ArticleAmerican journal of surgery2020
Surgeon experience and opioid prescribing.
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 7 papers.
What it found
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Who cites it
7 citing papers in PubMed.
- Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing after Surgery (PRIOR): A Cluster Randomized Multiple Crossover Trial.Anesthesiology · 2023Trial
- Perioperative Opioid-Related Harms: Opportunities to Minimize Risk.Seminars in plastic surgery · 2024Review
- Precision Opioid Prescription in ICU Surgery: Insights from an Interpretable Deep Learning Framework.Journal of surgery (Lisle, IL) · 2024Article
- Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study.BMJ quality & safety · 2022Article
- Opioids and Public Health: The Prescription Opioid Ecosystem and Need for Improved Management.Anesthesiology · 2022Review
- Addressing (over)prescribing of opioids in surgery.American journal of surgery · 2020Article
- Featured papers in the October Issue.American journal of surgery · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundWe evaluated the effects of surgeon characteristics such as surgeon experience on differences in opioid prescribing after surgery.
methodsWe evaluated a 20% national sample of Medicare beneficiaries ≥65 years old who underwent 15 different types of surgery to identify surgeon characteristics associated with opioid prescription size filled within seven days of discharge using a multi-level linear model.
results174,141 patients and 13,828 surgeons met inclusion criteria. 53.8% of patients filled an opioid prescription within seven days postoperatively. The amount of opioids prescribed after surgery was highest for patients whose surgeons were early in practice (i.e. 0-7 years in practice). Surgeon credentials, type of surgery, and geographic region were associated with differing sizes of opioid fills postoperatively.
conclusionsSurgeon characteristics such as cumulative years of practice contribute to differences in prescribing behavior after surgery. These findings can help develop strategic interventions to enhance opioid stewardship.
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Registered trials
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