Journal ArticleDOI
Wide Variation and Excessive Dosage of Opioid Prescriptions for Common General Surgical Procedures.
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TLDR
Using an ideal number of pills to prescribe, surgeons can adequately treat postoperative pain and markedly decrease the number of opioids prescribed.Abstract:
Objective:To examine opioid prescribing patterns after general surgery procedures and to estimate an ideal number of pills to prescribe.Background:Diversion of prescription opioids is a major contributor to the rising mortality from opioid overdoses. Data to inform surgeons on the optimal dose of opread more
Citations
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Journal ArticleDOI
New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults.
Chad M. Brummett,Jennifer F. Waljee,Jenna Goesling,Stephanie E. Moser,Paul Lin,Michael J. Englesbe,Amy S.B. Bohnert,Sachin Kheterpal,Brahmajee K. Nallamothu,Brahmajee K. Nallamothu +9 more
TL;DR: New persistent opioid use after surgery is common and is not significantly different between minor and major surgical procedures but rather associated with behavioral and pain disorders, which suggests its use is not due to surgical pain but addressable patient-level predictors.
Journal ArticleDOI
Prescription Opioid Analgesics Commonly Unused After Surgery: A Systematic Review.
Mark C. Bicket,Jane J. Long,Peter J. Pronovost,Peter J. Pronovost,G. Caleb Alexander,Christopher L. Wu +5 more
TL;DR: Postoperative prescription opioids often go unused, unlocked, and undisposed, suggesting an important reservoir of opioids contributing to nonmedical use of these products, which could cause injuries or even deaths.
Journal ArticleDOI
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study.
Gabriel A. Brat,Denis Agniel,Andrew L. Beam,Brian K. Yorkgitis,Mark C. Bicket,Mark L. Homer,Kathe Fox,Daniel B Knecht,Cheryl N. McMahill-Walraven,Nathan Palmer,Isaac S. Kohane +10 more
TL;DR: The data from this study suggest that duration of the prescription rather than dosage is more strongly associated with ultimate misuse in the early postsurgical period, and each refill and week of opioid prescription is associated with a large increase in opioid misuse among opioid naive patients.
Journal ArticleDOI
Persistent Opioid Use Among Pediatric Patients After Surgery.
Calista M. Harbaugh,Jay S. Lee,Hsou Mei Hu,Sean Esteban McCabe,Terri Voepel-Lewis,Michael J. Englesbe,Chad M. Brummett,Jennifer F. Waljee +7 more
TL;DR: Persistent opioid use after surgery is a concern among adolescents and young adults and may represent an important pathway to prescription opioid misuse, particularly among at-risk patients.
Journal ArticleDOI
Opioid-Prescribing Guidelines for Common Surgical Procedures: An Expert Panel Consensus
Heidi N. Overton,Marie N. Hanna,William E. Bruhn,Susan Hutfless,Mark C. Bicket,Mark C. Bicket,Martin A. Makary,Martin A. Makary,Brian R. Matlaga,Clark T. Johnson,Jeanne S. Sheffield,Ronen Shechter,Hien Nguyen,Greg Osgood,Christi Walsh,Richard A. Burkhart,Alex B. Blair,Wes Ludwig,Suzanne A. Nesbit,Peiqi Wang,Suzette Morgan,Christian Jones,Lisa M. Kodadek,James Taylor,Zachary Obinna Enumah,Richard C. Gilmore,Mehran Habibi,Kayode Williams,Jon Russell,Karen Wang,Joanna W. Etra,Stephen R. Broderick,Tiffany Zavadsky +32 more
TL;DR: In this paper, a 3-step modified Delphi method involving a multidisciplinary expert panel of 6 relevant stakeholder groups (surgeons, pain specialists, outpatient surgical nurse practitioners, surgical residents, patients, and pharmacists) was used to develop consensus ranges for outpatient opioid prescribing at the time of discharge after 20 common procedures in 8 surgical specialties.
References
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Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
TL;DR: This guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.
Journal ArticleDOI
Management of postoperative pain: A clinical practice guideline from the american pain society, the american society of regional anesthesia and pain medicine, and the american society of anesthesiologists' committee on regional anesthesia, executive committee, and administrative council.
Roger Chou,Debra B. Gordon,Oscar A. de Leon-Casasola,Jack M. Rosenberg,Stephen W. Bickler,Timothy J. Brennan,Todd Carter,Carla L. Cassidy,Eva Chittenden,Ernest Degenhardt,Scott R. Griffith,Renee C.B. Manworren,Bill McCarberg,Robert R. Montgomery,Jamie D. Murphy,Melissa F. Perkal,Santhanam Suresh,Kathleen A. Sluka,Scott A. Strassels,Richard C. Thirlby,Eugene R. Viscusi,Gary A. Walco,Lisa Warner,Steven J. Weisman,Christopher L. Wu +24 more
TL;DR: The American Pain Society, with input from the American Society of Anesthesiologists, developed a clinical practice guideline to promote evidence-based, effective, and safer postoperative pain management in children and adults.
Journal ArticleDOI
Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014
TL;DR: Findings indicate that the opioid overdose epidemic is worsening and there is a need for continued action to prevent opioid abuse, dependence, and death, improve treatment capacity for opioid use disorders, and reduce the supply of illicit opioids, particularly heroin and illicit fentanyl.
Journal ArticleDOI
Opioid Epidemic in the United States
Laxmaiah Manchikanti,Standiford Helm,Bert Fellows,Jeffrey W. Janata,Vidyasagar Pampati,Jay S. Grider,Mark V. Boswell +6 more
TL;DR: The obstacles that must be surmounted are primarily inappropriate prescribing patterns, which are largely based on a lack of knowledge, perceived safety, and inaccurate belief of undertreatment of pain.