Changes in Single-Specialty Postoperative Opioid Prescribing Patterns in Response to Legislation: Single-Institution Analysis Over Time
| Autor: | Michael E. Hoffer, Carly Misztal, Michael K. Ghiam, Andrew P. Katz |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Postoperative pain Specialty Legislation Opioid prescribing Drug Prescriptions 03 medical and health sciences Otolaryngology 0302 clinical medicine Pain control Medicine Humans 030212 general & internal medicine Medical prescription Single institution Practice Patterns Physicians' 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over Controlled substance Pain Postoperative business.industry Middle Aged Otorhinolaryngologic Surgical Procedures Analgesics Opioid Otorhinolaryngology Ambulatory Surgical Procedures Emergency medicine Florida Surgery Female business |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 164(4) |
| ISSN: | 1097-6817 |
| Popis: | To determine changes in the prescriptions of postoperative opioids in response to Florida state legislation restricting the number of days for which these medications could be prescribed to 3 days in most circumstances or 7 days at provider discretion.A retrospective review was performed for all patients undergoing 7 common outpatient otolaryngology surgical procedures.Single-institution academic center in Florida.Query of the state's online prescription drug monitoring program was used to compare prescription habits 3 months before and after the law and then again 1 year later.A total of 561 patients were identified meeting criteria. The number of days that opioids were prescribed decreased significantly, from 6.42 to 4.48 to 3.03 days. There was a significant decrease in the proportion of patients receiving any postoperative opioid prescription, from 0.80 to 0.52 to 0.32. The total morphine milligram equivalents prescribed decreased from 28.4 before the law to 18.4 at 1 year after.Legislative restrictions on the length of opioid prescriptions were associated with significant decreases in the proportion of patients receiving any opioids, the number of days that opioids were prescribed, and the total morphine milligram equivalents 3 months after the law went into effect, with even more dramatic changes at the 1-year time point. We opine that these changes are due to providers learning that many procedures do not require postoperative opioids and therefore increasingly considering and utilizing nonopioid alternatives in this setting. |
| Databáze: | OpenAIRE |
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