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Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
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Optimizing Opioid-Prescribing Practices After Parathyroidectomy.

Alaa Sada1, Daniel S Ubl2, Cornelius A Thiels3

  • 1Department Of Surgery, Mayo Clinic, Rochester, Minnesota; Mayo Clinic, Surgical Outcomes Program, Robert D and Patricia E Kern Center for The Science of Health Care Delivery, Rochester, Minnesota.

The Journal of Surgical Research
|August 16, 2019
PubMed
Summary
This summary is machine-generated.

Most patients undergoing parathyroidectomy do not consume prescribed opioids, leading to significant waste. Nonopioid analgesics are recommended to reduce opioid overprescription and misuse risks.

Keywords:
OpioidParathyroidectomyPostoperative painThyroidectomy

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Pain Management

Background:

  • Opioid overprescription is a significant public health concern.
  • Discharge prescribing guidelines are crucial for controlling opioid use post-surgery.
  • Parathyroidectomy guidelines require refinement to optimize pain management and reduce opioid waste.

Purpose of the Study:

  • To refine institutional discharge prescribing guidelines for parathyroidectomy.
  • To assess actual opioid consumption versus prescribed amounts in parathyroidectomy patients.
  • To identify factors influencing opioid consumption after parathyroidectomy.

Main Methods:

  • A 3-site initiative collected data from 91 parathyroidectomy patients.
  • Opioid consumption was surveyed and converted to morphine milligram equivalents (MMEs).
  • Consumption was analyzed against prescribed amounts and patient demographics.

Main Results:

  • Median prescribed opioids were 75 MMEs, while median consumed was 0 MMEs.
  • 90% of patients were opioid-naive, and 82% of prescribed opioids went unused.
  • No significant differences in consumption were found based on surgical approach, age, sex, or BMI.

Conclusions:

  • Over half of parathyroidectomy patients consumed no opioids, with minimal need beyond two days.
  • Significant unused opioid quantities pose risks of diversion and misuse.
  • Nonopioid analgesics should be prioritized for parathyroidectomy patients.