Variability in opioid prescribing practices, knowledge, and beliefs: A survey of providers caring for pediatric surgical patients
| Autor: | Akemi L. Kawaguchi, Mary T. Austin, Kevin P. Lally, Elisa I. Garcia, Dalya M. Ferguson, Seyed A. Arshad, Nutan B. Hebballi, KuoJen Tsao, Linda T. Li |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Drug Prescriptions Opioid prescribing 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics medicine Humans Practice Patterns Physicians' Child Pain Postoperative Opioid epidemic business.industry Stakeholder General Medicine Analgesics Opioid Cross-Sectional Studies Opioid 030220 oncology & carcinogenesis Family medicine Pediatrics Perinatology and Child Health Surgery Stewardship business medicine.drug Surgical patients |
| Zdroj: | Journal of Pediatric Surgery. 57:469-473 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2021.05.003 |
| Popis: | Background/Purpose Comprehensive opioid stewardship programs require collective stakeholder alignment and proficiency. We aimed to determine opioid-related prescribing practices, knowledge, and beliefs among providers who care for pediatric surgical patients. Methods A single-center, cross-sectional survey was conducted of attending physicians, residents, and advanced practice providers (APPs), who managed pediatric surgical patients. Results Of 110 providers surveyed, 75% completed the survey. Over half of respondents (n = 43, 52%) reported always/very often prescribing opioids at discharge, with residents reporting the highest rate (66%). Provider types had varying prescribing patterns, including what types of opioids and non-opioids they prescribed. There was a lack of formal training, particularly among residents, of which only 42% reported receiving formal opioid prescribing education. Finally, although only 28% of providers felt that the opioid epidemic affects children, 48% believed pediatric providers’ prescribing patterns contributed to the opioid epidemic as a whole, and 80% reported changing their prescribing practices in response. Conclusions Significant variability exists in opioid prescribing practices, knowledge, and beliefs among providers who care for pediatric surgical patients. Effective opioid stewardship requires comprehensive policies, pediatric specific guidelines, and education for all providers caring for children to align provider proficiency and optimize prescribing patterns. |
| Databáze: | OpenAIRE |
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