Comparison of prescribing patterns before and after implementation of evidence-based opioid prescribing guidelines for the postoperative urologic surgery patient.
Am J Surg
; 220(2): 499-504, 2020 08.
Article
en En
| MEDLINE
| ID: mdl-31831158
ABSTRACT
BACKGROUND:
We developed evidence-based guidelines for postoperative opioid prescribing after urologic surgery and assessed changes in prescribing after implementation.METHODS:
Prescribing data for adults who underwent 21 urologic procedures were used to derive a four-tiered guideline for postoperative opioid prescribing. This was implemented on January 1, 2018, and prescribing patterns including quantity of opioids prescribed (oral morphine equivalents; OME) and refill rates were compared between patients undergoing surgery prior to (January-April, 2017; n equals 1732) and after (January-April, 2018; n equals1376) implementation.RESULTS:
The median OME (IQR) prescribed was significantly lower for 2018 compared with 2017 [100 (0; 175) versus 150 (60; 225); p < .0001]. The median prescribed OME decreased in 14/21 procedures (67%). The refill rates did not significantly change. Guideline adherence rates after implementation, based on individual procedures, ranged from 33 to 95%.CONCLUSIONS:
Fewer opioids were prescribed after implementing a prescribing guideline. Additional study is required to assess patient opioid utilization.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
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Prescripciones de Medicamentos
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Procedimientos Quirúrgicos Urológicos
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Urología
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Pautas de la Práctica en Medicina
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Adhesión a Directriz
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Analgésicos Opioides
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Año:
2020
Tipo del documento:
Article