Evidence map›Paper›PMID 33295200›Full record

ArticleThe American surgeon2021

Prescribing Habits of Providers and Risk Factors for Nonadherence to Opioid Prescribing Guidelines.

Tommy Ivanics, Hassan Nasser, Pridvi Kandagatla, Shravan Leonard-Murali, Adam Jones, Marwan Abouljoud, Arielle Hodari Gupta, Ann Woodward

Abstract read
In one paragraph

Article in The American surgeon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Observational
  2. Utilization of a National Registry to influence opioid prescribing behavior after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022
    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

8 authors.

Tommy IvanicsDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.
Hassan NasserDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.
Pridvi KandagatlaDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.
Shravan Leonard-MuraliDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.
Adam JonesDepartment of Strategic and Operation Analytics, Henry Ford Hospital, Detroit MI, USA.
Marwan AbouljoudDepartment of Transplantation Surgery, Henry Ford Hospital, Detroit MI, USA.
Arielle Hodari GuptaDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.
Ann WoodwardDepartment of Surgery, Henry Ford Hospital, Detroit, MI, USA.

Funding

Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
NCI NIH HHS T32 CA113263
6 · The paper itself

Abstract

backgroundThe Michigan Opioid Prescribing Engagement Network introduced guidelines in October 2017 to combat opioid overprescription following various surgical procedures. We sought to evaluate changes in opioid prescribing at our academic center and identify factors associated with nonadherence to recently implemented opioid prescribing guidelines.

methodsThis retrospective review analyzed opioid prescribing data for appendectomy, cholecystectomy, and hernia repair from January 2015 through September 2017 (pre-guidelines group) and November 2017 through December 2018 (post-guidelines group). October 2017 data were excluded to allow for guideline implementation. Opioid prescribing data were recorded as total morphine equivalents (TMEs).

resultsOf 1493 cases (903 pre-vs. 590 post-guidelines), the mean TME prescribed significantly decreased post-guidelines (231.9 ± 108.6 vs. 112.7 ± 73.9 mg;

conclusionsOpioid prescribing significantly reduced after the adoption of opioid prescribing guidelines at our institution. Numerous factors associated with provider guideline nonadherence may identify actionable targets to minimize opioid overprescribing further.

Indexed as

Guideline AdherencePractice Patterns, Physicians'AdultAnalgesics, OpioidAppendectomyCholecystectomyFemaleHerniorrhaphyHumansMaleMiddle AgedPostoperative PainPractice Guidelines as TopicRetrospective StudiesRisk FactorsAnalgesics, OpioidMichigan Opioid Prescribing Engagement Networknarcoticsopioidspostoperative painprescribing guidelines

Identifiers

PMID33295200
PMCPMC8647819

What OpenQuestion holds

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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.