The use of outpatient opioid medication for acute renal colic and ureteral stents: Insights from a multi-institutional patient surveyâ©.
Clin Nephrol
; 93(6): 269-274, 2020 Jun.
Article
in En
| MEDLINE
| ID: mdl-32271145
ABSTRACT
AIMS:
To investigate the main reasons for use of opioids during acute episodes of renal colic and for ureteral stent symptoms post-operatively. MATERIAL ANDMETHODS:
A survey assessing the impact of decreased quality of life and use of opioid pain medication was distributed to patients with a history of ureteral stent at seven academic centers between July 2016 and June 2018.RESULTS:
A total of 365 surveys were completed. Opioid use for stone (63.9%) and stent-related pain (39.0%) was common among respondents. When assessing whether patients used more opioids for stone or stent-related pain, 47.7% reported using more for stone pain while 15.0% reported using more for stent pain. 22.6% of patients required opioids for stent-related pain and not stone pain. Increasing patient age was found to be negatively associated with using opioids for stent-related pain (OR 0.4, 95% CI 0.3 - 0.6). Increasing age was also found to be negatively associated with opioid use for stone pain (OR 0.6, 95% CI 0.4 - 0.8). Patients with a greater number of prior stones had 3.2 times the odds of using opioids for stone pain, in our adjusted model (95% CI 2.1 - 4.7).CONCLUSION:
Patients with more prior stone episodes are more likely to have used opioids for their most recent episode. Although ureteral stents have been shown to be associated with a decreased quality of life, we showed that the use of opioids for stent-related pain is less than that for stone pain. Younger patients are less likely to tolerate a stent without opioid analgesics.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ureteral Calculi
/
Stents
/
Renal Colic
/
Analgesics, Opioid
Type of study:
Clinical_trials
/
Prognostic_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Clin Nephrol
Year:
2020
Type:
Article