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Postoperative Opioid Prescribing and Consumption Patterns after Tonsillectomy.

Stephanie Choo1, Stephen Nogan2, Laura Matrka2

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Patients prescribed significantly more narcotic pain medication after tonsillectomy than they actually use. This study suggests adjusting prescription patterns for better pain management and reduced opioid waste.

Keywords:
morphine milligram equivalentnarcoticopioidpostoperative paintonsillectomy

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Area of Science:

  • Otolaryngology
  • Pain Management
  • Pharmacology

Background:

  • The opioid epidemic necessitates careful review of narcotic prescribing practices.
  • Literature on narcotic use post-tonsillectomy is limited.
  • Understanding patient consumption patterns is crucial for responsible prescribing.

Purpose of the Study:

  • To compare prescribed versus patient-reported narcotic use after tonsillectomy.
  • To identify factors influencing residual narcotic medication.
  • To inform optimized pain management strategies post-tonsillectomy.

Main Methods:

  • Retrospective cohort study involving chart review and telephone interviews.
  • Evaluated prescribed morphine milligram equivalents (MME) against patient-reported consumption.
  • Excluded patients with chronic pain, substance abuse, or malignancy-related tonsillectomy.

Main Results:

  • Patients consumed significantly less prescribed narcotic medication (302.8 MME) than prescribed (456.1 MME).
  • Most patients (84.4%) reported adequate pain control.
  • A majority (67.2%) retained residual narcotics, citing disposal and safety concerns.

Conclusions:

  • Post-tonsillectomy narcotic use is substantially lower than prescribed amounts.
  • Prescribing patterns can be adjusted to reduce excess medication while ensuring pain control.
  • Addressing patient concerns about disposal and safety is important.