Postoperative Opioid Consumption After Discharge
Author Information
Author(s): Kulkarni Ashwin J. BS, Gunaseelan Vidhya MBA, MS, MHA, Brummett Chad M. MD, Waljee Jennifer MD, MPH, MSc, Englesbe Michael MD, Bicket Mark C. MD, PhD
Primary Institution: University of Michigan
Hypothesis
What is the impact of updated opioid prescribing guidelines on postoperative opioid consumption?
Conclusion
Patient-reported opioid consumption decreased between 2018 and 2021, leading to new prescribing guidelines for several surgical procedures.
Supporting Evidence
- Opioid consumption decreased for most procedures between 2018 and 2021.
- New guidelines were established for 5 additional surgical procedures.
- Patient-reported opioid consumption was validated by a significant sample size.
Takeaway
After surgery, patients used fewer opioids than before, so doctors made new rules to give them less medicine to help with pain.
Methodology
Data from the Michigan Surgical Quality Collaborative registry was analyzed for opioid-naive adult patients undergoing surgery from January 1, 2018, to October 31, 2021.
Potential Biases
Potential social desirability and recall bias in self-reported opioid consumption.
Limitations
The study relied on patient-reported data, which may be subject to bias, and focused only on opioid-naive patients.
Participant Demographics
Average age 53.8 years, 56.3% female, 19.1% non-White, 43.9% with public insurance.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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