Evidence map›Paper›PMID 32712445›Full record

ArticleThe Journal of surgical research2020

Reducing Opioid Use in Endocrine Surgery Through Patient Education and Provider Prescribing Patterns.

Stephanie Y Kwan, Elizabeth Lancaster, Anjali Dixit, Christina Inglis-Arkell, Solmaz Manuel, Insoo Suh, Wen T Shen, Carolyn D Seib

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Stephanie Y KwanUniversity of California- San Francisco, School of Medicine, San Francisco, California.
Elizabeth LancasterDepartment of Surgery, University of California- San Francisco, San Francisco, California.
Anjali DixitDepartment of Anesthesia and Perioperative Care, University of California- San Francisco, San Francisco, California.
Christina Inglis-ArkellDepartment of Anesthesia and Perioperative Care, University of California- San Francisco, San Francisco, California.
Solmaz ManuelDepartment of Anesthesia and Perioperative Care, University of California- San Francisco, San Francisco, California.
Insoo SuhDepartment of Surgery, Section of Endocrine Surgery, University of California- San Francisco, San Francisco, California.
Wen T ShenDepartment of Surgery, Section of Endocrine Surgery, University of California- San Francisco, San Francisco, California.
Carolyn D SeibDepartment of Surgery, Stanford University, Stanford, California. Electronic address: Cseib@stanford.edu.
University of California, San Francisco · USStanford Medicine · US

Funding

The Impact of Treatment Choice on Long-term Outcomes in Older Adults with Primary HyperparathyroidismR03AG060097 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SEIB, CAROLYN DACEY · 2018 to 2019
$237k
NIA NIH HHS R03 AG060097
6 · The paper itself

Abstract

backgroundPostoperative opioid use can lead to dependence, contributing to the opioid epidemic in the United States. New persistent opioid use after minor surgeries occurs in 5.9% of patients. With increased documentation of persistent opioid use postoperatively, surgeons must pursue interventions to reduce opioid use perioperatively.

methodsWe performed a prospective cohort study to assess the feasibility of a preoperative intervention via patient education or counseling and changes in provider prescribing patterns to reduce postoperative opioid use. We included adult patients undergoing thyroidectomy and parathyroidectomy from January 22, 2019 to February 28, 2019 at a tertiary referral, academic endocrine surgery practice. Surveys were administered to assess pain and patient satisfaction postoperatively. Prescription, demographic, and comorbidity data were collected from the electronic health record.

resultsSixty six patients (74.2% women, mean age 58.6 [SD 14.9] y) underwent thyroidectomy (n = 35), parathyroidectomy (n = 24), and other cervical endocrine operations (n = 7). All patients received a preoperative educational intervention in the form of a paper handout. 90.9% of patients were discharged with prescriptions for nonopioid pain medications, and 7.6% were given an opioid prescription on discharge. Among those who received an opioid prescription, the median quantity of opioids prescribed was 135 (IQR 120-150) oral morphine equivalents. On survey, four patients (6.1%) reported any postoperative opioid use, and 94.6% of patients expressed satisfaction with their preoperative education and postoperative pain management.

conclusionsClear and standardized education regarding postoperative pain management is feasible and associated with high patient satisfaction. Initiation of such education may support efforts to minimize unnecessary opioid prescriptions in the population undergoing endocrine surgery.

Indexed as

Academic Medical CentersAdultAgedAnalgesics, Non-NarcoticAnalgesics, OpioidDrug PrescriptionsEndocrine Surgical ProceduresFeasibility StudiesFemaleHumansMaleMiddle AgedOpioid-Related DisordersPain ManagementPain MeasurementPatient Education as TopicAnalgesics, Non-NarcoticAnalgesics, OpioidEndocrine surgeryOpioidPain controlPatient education

Identifiers

PMID32712445
PMCPMC7855097
OpenAlexW3044421707

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.