Evidence map›Paper›PMID 36699205›Full record

ArticlePlastic and reconstructive surgery. Global open2023

Reducing Opioid Overprescribing through Procedure-specific Prescribing Guidelines.

Kevin K Zhang, Kevin M Blum, Jacqueline J Chu, Shuchi Sharma, Roman J Skoracki, Amy M Moore, Jeffrey E Janis, Jenny C Barker

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07044583 (SAVE Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT07044583 narecruitingnot on this mapstarted 2025, after this paper: background citation

SAVE Trial: SAfe Opioid Use Video Education

TypeinterventionalSponsorUniversity of UtahRan2025 to 2027Enrolled68ConditionsBreast Reconstruction, Breast CancerArmsOpioid Educational Video
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Suzetrigine: What Should Plastic Surgeons Know?Plastic and reconstructive surgery. Global open · 2026
    Article
  2. Review
  3. Use of Muscle Relaxants for Acute Postoperative Pain: A Practical Review.Plastic and reconstructive surgery. Global open · 2024
    Review
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.

Kevin K ZhangDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Kevin M BlumDepartment of Biomedical Engineering, The Ohio State University, Columbus, Ohio.
Jacqueline J ChuDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Shuchi SharmaDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Roman J SkorackiDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Amy M MooreDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Jeffrey E JanisDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Jenny C BarkerDepartment of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
The Ohio State University · USNationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in opioid-sparing pain management, postdischarge opioid overprescribing in plastic surgery remains an issue. Procedure-specific prescribing protocols have been implemented successfully in other surgical specialties but not broadly in plastic surgery. This study examined the efficacy of procedure-specific prescribing guidelines for reducing postdischarge opioid overprescribing. Methods: A total of 561 plastic surgery patients were evaluated retrospectively after a prescribing guideline, which recommended postdischarge prescription amounts based on the type of operation, was introduced in July 2020. Prescription and postdischarge opioid consumption amounts before (n = 428) and after (n = 133) guideline implementation were compared. Patient satisfaction and prescription frequency of nonopioid analgesia were also compared. Results: The average number of opioid pills per prescription decreased by 25% from 19.3 (27.4 OME) to 15.0 (22.7 OME; Conclusions: A procedure-specific prescribing model is a straight-forward intervention to promote safer opioid-prescribing practices in plastic surgery. Its usage in clinical practice may lead to more appropriate opioid prescribing.

Identifiers

PMID36699205
PMCPMC9857484
OpenAlexW4318169010

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.