ArticleOphthalmology2020
Impact of Standardized Prescribing Guidelines on Postoperative Opioid Prescriptions after Ophthalmic Surgery.
Article in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 26 citations in OpenAlex.
- Effect of Oral Opioid Prescription on Rates of Postoperative Pain among Ophthalmology Subspecialties: A Large Database Analysis.Ophthalmology science · 2026Article
- Quality appraisal of clinical guidelines for newborns in China: a systematic review protocol.BMJ open · 2026Article
- Evaluation of Pain and Opioid Use in Ptosis and Blepharoplasty Surgery.Journal of ophthalmology · 2026Article
- Cornea specialists are the highest opioid prescribers at a large academic eye institute in the USA.BMJ open ophthalmology · 2025Article
- The Opioid Epidemic: A Review of the Contributing Factors, Negative Consequences, and Best Practices.Cureus · 2023Review
- A Program to Reduce Post-Operative Opioid Prescribing at a Veteran's Affairs Hospital.Journal of clinical medicine · 2022Article
- Impact of an Educational Intervention on the Opioid Knowledge and Prescribing Behaviors of Resident Physicians.Cureus · 2022Article
- Persistent Opioid Use after Ophthalmic Surgery in Opioid-Naive Patients and Associated Risk Factors.Ophthalmology · 2021Article
- Decisions Ahead of Time: The Power of Guidelines to Change Opioid Prescribing in Today's World.Ophthalmology · 2020Article
- Recent trends in anesthetic agents and techniques for ophthalmic anesthesia.Journal of anaesthesiology, clinical pharmacologyReview
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the effect of implementing standardized opioid prescribing guidelines on prescription patterns for acute pain after ophthalmic surgery in opioid-naïve patients.
designQuality improvement study.
participantsOphthalmic surgeons in an academic department of ophthalmology.
methodsPostoperative opioid prescribing patterns were compared before and after the implementation of standardized opioid prescribing guidelines for ophthalmic surgery at an academic institution. Only prescriptions provided to opioid-naïve patients 18 years of age or older were included. Surgeons reached a consensus for standardized prescribing guidelines appropriate for the type of surgery within their subspecialty. Guidelines were disseminated in conjunction with postsurgical pain management education to all ophthalmologists in the department, including trainees. The frequency of opioid prescriptions, the quantity of opioid prescribed (converted to oral morphine equivalent [OME]), and opioid prescription refill rates were compared before and after intervention.
main outcome measuresPrescriptions with more than 80 OME, frequency of opioid prescriptions, mean OME, and refill rates.
resultsOf 5349 ophthalmic surgeries performed during the 2 assessment periods, 196 (3.7%) were associated with opioid prescriptions for acute postoperative pain. The frequency of opioid prescriptions decreased to 3.0% (81/2736) after intervention compared with 4.4% (115/2613) before intervention (P = 0.005). When opioids were prescribed, the mean OME decreased from 93 (range, 27-500) before intervention to 42 (range, 14-100) after intervention (P = 0.003). The number of prescriptions for more than 80 OME decreased from 56 (2.1%) before intervention to 4 (0.1%) after intervention (P < 0.001). Based on the standardized guidelines, 103 of the 115 (89.6%) preintervention opioid prescriptions would not have adhered to the guidelines, whereas 39 of the 81 (48.1%) postintervention prescriptions did not adhere to the guidelines (P < 0.001). The proportion of refill prescriptions did not differ before and after intervention (P = 0.44).
conclusionsThe process of discussing postsurgical pain management and developing standardized opioid prescribing guidelines reduces overprescribing of opioids after ophthalmic surgery without increasing refill rates. Continued education is required to improve adherence to the prescribing guidelines further.
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