ArticleAnnals of surgical oncology2019
The Impact of Education and Prescribing Guidelines on Opioid Prescribing for Breast and Melanoma Procedures.
Article in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 70 citations in OpenAlex.
- Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions: A Randomized Clinical Trial.JAMA health forum · 2024Trial
- Utilization and evolving prescribing practice of opioid and non-opioid analgesics in patients undergoing lymphadenectomy for cutaneous malignancy.Journal of surgical oncology · 2022Trial
- Observational
- Article
- Excess Opioid Medication and Variation in Prescribing Patterns Following Common Breast Plastic Surgeries.Plastic surgery (Oakville, Ont.) · 2024Article
- Medical Maximizing Preferences and Beliefs About Cancer Among US Adults.JAMA network open · 2024Article
- Surgeons' views of peer comparison and guideline-based feedback on postsurgery opioid prescriptions: a qualitative investigation.BMJ open quality · 2024Article
- An Institutional Curriculum for Opioid Prescribing Education: Outcomes From 2017 to 2022.The Journal of surgical research · 2024Article
- Association of race and ethnicity with opioid prescribing for Medicare beneficiaries following total joint replacements.Journal of the American Geriatrics Society · 2024Article
- Evidence-based opioid prescribing guidelines after lung resection: a prospective, multicenter analysis.Journal of thoracic disease · 2023Article
- How to teach ERAS protocols: surgical residents' perspectives and perioperative practices for breast surgery patients.Global surgical education : journal of the Association for Surgical Education · 2023Article
- Reducing Opioid Overprescribing through Procedure-specific Prescribing Guidelines.Plastic and reconstructive surgery. Global open · 2023Article
- Article
- A Program to Reduce Post-Operative Opioid Prescribing at a Veteran's Affairs Hospital.Journal of clinical medicine · 2022Article
- A VOSviewer-Based Bibliometric Analysis of Prescription Refills.Frontiers in medicine · 2022Review
- Establishment and Implementation of Evidence-Based Opioid Prescribing Guidelines in Cardiac Surgery.The Annals of thoracic surgery · 2021Article
- Prescribing Habits of Providers and Risk Factors for Nonadherence to Opioid Prescribing Guidelines.The American surgeon · 2021Article
- Racial, Ethnic, and Socioeconomic Discrepancies in Opioid Prescriptions Among Older Patients With Cancer.JCO oncology practice · 2021Observational
- Assessment of a quality improvement intervention to decrease opioid prescribing in a regional health system.BMJ quality & safety · 2021Article
- Opioid prescribing exceeds consumption following common surgical oncology procedures.Journal of surgical oncology · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundExcessive opioid prescribing is common in surgical oncology, with 72% of prescribed opioids going unused after curative-intent surgery. In this study, we sought to reduce opioid prescribing after breast and melanoma procedures by designing and implementing an intervention focused on education and prescribing guidelines, and then evaluating the impact of this intervention.
methodsIn this single-institution study, we designed and implemented an intervention targeting key factors identified in qualitative interviews. This included mandatory education for prescribers, evidence-based prescribing guidelines, and standardized patient instructions. After the intervention, interrupted time-series analysis was used to compare the mean quantity of opioid prescribed before and after the intervention (July 2016-September 2017). We also evaluated the frequency of opioid prescription refills.
resultsDuring the study, 847 patients underwent breast or melanoma procedures and received an opioid prescription. For mastectomy or wide local excision for melanoma, the mean quantity of opioid prescribed immediately decreased by 37% after the intervention (p = 0.03), equivalent to 13 tablets of oxycodone 5 mg. For lumpectomy or breast biopsy, the mean quantity of opioid prescribed decreased by 42%, or 12 tablets of oxycodone 5 mg (p = 0.07). Furthermore, opioid prescription refills did not significantly change for mastectomy/wide local excision (13% vs. 14%, p = 0.8), or lumpectomy/breast biopsy (4% vs. 5%, p = 0.7).
conclusionEducation and prescribing guidelines reduced opioid prescribing for breast and melanoma procedures without increasing the need for refills. This suggests further reductions in opioid prescribing may be possible, and provides rationale for implementing similar interventions for other procedures and practice settings.
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