Evidence map›Paper›PMID 36143098›Full record

ArticleJournal of clinical medicine2022

A Program to Reduce Post-Operative Opioid Prescribing at a Veteran's Affairs Hospital.

Callie Hlavin, Sruthi Muluk, Visala Muluk, John Ryan, Jeffrey Wagner, Rajeev Dhupar

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 1 country.

Callie HlavinDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.ORCID 0000-0002-0825-1782
Sruthi MulukSchool of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.ORCID 0000-0001-7239-1651
Visala MulukDepartment of Medicine, Veteran's Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA.
John RyanDepartment of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.ORCID 0000-0003-4466-4418
Jeffrey WagnerDivision of Clinical Pharmacy, Veteran's Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA.
Rajeev DhuparDepartment of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.
University of Pittsburgh · USVA Pittsburgh Healthcare System · US

Funding

Research Training in Anesthesiology and Pain MedicineT32GM075770 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YAN XU · 2007 to 2026
$4.8M
NIGMS NIH HHS T32 GM075770NIH HHS T32GM075770
6 · The paper itself

Abstract

Variability in surgeon prescribing patterns is common in the post-operative period and can be the nidus for dependence and addiction. This project aims to reduce opioid overprescribing at the Veteran's Affairs Pittsburgh Healthcare System (VAPHS). The VAPHS Opioid Stewardship Committee collaborated to create prescribing guidelines for inpatient and outpatient general, thoracic, and vascular surgery procedures. We incorporated bundled order sets into the provider workflow in the electronic medical system and performed a retrospective cohort study comparing opioid prescription patterns for Veterans who underwent any surgical procedure for a three-month period pre- and post- guideline implementation. After implementation of opioid prescribing guidelines, morphine milligram equivalents (MME), quantity of pills prescribed, and days prescribed were statistically significantly reduced for procedures with associated guidelines, including cholecystectomy (MME 140.8 vs. 57.5,

Indexed as

acute painopioid deprescribingpost operativesurgeryVeteran’s affairs

Identifiers

PMID36143098
PMCPMC9506192
OpenAlexW4296352591

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.