ArticleSurgery2019
A statewide comparison of opioid prescribing in teaching versus nonteaching hospitals.
Article in Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Leftover opioids following adult surgical procedures: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Chronic opioid prescription rates following long-segment lumbar instrumentation: A comparison of academic and nonacademic centers.North American Spine Society journal · 2026Article
- Evaluation In-Hospital Opioid Usage for Minimally Invasive Repair of Pelvic Organ Prolapse.International urogynecology journal · 2026Article
- Perioperative use of fentanyl and tramadol in pediatric distal humerus fractures: a 15-year retrospective cohort study in Korea.Scientific reports · 2025Article
- Opioid prescribing patterns following surgical interventions for benign prostatic hyperplasia.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Disparities in Postoperative Pain Management: A Scoping Review of Prescription Practices and Social Determinants of Health.Pharmacy (Basel, Switzerland) · 2025Review
- Chronic opioid prescription rates in older adults: A comparison of academic and nonacademic centers following long-segment lumbar instrumentation.Surgical neurology international · 2025Article
- Effect of a targeted quality improvement education on opioid prescribing.BMJ open quality · 2023Article
- The experiences of hospitals in changing the function of a non-teaching hospital to a teaching hospital: Short-Communication.Caspian journal of internal medicine · 2023Article
- Differences and their contexts between teaching and nonteaching hospitals in Iran with other countries: A concurrent mixed-methods study.Journal of education and health promotion · 2022Article
- Surgeon experience and opioid prescribing.American journal of surgery · 2020Article
- Association of State Opioid Duration Limits With Postoperative Opioid Prescribing.JAMA network open · 2019Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPostoperative opioid prescribing is often excessive, but the differences in opioid prescribing between teaching hospitals and nonteaching hospitals is not well understood. Given the workload of surgical training and frequent turnover of prescribers on surgical services, we hypothesized that postoperative opioid prescribing would be higher among teaching compared with nonteaching hospitals. STUDY
designWe used insurance claims from a statewide quality collaborative in Michigan to identify 17,075 opioid-naïve patients who underwent 22 surgical procedures across 76 hospitals from 2012 to 2016. Our outcomes included the following: (1) the amount of opioid prescribed for the initial postoperative prescription in oral morphine equivalents and (2) high-risk prescribing in the 30 days after surgery (high daily dose [≥ 100 oral morphine equivalents], new long-acting/extended-release opioid, overlapping prescriptions, or concurrent benzodiazepine prescription). Teaching hospital status was obtained from the 2014 American Hospital Association survey. Multilevel regression was used to adjust for patient and procedural factors and to perform reliability adjustment.
resultsThe amount of opioid prescribed per initial opioid prescription varied 4.7-fold across all hospitals from 130 oral morphine equivalents to 616 oral morphine equivalents. Patients discharged from teaching hospitals filled larger initial opioid prescriptions overall compared with nonteaching hospitals (251 oral morphine equivalents versus 232 oral morphine equivalents; P = .026). Teaching hospitals had higher risk-adjusted rates of high-risk prescribing compared with nonteaching hospitals (13.7% vs 10.3%; P = .034).
conclusionIn Michigan, surgical patients discharged from teaching hospitals received significantly larger postoperative opioid prescriptions and had higher rates of high-risk prescribing compared with nonteaching hospitals. All hospitals, and particularly teaching institutions, should ensure that adequate resources are devoted to facilitating safe postoperative opioid prescribing.
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Registered trials
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