ReviewAnnals of surgery2020
A Pathway for Developing Postoperative Opioid Prescribing Best Practices.
Review in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Patients With Chronic Pain and Their Perspectives on Barriers and Opportunities for Earlier Opioid Tapering-A Qualitative Study Using Patient Journey Mapping.Musculoskeletal care · 2026Article
- Creating a Framework for Minimizing Opioid Consumption after Office Based Surgery.Current pain and headache reports · 2025Review
- A Prospective Analysis of Opioid Prescription, Consumption, and Psychometric Correlations in Outpatient Plastic Surgery Procedures.Plastic surgery (Oakville, Ont.) · 2025Article
- Postoperative Opioid Consumption After Discharge: An Update From the Michigan Surgical Quality Collaborative Registry.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Perioperative opioid prescribing and iatrogenic opioid use disorder and overdose: a state-of-the-art narrative review.Regional anesthesia and pain medicine · 2024Review
- Perioperative Opioid-Related Harms: Opportunities to Minimize Risk.Seminars in plastic surgery · 2024Review
- Correlations of Opioid Intake During Different Predischarge Time Frames with Postdischarge Opioid Use Following Inpatient Surgery.A&A practice · 2024Article
- Discharge Opioid Prescription and Consumption Following Surgery: The POPCORN Observational Study.The Canadian journal of hospital pharmacy · 2024Article
- Reducing opioid prescribing after ambulatory breast reconstruction surgery.Journal of surgical oncology · 2023Article
- Opioid prescribing practices and patient-requested refill patterns following laparoscopic inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Global variation in opioid prescribing after head and neck reconstruction: understanding the United States' outlier status.Journal of oral and maxillofacial anesthesia · 2022Article
- Current and emerging pharmacotherapies for opioid dependence treatments in adults: a comprehensive update.Expert opinion on pharmacotherapy · 2022Review
- The NOpioid Project: a prospective observational feasibility study examining the implementation of a non-narcotic post-operative pain control regimen.Surgical endoscopy · 2022Observational
- Hospital opioid use predicts the need for discharge opioid prescriptions following laparoscopic bariatric surgery.Surgical endoscopy · 2022Article
- Changes in Prescribing by Provider Type Following a State Prescription Opioid Restriction Law.Journal of general internal medicine · 2022Article
- Opioid prescribing and consumption after head and neck free flap reconstruction: what is the evidence for multimodal analgesia?Journal of oral and maxillofacial anesthesia · 2022Article
- Opioid prescribing practices at hospital discharge for surgical patients before and after the Centers for Disease Control and Prevention's 2016 opioid prescribing guideline.BMC anesthesiology · 2022Article
- Outcomes of Bariatric Surgery in Patients on Chronic Opioids: Can Bariatric Surgery Assist with Decreasing Long-term Opioid Utilization?Obesity surgery · 2022Article
- A national database propensity score-matched comparison of minimally invasive and open colectomy for long-term opioid use.Surgical endoscopy · 2022Article
- Establishment and Implementation of Evidence-Based Opioid Prescribing Guidelines in Cardiac Surgery.The Annals of thoracic surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveOpioid prescriptions after surgery are effective for pain management but have been a significant contributor to the current opioid epidemic. Our objective is to review pragmatic approaches to develop and implement evidence-based guidelines based on a learning health system model. SUMMARY BACKGROUND DATA: During the last 2 years there has been a preponderance of data demonstrating that opioids are overprescribed after surgery. This contributes to a number of adverse outcomes, including diversion of leftover pills in the community and rising rates of opioid use disorder.
methodsWe conducted a MEDLINE/PubMed review of published examples and reviewed our institutional experience in developing and implementing evidence-based postoperative prescribing recommendations.
resultsThirty studies have described collecting data regarding opioid prescribing and patient-reported use in a cohort of 13,591 patients. Three studies describe successful implementation of opioid prescribing recommendations based on patient-reported opioid use. These settings utilized learning health system principles to establish a cycle of quality improvement based on data generated from routine practice. Key components of this pathway were collecting patient-reported outcomes, identifying key stakeholders, and continual assessment. These pathways were rapidly adopted and resulted in a 37% to 63% reduction in prescribing without increasing requests for refills or patient-reported pain scores.
conclusionA pathway for creating evidence-based opioid-prescribing recommendations can be utilized in diverse practice environments and can lead to significantly decreased opioid prescribing without adversely affecting patient outcomes.
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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.