Evidence map›Paper›PMID 33125747›Full record

ArticleJournal of surgical oncology2021

Opioid prescribing exceeds consumption following common surgical oncology procedures.

Nicholas W Eyrich, Kenneth R Sloss, Ryan A Howard, Michael P Klueh, Michael J Englesbe, Jennifer F Waljee, Chad M Brummett, Michael S Sabel, Lesly A Dossett, Jay S Lee

Open access · greenAbstract read
In one paragraph

Article in Journal of surgical oncology, 2021. 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
0.5field-weighted citation impact, top 28% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

10 authors at 1 institution in 1 country.

Nicholas W EyrichDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4247-0759
Kenneth R SlossDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Ryan A HowardDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Michael P KluehDepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Michael J EnglesbeDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Jennifer F WaljeeDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Chad M BrummettDepartment of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
Michael S SabelDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Lesly A DossettDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Jay S LeeDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan · US

Funding

University of Michigan Surgical Oncology Research Training ProgramT32CA009672 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JACQUELINE SARA JERUSS, WEIPING ZOU · 1991 to 2026
$6.0M
oPIOIDS: Prevention of Iatrogenic Opioid Dependence after SurgeryR01DA042859 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BRUMMETT, CHAD M, WALJEE, JENNIFER FILIP · 2017 to 2021
$3.6M
Error Identification Between Health Systems—A Patient Safety Blind SpotK08HS026030 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DOSSETT, LESLY A · 2018 to 2021
$604k
AHRQ HHS K08 HS026030NCI NIH HHS 5T32 CA009672-23NCI NIH HHS T32 CA009672NIDA NIH HHS R01 DA042859
6 · The paper itself

Abstract

BACKGROUND AND

objectivesSurgical oncology patients are vulnerable to persistent opioid use. As such, we aim to compare opioid prescribing to opioid consumption for common surgical oncology procedures.

methodsWe prospectively identified patients undergoing common surgical oncology procedures at a single academic institution (August 2017-March 2018). Patients were contacted by telephone within 6 months of surgery and asked to report their opioid consumption and describe their discharge instructions and opioid handling practices.

resultsOf the 439 patients who were approached via telephone, 270 completed at least one survey portion. The median quantity of opioid prescribed was significantly larger than consumed following breast biopsy (5 vs. 2 tablets of 5 mg oxycodone, p < .001), lumpectomy (10 vs. 2 tablets of 5 mg oxycodone, p < .001), and mastectomy or wide local excision (20 tablets vs. 2 tablets of 5 mg oxycodone, p < .001). The majority of patients reported receiving education on taking opioids, but only 27% received instructions on proper disposal; 82% of prescriptions filled resulted in unused opioids, and only 11% of these patients safely disposed of them.

conclusionsThis study demonstrates that opioid prescribing exceeds consumption following common surgical oncology procedures, indicating the potential for reductions in prescribing.

Indexed as

Analgesics, OpioidBreast NeoplasmsDrug PrescriptionsFemaleFollow-Up StudiesHumansMastectomyPostoperative PainPractice Patterns, Physicians'PrognosisProspective StudiesSurgical OncologySurveys and QuestionnairesAnalgesics, Opioidanalgesicsopioidpatient dischargeprescriptionssurgical oncologysurveys and questionnaires

Identifiers

PMID33125747
PMCPMC7770117
OpenAlexW3094646344

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.