ArticleSurgery2020
Preoperative patient education and patient preparedness are associated with less postoperative use of opioids.
Article in Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.
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.
Evaluation of Pre-operative Education Modalities to Decrease Opioid Use in Prostate Cancer Patients: A Prospective Randomized Control Trial
Efficiency And Quality In Post-Surgical Pain Therapy After Discharge
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- Preoperative Treatment Expectations and Their Association with Postoperative Quality of Life and Patient Satisfaction in Non-Orthopedic Surgery: A Systematic Review.International journal of environmental research and public health · 2026Pooled it
- Educational approaches for patients with heart surgery: a systematic review of main features and effects.BMC cardiovascular disorders · 2022Pooled it
- Adults' experiences of perioperative opioid use: a mixed-methods study.Pain reports · 2026Article
- Comparing Patient to Provider Perceptions of Birth Trauma: What are We Missing?Archives of women's mental health · 2026Article
- Emergency department opioid prescribing trends among provider types: an analysis of the NHAMCS, 2019-2021.Internal and emergency medicine · 2026Observational
- Nurse-Led Preoperative Education for Elective Surgery: Patient Satisfaction and Recall in a Mixed-Method Study.Healthcare (Basel, Switzerland) · 2025Article
- Patients' peri-operative experiences with non-pharmacologic pain care techniques: a secondary qualitative analysis of the NOHARM trial.BMC complementary medicine and therapies · 2025Observational
- Predictors of Patient-Reported Receipt of Preoperative Education in an Enhanced Recovery Program.The Journal of surgical research · 2025Article
- Which individual components of a colorectal surgery enhanced recovery program are associated with improved surgical outcomes?Surgery · 2024Article
- Article
- Psychological Aspects of Nerve Gap Reconstruction: Addressing Patient Perspectives and Expectations.Journal of hand surgery global online · 2024Article
- Opioid exit plans for tapering postoperative pain control in noncancer patients: a systematic review.Patient safety in surgery · 2024Review
- Preoperative Education is Associated with Adherence to Downstream Components and Outcomes in a Colorectal Surgery Enhanced Recovery Program.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Factors associated with use of opioid rescue medication after surgery.Regional anesthesia and pain medicine · 2024Observational
- Learning from the implementation of a surgical opioid reduction initiative in an integrated health system: a qualitative study among providers and patients.Implementation science communications · 2024Article
- Optimizing Recovery After Carpal Tunnel Syndrome Release Surgery: The Role of Counseling in Pain Management and Perioperative Functional Enhancement.Journal of multidisciplinary healthcare · 2024Article
- Development and prospective validation of postoperative pain prediction from preoperative EHR data using attention-based set embeddings.NPJ digital medicine · 2023Article
- Predictors of post-discharge pain and satisfaction with pain management after laparoscopic bariatric surgery: a prospective cohort study.Surgical endoscopy · 2023Article
- PROMIS pain intensity and interference after pelvic organ prolapse surgery.International urogynecology journal · 2023Article
- Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery.Spine deformity · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBecause many patients are first exposed to opioids after general surgery procedures, surgical stewardship for the use of opioids is critical in addressing the opioid crisis. We developed a multi-component opioid reduction program to minimize the use of opioids after surgery. Our objectives were to assess patient exposure to the intervention and to investigate the association with postoperative use and disposal of opioids.
methodsWe implemented a multi-component intervention, including patient education, the settings of expectations, the education of the providers, and an in-clinic disposal box in our large, academic, general surgery clinic. From April to December 2018, patients were surveyed by phone 30 to 60 days after their operation regarding their experience with postoperative pain management. The association between patient education and preparedness to manage pain was assessed using χ
resultsOf the 389 eligible patients, 112 responded to the survey (28.8%). Patients receiving both pre and postoperative education were more likely to feel prepared to manage pain than those who only received the education pre or postoperatively (91% vs 68%, P = .01). Patients who felt prepared to manage their pain used 9.1 fewer pills on average than those who did not (P = .01). Fourteen patients (24%) with excess pills disposed of them. Preoperative education was associated with disposal of excess pills (30% vs 0%, P < .05).
conclusionExposure to clinic-based interventions, particularly preoperatively, can increase patient preparedness to manage postoperative pain and decrease the quantity of opioids used. Additional strategies are needed to increase appropriate disposal of unused opioids.
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What OpenQuestion holds
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.