Evidence map›Paper›PMID 29430565›Full record

ArticlePain reports2018

Discharge prescription patterns of opioid and nonopioid analgesics after common surgical procedures.

Michael J Nooromid, Eddie Blay, Jane L Holl, Karl Y Bilimoria, Julie K Johnson, Mark K Eskandari, Jonah J Stulberg

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pain reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05221866 (Efficiency And Quality In Post-Surgical Pain Therapy After Discharge), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05221866 nacompletednot on this mapstarted 2022, after this paper: background citation

Efficiency And Quality In Post-Surgical Pain Therapy After Discharge

TypeinterventionalSponsorUniversity of NebraskaRan2022 to 2023Enrolled711ConditionsOpioid Use, Opioid Dependence, Opioid Misuse, Post-Surgical ComplicationArmsEmpowering Patient to Steer Their Pain Management After Surgery, Provider-facing Prescription Aid
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

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  12. Reduced Opioid Prescription Practices and Duration of Stay after TAP Block for Laparoscopic Appendectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Michael J NooromidDivision of Vascular Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Eddie BlayDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Jane L HollCenter for Healthcare Studies, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Karl Y BilimoriaDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Julie K JohnsonDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Mark K EskandariDivision of Vascular Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Jonah J StulbergDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Northwestern University · US

Funding

Vascular Surgery Scientist Training ProgramT32HL094293 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ESKANDARI, MARK K · 2009 to 2023
$4.0M
System-Level Implementation to Reduce Excess Opioid Prescribing in SurgeryR34DA044752 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI JOHNSON, JULIE KAREN, STULBERG, JONAH JAMES · 2017 to 2019
$711k
NHLBI NIH HHS T32 HL094293NIDA NIH HHS R34 DA044752
6 · The paper itself

Abstract

introductionRecent 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.

methodA 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.

resultsAmong 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.

conclusionThe number and strength of opioids prescribed after surgery can vary widely at a single institution. Further research is needed to elucidate variations in prescribing.

Indexed as

Discharge prescriptionOpioidPostoperative painSurgery

Identifiers

PMID29430565
PMCPMC5802324
OpenAlexW2791702817

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.