Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway

Area of Science:

• Pain Management
• Surgical Outcomes
• Pharmacology

Background:

• Opioid overprescription post-surgery contributes to dependence and community diversion.
• Evidence-based prescribing practices are crucial for mitigating opioid misuse.
• Investigated feasibility of opioid-sparing pain management post-surgical procedures.

Purpose of the Study:

• To assess the feasibility and effectiveness of an opioid-sparing pain management strategy.
• To evaluate patient-reported outcomes, including pain control and satisfaction.
• To determine the impact on opioid utilization after surgical procedures.

Main Methods:

• A cohort of 190 patients undergoing 6 procedures were enrolled in an opioid-sparing pathway.
• Patients received acetaminophen and ibuprofen, with limited opioid prescriptions for breakthrough pain.
• Postoperative surveys collected data on opioid use and patient-reported outcomes.

Main Results:

• 52% of patients used no opioids post-procedure; median use was 0 pills.
• High patient satisfaction (median score 10/10) and pain manageability (91%) were reported.
• Opioid users were younger and reported higher pain scores, receiving larger rescue prescriptions.

Conclusions:

• Opioid-sparing pathways significantly reduce post-discharge opioid use in surgical patients.
• High patient satisfaction and pain control are achievable with minimal or no opioid reliance.
• This strategy demonstrates effectiveness and acceptability for reducing opioid prescriptions after minor surgical procedures.