Postoperative Pain After Mohs Surgery: Physician Perceptions and How Those Perceptions Influence Opioid Prescribing Practices
| Autor: | Kyle A Prickett, Savannah Taylor, Mariana A Phillips, Ellen Rachel Lockhart, Joshua D. Eikenberg |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Evening medicine.medical_treatment Postoperative pain Analgesic Dermatology Opioid prescribing Drug Prescriptions 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Rating scale Mohs surgery medicine Physician perception Humans Patient Reported Outcome Measures Prospective Studies Practice Patterns Physicians' Aged Pain Measurement Aged 80 and over Pain Postoperative business.industry General Medicine Middle Aged Mohs Surgery Prognosis Analgesics Opioid Treatment Outcome 030220 oncology & carcinogenesis Physical therapy Surgery Observational study Female Perception business Dermatologists |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 47(2) |
| ISSN: | 1524-4725 |
| Popis: | BACKGROUND Little is known about dermatologists' perceptions of postoperative pain and how those perceptions correlate with patient-reported pain and opioid prescribing. OBJECTIVE To determine dermatologists' accuracy in predicting postoperative pain compared with patient-reported pain and how physicians' perceptions affect opioid prescribing practices. METHODS AND MATERIALS A prospective observational study in which patients undergoing Mohs surgery rated pain on the Numerical Rating Scale (0-10). Using the same scale, the physician predicted how much pain the patient would experience postoperatively on the evening of surgery. All analgesic medications taken in postoperative period were recorded. RESULTS A total of 316 patients completed the study (70% completion rate). Physician predictions were correlated with patient-reported pain (p < .001; r = 0.29) and were within 2 points of patient-reported pain in 70% of cases. When physicians overestimated patient-reported by ≥3 points, they were not more likely to prescribe opioids (p = .8094). Physicians predicted higher pain for patients who were prescribed opioids (p = .0002). CONCLUSION Dermatologists were fairly accurate at predicting postoperative pain. Dermatologists were not more likely to prescribe opioids when pain was overpredicted. |
| Databáze: | OpenAIRE |
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