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Opioid Prescribing Patterns After Anorectal Surgery.

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Area of Science:

  • Colorectal Surgery
  • Pain Management
  • Pharmacology

Background:

  • Anorectal procedures are common and often painful, yet lack standardized opioid prescribing guidelines.
  • Current practices for determining opioid prescriptions after these procedures are not well-documented.
  • Significant variations in opioid prescribing habits are hypothesized.

Purpose of the Study:

  • To investigate and characterize current opioid prescribing patterns following anorectal surgery.
  • To identify factors influencing surgeon decisions on opioid quantities for pain management.

Main Methods:

  • A survey was distributed to members of the American Society of Colon and Rectal Surgeons.
  • The survey collected data on surgeon demographics, prescribing habits, and influencing factors.
  • Morphine equivalents (ME) were calculated to quantify opioid dosages.

Main Results:

  • 38.6% of respondents were classified as high opioid prescribers.
  • Prescribing patterns varied significantly based on years in practice, hospital type, geographic region, and procedure volume.
  • Surgeons considered patient satisfaction and refill requests when determining opioid prescriptions.

Conclusions:

  • Opioid prescribing practices after anorectal procedures demonstrate considerable variability.
  • Developing evidence-based guidelines for opioid prescribing in anorectal surgery is crucial for enhancing patient safety and care quality.