Standardizing Opioids Prescribed at Discharge in Trauma Surgery

Seo, Claire H.; Howe, Katherine L.; McAllister, Kelly; McDaniel, Bradford L.; Sharp, Hunter; Lucktong, Tananchai A; Bower, Katie Love; Collier, Bryan R.; Gillen, Jacob R.

doi:10.1016/j.jss.2023.03.049

Cited by 1 publication

(1 citation statement)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25-27 Some institutions have implemented a standardized protocol for opioid prescriptions at discharge. 26-30 Alternatively, individualized opioid prescribing patterns may address postoperative pain control and reduce extra pills diverting into the community. The ORIOLES initiative constructed a predictive calculator to guide opioid prescribing based on factors associated with postdischarge opioid use.…”

Section: Discussionmentioning

confidence: 99%

Practice-Level Variation in Opioid-Free Discharge Following Surgery for T1 Renal Masses: A MUSIC-KIDNEY Analysis

Wang,

Wilder,

Van Til

et al. 2024

Urology Practice

View full text Add to dashboard Cite

Introduction: Opioid prescription following surgery has played a role in the current opioid epidemic. We evaluated practice-level variation in opioid prescribing following surgery for cT1 renal masses and examined the relationships between opioid-free discharge and postoperative emergency department (ED) visits and readmissions. Methods:We retrospectively examined all T1 renal mass (RM) patients with data regarding postoperative opioid prescriptions within the Michigan Urological Surgery Improvement CollaborativeeKidney Mass: Identifying and Defining Necessary Evaluation and Therapy (MUSIC-KIDNEY) registry from April 2021 to March 2023. Patients were stratified into those who received opioids at discharge and those with opioid-free discharge. Associations with patient, tumor, and surgical factors were evaluated. Rates of postoperative ED visits and readmissions within 30 days were compared between cohorts. Practice-level variation was assessed.Results: Of 414 patients who underwent surgery for T1 RM across 15 practices in MUSIC-KIDNEY, 23.7% had opioid-free discharge. Practice-level variation in rates of opioid-free discharge ranged from 6.7% to 55.0%. For patients prescribed opioids, the median number of pills was 10 (IQR 6-12). Patients with cT1b masses were more likely to have opioid-free discharge (44.9% vs 32%, OR 0.44; 95% CI 0.22-0.89). Rates of 30-day ED visits (7.0% vs 3.1%) and readmissions (4.1% vs 2.0%) were lower in the opioid-free discharge group but did not reach statistical significance.

show abstract

Section: Discussionmentioning

confidence: 99%