Post-surgical opioid prescribing patterns and risk factors for additional opioid prescriptions within one year after non-emergent colorectal surgery. Am J Surg 2019 Jul;218(1):56-61
Date
12/24/2018Pubmed ID
30578031DOI
10.1016/j.amjsurg.2018.12.003Scopus ID
2-s2.0-85058789750 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
BACKGROUND: National opioid concerns resulted in review of prescribing patterns following colorectal surgery.
METHODS: This retrospective cohort study examined prescribing patterns in elective colorectal surgery at a tertiary academic medical center from January 2012 through December 2014.
RESULTS: Forty percent of 4286 patients received additional opioid prescriptions within the year following colorectal surgery. Multivariable analysis demonstrated that a pre-operative opioid prescriptions within 1 year of surgery (OR 2.91; 95% CI, 1.83-4.60), increasing operative time (OR 1.02; 95% CI, 1.00-1.04), or complications (OR 2.18; 95% CI, 1.38-3.43) was associated with additional opioid prescriptions. The median opioid prescription upon discharge was 225 mg morphine milligram equivalents. Discharge opioid amount was not a risk factor.
CONCLUSIONS: Additional opioid prescriptions after surgery occurred in 40% of patients. Pre-operative prescriptions, increasing operative time and complications were associated with additional opioid prescriptions while opioid amount at discharge was not a risk factor.
Author List
Lovely JK, Huang LC, Meyers AJ, Spears GM, Huebner M, Larson DWAuthor
Abigail J. Meyers PAC Director, Assistant Professor in the Health Sciences Education department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Analgesics, Opioid
Digestive System Surgical Procedures
Female
Humans
Male
Middle Aged
Pain, Postoperative
Patient Discharge
Practice Patterns, Physicians'
Retrospective Studies
Risk Factors
