Implementation of Postoperative Standard Opioid Prescribing Schedules Reduces Opioid Prescriptions Without Change in Patient-reported Pain Outcomes
| Autor: | Allison M. Deal, R. Matthew Coward, Davis P. Viprakasit, Angela B. Smith, Jaehyuk Jung, Hannah E. Cook, Matthew E. Nielsen, Mathew C. Raynor, Hung-Jui Tan, Marc A. Bjurlin, Kathryn Gessner, Eric Wallen, Bradley D. Figler, Nathan Woody, Peggy McNaull, Jami Mann, J. Lee Graves, Kristy M. Borawski, Brooke A. Chidgey |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
animal structures Urology Drug Storage 030232 urology & nephrology Pharmacy Opioid prescribing Drug Prescriptions Article Drug Administration Schedule 03 medical and health sciences 0302 clinical medicine Patient satisfaction Surveys and Questionnaires medicine Humans In patient Patient Reported Outcome Measures Medical prescription Opioid epidemic Pain Postoperative business.industry Analgesics Opioid Opioid Patient Satisfaction 030220 oncology & carcinogenesis Evidence-Based Practice Emergency medicine Urologic Surgical Procedures Guideline Adherence business Oxycodone medicine.drug |
| Zdroj: | Urology |
| Popis: | OBJECTIVE: To implement Standard Opioid Prescribing Schedules (SOPS) based on opioid use following urologic surgeries and to evaluate how evidence-based prescribing schedules affect opioid use and patient reported outcomes. METHODS: Patients who underwent urologic surgeries within 6 procedure subtypes at UNC Health during the 2 study time periods (“pre-SOPS”: 7/2017–1/2018, “post-SOPS”: 7/2018–1/2019) were invited to complete a survey analyzing postoperative opioid usage, storage and disposal, and patient reported outcomes (including pain interference using a validated questionnaire). A pharmacy database provided medication prescribing data and patient demographics. During the pre-SOPS time period, baseline outcomes were measured. Following the pre-SOPS period, usage amounts were analyzed and Standard Opioid Prescribing Schedules were developed to guide prescriptions during the post-SOPS period. Descriptive summary statistics and appropriate t test or r(2) were calculated. RESULTS: A total of 438 patients within 6 procedure types completed the survey (pre-SOPS: 282 patients, post-SOPS: 156 patients). Pre-SOPS, patients were prescribed significantly more 5-mg oxycodone tablets than used (20.9 vs 7.8, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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