@article{f634604740244108b18c84a81ac308f2,
title = "Discharge prescription patterns of opioid and nonopioid analgesics after common surgical procedures",
abstract = "Introduction: Recent literature has shown a wide variation in the prescribing patterns of opioids after elective surgery. We conducted an evaluation of discharge opioid prescribing after elective surgical procedures to determine whether opioid-prescribing patterns varied at our institution. Method: A single academic medical center retrospective review of patients undergoing laparoscopic cholecystectomy, laparoscopic appendectomy, open umbilical hernia repair, simple mastectomy, or thyroidectomy between July 2015 and July 2016. Results: Among a total of 615 unique surgical cases, we found a wide variation in the number of pills and morphine milligram equivalents prescribed for each procedure evaluated. In addition, 94.8% of all patients discharged received a prescription for opioids, whereas only 15.6% of patients received a prescription for a nonopioid analgesic. Conclusion: The number and strength of opioids prescribed after surgery can vary widely at a single institution. Further research is needed to elucidate variations in prescribing.",
keywords = "Discharge prescription, Opioid, Postoperative pain, Surgery",
author = "Nooromid, {Michael J.} and Eddie, {Blay B.} and Holl, {Jane L.} and Bilimoria, {Karl Y.} and Johnson, {Julie K.} and Eskandari, {Mark K.} and Stulberg, {Jonah J.}",
note = "Funding Information: M. J. Nooromid and E. Blay are partially supported by a National Institutes of Health Grant (T32HL094293-06). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. J. J. Stulberg is the primary investigator of a grant (R34DA044752) from the National Institute on Drug Abuse of the National Institutes of Health titled “System-Level Implementation to Reduce Excess Opioid Prescribing in Surgery.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. J. J. Stulberg is the primary investigator of a grant from the Digestive Health Foundation (www.digestivehealthfoundation.org) titled “A Multidisciplinary Collaboration to Minimize Diversion of Opioids.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the Digestive Health Foundation. Publisher Copyright: Copyright {\textcopyright} 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY)",
year = "2018",
month = jan,
day = "1",
doi = "10.1097/PR9.0000000000000637",
language = "English (US)",
volume = "3",
journal = "Pain Reports",
issn = "2471-2531",
publisher = "Lippincott Williams and Wilkins",
number = "1",
}