ArticleAmerican journal of surgery2020
Tackling the opioid epidemic: Reducing opioid prescribing while maintaining patient satisfaction with pain management after outpatient surgery.
Article in American journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 20 citations in OpenAlex.
- Post-discharge opioid prescribing after surgery in the United States: a population-based analysis of specialty variation and prescribing intensity.Lancet regional health. Americas · 2026Article
- Association of Opioid Prescribing and Consumption with Patient-reported Experiences and Satisfaction After Emergency Surgery in Michigan.Annals of surgery · 2025Article
- Disparities in Postoperative Pain Management: A Scoping Review of Prescription Practices and Social Determinants of Health.Pharmacy (Basel, Switzerland) · 2025Review
- The butterfly effect: How an outpatient quality improvement project affected inpatient opioid's prescribing habits.Surgery in practice and science · 2022Article
- Decreasing opioid prescribing at discharge while maintaining adequate pain management is sustainable.Surgery in practice and science · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
introductionResults of a quality improvement (QI) project to standardize our opioid prescribing practices following five common outpatient general surgery procedures are presented.
methodsOpioid prescribing habits were reviewed from June to December 2017. QI measures were implemented. We prospectively collected data on opioid prescribing habits and patients' pain management ratings from September 2018 to February 2019.
resultsFollowing implementation, combination pills were less prescribed. More patients were prescribed adjuncts pre- (66% vs. 3%; p < 0.01) and post-operatively (85% vs. 50%; p < 0.01). One-third of pills were prescribed (1363 vs. 4185), with only 520 consumed. Average OME prescribed decreased from 179 to 127 mg (p < 0.001). At follow-up, 52 patients (54%) reported taking 11 pills (1-20) post-operatively for five days. Pain management was rated as good/excellent (88.6%) or fair (9.3%).
conclusionsUsing a pragmatic multimodal approach, decreasing opioid prescriptions at discharge allows for adequate pain management.
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Registered trials
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