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Opioid Prescribing and Use After Pediatric Umbilical Hernia Repair

Matthew L Lee1, Lauren B Camp1,2, Mehul V Raval3

  • 14285 Division of Pediatric Surgery, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN, USA.

The American Surgeon
|September 15, 2020
PubMed

Insights

Physician education on opioid stewardship significantly reduced opioid prescribing and filled prescriptions for pediatric umbilical hernia repair. This approach improved pain control without increasing adverse events.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Opioid Stewardship

Background:

  • Opioid overuse is a significant concern in both pediatric and adult populations.
  • Physician education can enhance appropriate opioid prescribing and patient guidance.
  • This study evaluated opioid prescribing and use for pediatric umbilical hernia repair before and after surgeon education.

Purpose of the Study:

  • To assess the impact of surgeon education on opioid prescribing patterns for pediatric umbilical hernia repair.
  • To evaluate patient prescription filling behaviors and parent-reported pain control post-education.
  • To determine if education influences adverse events related to opioid use.

Main Methods:

  • A retrospective analysis of pediatric patients undergoing umbilical hernia repair.
  • Comparison of prescribing practices 6 months before and after an educational intervention on opioid use.
  • Assessment of prescription fills, medication use, pain control effectiveness, and adverse events.

Main Results:

  • Opioid prescription rates decreased from 98.7% to 61.6% post-education (P < .0001).
  • Nonopioid prescriptions increased (P = .0063), and filled opioid prescriptions decreased (P = .0296).
  • The post-education group reported good pain control with no increase in adverse events.

Conclusions:

  • Surgeon education effectively improves opioid prescribing and stewardship in pediatric surgery.
  • Educational interventions can reduce opioid use without compromising patient pain control or outcomes.
  • This strategy addresses the opioid epidemic by promoting safer pain management practices.
Abstract

Keywords:
narcoticopioid stewardshipumbilical hernia repair

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