Pain medicine

Association of Opioid Prescribing and Consumption with Patient-reported Experiences and Satisfaction After Emergency Surgery in Michigan

Ann SurgPublished Retrospective cohort study

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 →

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