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Opioid Prescribing Patterns After Micrographic Surgery: A Follow-up Retrospective Chart Review.

Jessica M Donigan1, Abigail I Franco2, Gregory J Stoddard3

  • 1School of Medicine, University of Utah, Salt Lake City, Utah.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|December 21, 2018
PubMed
Summary
This summary is machine-generated.

Opioid prescriptions after micrographic surgery at the University of Utah dropped significantly from 35% to 12%. This reduction in opioid prescribing reflects a positive trend in managing pain medication post-surgery.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Pain Management

Background:

  • Opioid abuse is a national epidemic, with prescription drugs being a major source.
  • Previous research indicated micrographic surgeons may have overprescribed opioids, with 35% of patients receiving prescriptions post-surgery.

Purpose of the Study:

  • To compare current opioid prescribing practices of micrographic surgeons with 2010 data.
  • To assess changes in postoperative opioid prescription rates.

Main Methods:

  • A retrospective review of patient records from 4 micrographic surgeons.
  • Analysis of 400 patient visits between February and May 2017.

Main Results:

  • Opioid prescriptions were issued in 12% of encounters, a 23% decrease from 2010 (p = .004).
  • Factors influencing prescription included younger patient age, increased surgical stages, larger defect size, defect repair, and surgeon preference.

Conclusions:

  • Opioid prescriptions following micrographic surgery at the University of Utah decreased from 35% in 2010 to 12% in 2017.
  • This decline is likely due to increased awareness of the opioid epidemic, recognition of minimal opioid need post-procedure, and prior findings of institutional overprescribing.