Prospective Evaluation of a Tiered Opioid Prescribing Guideline for Inpatient Colorectal Operations
Authors' conclusion
Adoption of a tiered opioid prescribing guideline significantly reduced opioid prescription quantity with no change in consumption or refill rates.
Study context
- Population
- Patients undergoing elective colorectal operations (colectomies, proctectomies, ostomy reversals) at a single tertiary care medical center
- Participants
- 101 vs 100
- Exposure
- After vs before adoption of a tiered opioid prescribing guideline
- Aftern = 101
- Beforen = 100reference
- Outcome
- Opioid prescribing (EOP)
Methodological detailsbefore-and-after, single-centre
- Before-and-after
- Single-centre
Main finding
As reported in the abstract
Reduction in mean prescription quantity
41%
Reduction in excess pills per prescription
53%
Observational data: associations, not effects.
Further findings
Guideline adherence
- Guideline adherence
- 85%
Opioid consumption and refill rates
- No change in opioid consumption or refill rates
Original publication
Prospective Evaluation of a Tiered Opioid Prescribing Guideline for Inpatient Colorectal Operations. Ann Surg. Published 18 June 2021. doi:10.
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