What evidence is needed to inform postoperative opioid consumption guidelines? A cohort study of the Michigan Surgical Quality Collaborative
Authors' conclusion
This study demonstrates that profiles of opioid consumption share more similarities than differences for certain surgical procedures.
Study context
- Population
- Patients undergoing 15 common surgical procedures, 65 hospitals of the Michigan Surgical Quality Collaborative, January 2018–May 2019
- Participants
- 10,688 patients · 65 hospitals
- Outcome
- Patient-reported opioid consumption after discharge: patterns of use, required sample size and precision
- Follow-up
- 30 days
Methodological detailsmulticentre registry, patient-reported outcomes
- Multicentre registry
- Patient-reported outcomes
Main finding
As reported in the abstract
Patient-reported postoperative opioid consumption
Patients consuming no opioids, across all procedure types (range)
20%-40%
Pills meeting most patients' needs (75th percentile of consumption), thyroidectomy to abdominal hysterectomy
4 to 13 pills
Sample size required to estimate consumption within a 5-pill wide 95% CI, laparoscopic appendectomy to open colectomy
48 to 188
95% CI width for estimates, laparoscopic cholecystectomy to ileostomy/colostomy
0.7 to 7.0 pills
Observational data: associations, not effects.
Original publication
What evidence is needed to inform postoperative opioid consumption guidelines? A cohort study of the Michigan Surgical Quality Collaborative. Reg Anesth Pain Med. Published 29 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →