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
Reads0
Chats0
TLDR
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.Abstract:
Objective:We aimed to identify opioid prescribing practices across surgical specialties and institutions.Background:In an effort to minimize the contribution of prescription narcotics to the nationwide opioid epidemic, reductions in postoperative opioid prescribing have been proposed. It has been suread more
Citations
More filters
Journal ArticleDOI
Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update
Gregg Nelson,Jamie N. Bakkum-Gamez,Eleftheria Kalogera,Gretchen E. Glaser,Alon D. Altman,Larissa A. Meyer,Jolyn S. Taylor,Maria D. Iniesta,Javier Lasala,Gabriel E. Mena,Michael J. Scott,Chelsia Gillis,Kevin M. Elias,Lena Wijk,Jeffrey Huang,Jonas Nygren,Olle Ljungqvist,Pedro T. Ramirez,Sean C. Dowdy +18 more
TL;DR: This is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery, and the updated evidence base and recommendation are presented.
Journal ArticleDOI
Results of a Prospective, Multicenter Initiative Aimed at Developing Opioid-prescribing Guidelines After Surgery.
Cornelius A. Thiels,Daniel S. Ubl,Kathleen J. Yost,Sean C. Dowdy,Tad M. Mabry,Halena M. Gazelka,Robert R. Cima,Elizabeth B. Habermann +7 more
TL;DR: A large proportion of postoperative patients reported using no or few opioids following discharge, and guidelines were developed to minimize opioid prescribing and identify patients requiring low doses or additional multimodal pain control.
Journal ArticleDOI
Effect of an Enhanced Recovery After Surgery Program on Opioid Use and Patient-Reported Outcomes
Larissa A. Meyer,Javier Lasala,Maria D. Iniesta,Alpa M. Nick,Mark F. Munsell,Qiuling Shi,Xin Shelley Wang,Katherine E. Cain,Karen H. Lu,Pedro T. Ramirez +9 more
TL;DR: Implementation of an ERAS program was associated with significantly decreased opioid use after surgery and improvement in key patient-reported outcomes associated with functional recovery after surgery without compromising pain scores.
Journal ArticleDOI
Chronic use of tramadol after acute pain episode: Cohort study
TL;DR: People receiving tramadol alone after surgery had similar to somewhat higher risks of prolonged opioid use compared with those receiving other short acting opioids, and providers should use as much caution when prescribing tramADol in the setting of acute pain as for other shortacting opioids.
Journal ArticleDOI
Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management–White Paper 2017
Arthur Yin Fan,David W. Miller,Bonnie Bolash,Matthew Bauer,John McDonald,Sarah Faggert,Hongjian He,Yong-ming Li,Amy Matecki,Lindy Camardella,Mel Hopper Koppelman,Jennifer A. M. Stone,Lindsay Meade,John Pang +13 more
TL;DR: Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, and neonatal intensive care units to treat a variety of commonly seen pain conditions.
References
More filters
Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.
TL;DR: This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death.
Journal ArticleDOI
Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015.
TL;DR: In an effort to target prevention strategies to address the rapidly changing epidemic, CDC examined overall drug overdose death rates during 2010-2015 and opioid overdosedeath rates during 2014-2015 by subcategories (natural/semisynthetic opioids, methadone, heroin, and synthetic opioids other than methad one).
Journal ArticleDOI
Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged.
TL;DR: Despite an increased focus on pain management programs and the development of new standards for pain management, many patients continue to experience intense pain after surgery and additional efforts are required to improve patients’ postoperative pain experience.
Journal ArticleDOI
The Effectiveness and Risks of Long-Term Opioid Therapy for Chronic Pain: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop
Roger Chou,Judith A. Turner,Emily B Devine,Ryan N. Hansen,Sean D. Sullivan,Ian Blazina,Tracy Dana,Christina Bougatsos,Richard A. Deyo +8 more
TL;DR: In this paper, a review found that prescriptions of opioid medications for chronic pain have increased dramatically, as have opioid overdoses, abuse, and other harms and uncertainty about long-term effectiveness.