Pain medicine

Opioid prescription rates associated with surgery among adolescents in the United States from 2015 to 2020

Paediatr AnaesthPublished Cross-sectional study

Authors' conclusion

Opioid prescription rates associated with surgery remained stable between 2015 and 2020 in the United States, despite significant decreases in prescribing among nonsurgical populations.

Study context

Population
US adolescents aged 10–19 years in the Medical Expenditure Panel Survey, 2015 to 2020Medical Expenditure Panel Survey (MEPS) 2015–2020
Participants
26,909 adolescents
Exposure
Postsurgical opioid prescription rates over time, 2015 vs 2020
Outcome
Postsurgical opioid prescription rates over time
Methodological detailspopulation-based, national survey (MEPS)
  • Population-based
  • National survey (MEPS)

Main finding

As reported in the abstract

Opioid prescribing for surgery

Observational data: associations, not effects.

Further findings

Outcome20152020Estimated difference (95% CI)P value
Combined opioid prescribing for surgical and nonsurgical indications, all adolescentsSignificant decrease4.1%1.4%2.7% (1.7%–3.7%)P < 0.0001

Surgery rate

Surgery rate

Overall 4.7% of adolescents underwent a surgical procedure
Surgery rate stable; lower among minority populations

Original publication

Opioid prescription rates associated with surgery among adolescents in the United States from 2015 to 2020. Paediatr Anaesth. Published 4 October 2023. doi:10.1111/pan.14753

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