Evidence map›Paper›PMID 37951062›Full record

ArticleThe Journal of surgical research2024

An Institutional Curriculum for Opioid Prescribing Education: Outcomes From 2017 to 2022.

Brendin R Beaulieu-Jones, Margaret T Berrigan, Kortney A Robinson, Jayson S Marwaha, Tara S Kent, Gabriel A Brat

Abstract read
In one paragraph

Article in The Journal of surgical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Brendin R Beaulieu-JonesDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Margaret T BerriganDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts.
Kortney A RobinsonDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts.
Jayson S MarwahaDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Tara S KentDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts.
Gabriel A BratDepartment of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts. Electronic address: gbrat@bidmc.harvard.edu.

Funding

AIM-AHEAD Coordinating Center - All Four CoresOT2OD032581 · OD · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI Paul Avillach, Bettina M. Beech · 2021 to 2026
$168.7M
RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
NIH HHS OT2 OD032581NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

introductionPrescription opioids, including those prescribed after surgery, have greatly contributed to the US opioid epidemic. Educating opioid prescribers is a crucial component of ensuring the safe use of opioids among surgical patients.

methodsAn annual opioid prescribing education curriculum was implemented among new surgical prescribers at our institution between 2017 and 2022. The curriculum includes a single 75-min session which is comprised of several components: pain medications (dosing, indications, and contraindications); patients at high risk for uncontrolled pain and/or opioid misuse or abuse; patient monitoring and care plans; and state and federal regulations. Participants were asked to complete an opioid knowledge assessment before and after the didactic session.

resultsPresession and postsession assessments were completed by 197 (89.6%) prescribers. Across the five studied years, the median presession score was 54.5%. This increased to 63.6% after completion of the curriculum, representing a median relative knowledge increase of 18.2%. The median relative improvement was greatest for preinterns and interns (18.2% for both groups); smaller improvements were observed for postgraduate year 2-5 residents (9.1%) and advanced practice providers (9.1%). On a scale of 1 to 10 (with 5 being comfortable), median (interquartile range) self-reported comfort in prescribing opioids increased from 3 (2-5) before education to 5 (4-6) after education (P < 0.001).

conclusionsEach year, the curriculum substantially improved provider knowledge of and comfort in opioid prescribing. Despite increased national awareness of the opioid epidemic and increasing institutional initiatives to improve opioid prescribing practices, there was a sustained knowledge and comfort gap among new surgical prescribers. The observed effects of our opioid education curriculum highlight the value of a simple and efficient educational initiative.

Indexed as

Analgesics, OpioidOpioid-Related DisordersCurriculumHumansPainPractice Patterns, Physicians'Analgesics, OpioidCurriculum developmentOpioid prescribingSurgical education

Identifiers

PMID37951062
PMCPMC10922287

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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.