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Opioid Prescribing Patterns among Otolaryngologists.

Marissa A Schwartz1, James G Naples2, Chia-Ling Kuo3

  • 11 Division of Otolaryngology-Head and Neck Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 21, 2018
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Otolaryngologists show wide variations in prescribing opioids for pain after surgery. This study highlights the need to standardize opioid use in otolaryngology to help reduce the opioid epidemic.

Keywords:
narcoticopioidpostoperative painprescribing patterns

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Area of Science:

  • Otolaryngology
  • Pain Management
  • Public Health

Background:

  • Opioid prescribing patterns vary significantly among physicians.
  • Otolaryngology (ENT) procedures require effective postoperative pain management.
  • The opioid epidemic necessitates evaluation of prescribing practices.

Purpose of the Study:

  • To assess national trends in opioid prescribing by otolaryngologists.
  • To identify variations in opioid use for postoperative pain control.
  • To inform strategies for reducing opioid burden in otolaryngology.

Main Methods:

  • Cross-sectional survey distributed to members of the American Academy of Otolaryngology-Head and Neck Surgery.
  • Data collected on opioid prescribing habits for common otolaryngologic procedures.
  • Analysis of prescribing patterns for adult and pediatric patients.

Main Results:

  • Hydrocodone-acetaminophen and oxycodone-acetaminophen were common for adults; acetaminophen and NSAIDs for children.
  • Significant variation in prescribed opioid quantities (0 to >60 doses) was observed.
  • Tonsillectomy had the highest mean opioid prescriptions (37 tablets), direct laryngoscopy the lowest (5.3 tablets).

Conclusions:

  • Nationwide variations in otolaryngologist opioid prescribing patterns exist.
  • Standardizing postoperative pain management is crucial for otolaryngology.
  • Understanding prescribing trends aids in reducing the overall opioid burden.