perioperative Management in the Face of the Opioid Epidemic.
TL;DR: An analysis of the extent to which opioid-sparing perioperative interventions have been shown to reduce the risk of chronic opioid use after surgery and a discussion of future research directions are presented.
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Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines.
Laxmaiah Manchikanti,Adam M. Kaye,Nebojsa Nick Knezevic,Heath B. McAnally,Andrea M. Trescot,Susan Blank,Vidyasagar Pampati,Salahadin Abdi,Jay S. Grider,Alan D. Kaye,Kavita N. Manchikanti,Harold Cordner,Christopher Gharibo,Michael E. Harned,Sheri L. Albers,Sairam Atluri,Steve M. Aydin,Sanjay Bakshi,Robert L. Barkin,Ramsin M Benyamin,Mark V. Boswell,Ricardo M. Buenaventura,Aaron K. Calodney,David L. Cedeño,Sukdeb Datta,Timothy R. Deer,Bert Fellows,Vincent Galan,Vahid Grami,Hans Hansen,Standiford Helm,Rafael Justiz,Dhanalakshmi Koyyalagunta,Yogesh Malla,Annu Navani,Kent H. Nouri,Ramarao Pasupuleti,Nalini Sehgal,Sanford M. Silverman,Thomas T. Simopoulos,Vijay P. Singh,Konstantin V. Slavin,Daneshvari R. Solanki,Peter S. Staats,Ricardo Vallejo,Bradley W. Wargo,Arthur Watanabe,Joshua A Hirsch +47 more
TL;DR: These guidelines are intended to provide a systematic and standardized approach to this complex and difficult arena of practice, while recognizing that every clinical situation is unique.
Journal ArticleDOI
Wide Variation and Overprescription of Opioids After Elective Surgery.
Cornelius A. Thiels,Stephanie Anderson,Daniel S. Ubl,Kristine T. Hanson,Whitney J. Bergquist,Richard Gray,Halena M. Gazelka,Robert R. Cima,Elizabeth B. Habermann +8 more
TL;DR: The majority of patients were overprescribed opioids, and significant variations in opioid prescribing practices were seen within each procedure and between the 3 medical centers.
Journal ArticleDOI
Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures.
Rebecca E. Scully,Andrew J. Schoenfeld,Wei Jiang,Stuart R. Lipsitz,Muhammad Ali Chaudhary,Peter A. Learn,Tracey Perez Koehlmoos,Adil H. Haider,Louis L. Nguyen +8 more
TL;DR: Patterns of opioid pain medication prescriptions after common surgical procedures are described to determine the appropriateness of the prescription as indicated by the rate of refills and balance adequate pain management against the duration of treatment.
References
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Journal ArticleDOI
Persistent postsurgical pain: risk factors and prevention
TL;DR: Strategies for identification of patients at risk and for prevention and possible treatment of this important entity of chronic pain are outlined.
Journal Article
Ambulatory Surgery in the United States, 2006
TL;DR: This report presents national estimates of surgical and nonsurgical procedures performed on an ambulatory basis in hospitals and freestanding ambulatory surgery centers in the United States during 2006, based on data collected through the 2006 National Survey of Ambulatory Surgery.
Journal Article
Explaining odds ratios.
TL;DR: An odds ratio is a measure of association between an exposure and an outcome that represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure.
Journal ArticleDOI
Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments.
TL;DR: Opioid prescribing for patients making a pain-related visit to the emergency department increased after national quality improvement initiatives in the late 1990s, but differences in opioid prescribing by race/ethnicity have not diminished.
Journal ArticleDOI
Long‐term opioid management for chronic noncancer pain
Meredith Noble,Jonathan Treadwell,Stephen J. Tregear,Vivian Coates,Philip J Wiffen,Clarisse Akafomo,Karen M Schoelles,Roger Chou +7 more
TL;DR: Weak evidence suggests that patients who are able to continue opioids long-term experience clinically significant pain relief, and whether quality of life or functioning improves is inconclusive, due to an insufficient quantity of evidence for oral administration studies and inconclusive statistical findings for transdermal and intrathecal administration studies.