Pain medicine

Finding the Balance Between Reduced Opioid Prescribing and Patient-reported Pain Management Among General Surgery Patients

Ann SurgPublished Prospective before-and-after cohort study

Authors' conclusion

Prescribing guidelines successfully reduced opioid prescribing without increased refill rates.

Study context

Population
Opioid-naïve adults undergoing 12 elective general surgery procedures at a single institution
Participants
138 vs 603
Exposure
Postguideline vs Preguideline
  • Postguidelinen = 138
  • Preguidelinen = 603reference
Outcome
Patient-reported outcomes
Follow-up
Median 26 days from discharge
Methodological detailssingle-centre, telephone survey
  • Single-centre
  • Telephone survey

Main finding

As reported in the abstract

Prescriptions within recommendations

P < 0.001

Observational data: associations, not effects.

Further findings

Refill rates · similar

P = 0.50

Satisfaction with pain control · value = very/somewhat satisfied

Very/somewhat dissatisfied

P = 0.039

No opioids prescribed — Patients prescribed no opioids, in both cohorts
16.7% · P = 0.98

Median MME prescribed

Statistically significant drop in median MME prescribed, procedures
9 of 12 procedures (75%)

Safety

Very/somewhat dissatisfied with pain control

P = 0.039

Original publication

Finding the Balance Between Reduced Opioid Prescribing and Patient-reported Pain Management Among General Surgery Patients. Ann Surg. Published 26 August 2022. doi:10.1097/sla.0000000000005680

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