Association of Opioid Prescribing and Consumption with Patient-reported Experiences and Satisfaction After Emergency Surgery in Michigan
Authors' conclusion
Patients only consumed half of the opioids they were prescribed after undergoing emergency surgery. In addition, patients who were given larger prescriptions consumed more opioids, but did not experience less pain, higher satisfaction, better quality of life, or less regret to undergo surgery.
Study context
- Population
- Adults ≥18 years undergoing emergency surgery with a discharge opioid prescription, 69 hospitals in Michigan, 2018–2020
- Participants
- 3,742 adults · 69 hospitals
- Exposure
- Opioid prescription size vs consumption and patient-reported outcomes
- Outcome
- Relationships among opioid prescribing, consumption and patient-reported outcomes
Methodological detailspopulation-based, multicentre
- Population-based
- Multicentre
Main finding
As reported in the abstract
Opioid pills prescribed and consumed; association of prescription size with consumption
Prescription sizeAdjusted odds ratio (probability of consumption) (95% CI)
Logit part of 2-part model
1.02(1.01–1.04)
- Linear regression part of 2-part model
- coefficient (amount consumed, conditional on any consumption) 0.70 (95% CI 0.54–0.86)
- Mean number of opioid pills prescribed
- 9.6
- Mean number of opioid pills consumed
- 4.6
Observational data: associations, not effects.
Further findings
Pain, satisfaction, quality of life, regret to undergo surgery
- Larger prescriptions not associated with less pain, higher satisfaction, better quality of life or less regret
Original publication
Association of Opioid Prescribing and Consumption with Patient-reported Experiences and Satisfaction After Emergency Surgery in Michigan. Ann Surg. Published 14 March 2024. doi:10. 1097/ sla. 0000000000006264
Composed by AI from the published abstract and checked against it. How Briefs are made →