Opioid Prescribing Patterns Among Facial Plastic and Reconstructive Surgeons in the Medicare Population

Barbarite, Eric; Occhiogrosso, Jessica; McCarty, Justin C; Lee, Linda N.; Hadlock, Tessa A.; Shaye, David A.; Gadkaree, Shekhar K.

doi:10.1089/fpsam.2020.0551

Cited by 6 publications

(12 citation statements)

References 18 publications

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“…Geographic variation in opioid prescription practices have been previously reported. Barabarite et al found that northeastern facial plastic and reconstructive surgeons prescribed the lowest opioid day supply per beneficiary 5 . Similarly, Svider et al noted that opioid prescription rates were greatest among otolaryngologists practicing in the Midwest and lowest for those in the Northeast 12 .…”

Section: Discussionmentioning

confidence: 99%

“…This decline occurred in the context of nearly equivalent amounts of total beneficiaries and opioid claims. Heightened awareness of the risk of opioid abuse and public efforts to reduce opioid prescription have translated to decreased prescription practices among physicians in a variety of fields 5,24–27 . Similarly, prescription costs have also declined, likely due to 2 factors.…”

Section: Discussionmentioning

confidence: 99%

“…A monumental initiative was started by the US Department of Health and Human services in 2015 to help alleviate these concerns 8 . Steps included recording opioid usage, abuse, and fraud with opioids prescribed under Medicare, allowing for better evaluation of the role of physicians in enabling dependence 5,8,9 . Understanding these dynamics for surgeons is incredibly important as opioids play a key role in the postoperative management for many procedures 10,11 .…”

Section: Introductionmentioning

confidence: 99%

“…This has led to opioid prescribing rates for surgeons being second only to those of pain management specialists 10,11 . This reality has, in part, given rise to a growing body of studies analyzing opioid prescription trends among physicians across surgical subspecialties, including orthopedic surgery, plastic surgery, neurosurgery, and otolaryngology 2,4–7,9–13 …”

Section: Introductionmentioning

confidence: 99%

“…3 The rise in opioid usage and prescription, partially attributable to increased emphasis on patient satisfaction/pain management, led to a significant increase in drug-related deaths and misuse over the past decade. [4][5][6] The escalating rates of narcotic usage and deaths have led to significant efforts in educating physicians across the nation about the risks and dangers of prescribing opioids to patients. 7 A monumental initiative was started by the US Department of Health and Human services in 2015 to help alleviate these concerns.…”

mentioning

confidence: 99%

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Opioid prescription trends among American Head and Neck Society fellowship graduates

et al. 2023

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Background Opioids are commonly used to manage the pain of head and neck (HN) cancer patients. Methods Retrospective cohort of graduates from American Head and Neck Society accredited fellowships from 1997 to 2018. The Center for Medicare and Medicaid Services Part D Provider Utilization and Payment database 2014–2019 was cross‐referenced with provider names to identify opioid prescription trends. Results From 2014 to 2019, there was no significant difference in the average number of opioid beneficiaries per provider (18.02 vs. 18.10, p = 0.586) or opioid claims per provider (28.06 vs. 26.73, p = 0.708). The average total opioid day supply per beneficiary declined from 11.09 to 7.05 days from 2014 to 2019 (p < 0.001). In 2019, providers in the Northeast had the lowest prescribed opioid day supply (3.67 days) compared to those from the South who had the highest (10.32 days). Conclusions Opioid prescription length has significantly declined among HN surgeons, with variations across geographic regions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Opioid prescription trends among American Head and Neck Society fellowship graduates

et al. 2023

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Opioid Prescription Trends Among Sleep Surgeons in the United States

Saroya,

Singh,

Chang

et al. 2024

The Laryngoscope

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ObjectiveThis study aimed to describe trends in opioid prescriptions among US sleep surgeons between 2013 and 2021 via a retrospective analysis conducted using publicly available data.MethodsUtilizing the CMS part D database, we analyzed data from 82 sleep surgeons, focusing on metrics including number of opioid beneficiaries and claims, opioid cost, and opioid day supply per beneficiary. We employed statistical methods including ANOVA, t‐tests, Fisher's exact test with Monte Carlo Simulation, and regression models.ResultsThere were no significant changes in the number of opioid claims (p = 0.782) or beneficiaries per provider (p = 0.590) nor was there a decrease in opioid day supply per beneficiary (p = 0.489) over time. Surgeons who graduated residency before 2000 prescribed significantly more opioids over the course of the study period compared to those graduating after 2000 with higher opioid day supply per beneficiary (13.34 vs. 7.42, p < 0.001), higher opioid beneficiaries per provider (21.62 vs. 19.36, p = 0.028), and higher opioid claims per provider (30.30 vs. 21.78, p < 0.001). A significant annual decrease in opioid cost per beneficiary (ANOVA, p = 0.006) was noted.ConclusionsThis study illuminates a significant impact of provider years in practice on opioid prescribing trends, alongside a decreasing trend in opioid cost per beneficiary. Despite the evolving paradigm emphasizing opioid reduction and evidence of decreasing opioid prescriptions in other otolaryngology subspecialties, our findings depict that opioid prescriptions among sleep surgeons remained stable from 2013 to 2021.Level of EvidenceIII Laryngoscope, 2024

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Commentary on “Opioid Prescribing Patterns Among Facial Plastic and Reconstructive Surgeons in the Medicare Population” by Barbarite et al: Shorter Duration Opioid Prescribing After Surgery—Moving Needles or Goalposts?

Brenner

2021

Facial Plastic Surgery & Aesthetic Medicine

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Opioid Prescribing Patterns Among Facial Plastic and Reconstructive Surgeons in the Medicare Population

Cited by 6 publications

References 18 publications

Opioid prescription trends among American Head and Neck Society fellowship graduates

Opioid prescription trends among American Head and Neck Society fellowship graduates

Opioid Prescription Trends Among Sleep Surgeons in the United States

Commentary on “Opioid Prescribing Patterns Among Facial Plastic and Reconstructive Surgeons in the Medicare Population” by Barbarite et al: Shorter Duration Opioid Prescribing After Surgery—Moving Needles or Goalposts?

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