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Provider education leads to sustained reduction in pediatric opioid prescribing after surgery

Bethany J Slater1, Chase G Corvin1, Kurt Heiss2

  • 1Comer Children's Hospital, Pediatric Surgery, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USA.

Journal of Pediatric Surgery
|August 30, 2021
PubMed

Insights

Provider education significantly reduced opioid prescribing for pediatric umbilical hernia repair. This intervention shows promise for improving opioid stewardship in pediatric surgery.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Public Health

Background:

  • Pediatric opioid overdose admissions often stem from prescription opioids.
  • Post-operative opioid prescriptions are a significant household source.
  • This study addresses the need to reduce pediatric opioid prescribing.

Purpose of the Study:

  • To evaluate sustained reduction in opioid prescribing post-intervention.
  • To assess the impact of provider-based education on pediatric opioid use.
  • To analyze prescribing patterns after umbilical hernia repair.

Main Methods:

  • A multicenter study involving nine pediatric surgery centers.
  • Opioid prescribing data collected pre- and post-intervention (Dec 2018-Jan 2019).
  • Comparison of prescribing patterns before and after a provider education initiative.

Main Results:

  • Opioid prescriptions reduced from 75.8% to 22.8% post-intervention (p<0.001).
  • No opioid-related refills, ED visits, or readmissions occurred.
  • Five centers showed statistically significant reductions in opioid prescribing.

Conclusions:

  • Provider education led to sustained reduction in opioid prescribing for pediatric umbilical hernia repair.
  • Low-fidelity educational interventions can improve opioid stewardship.
  • This approach may benefit other pediatric surgical procedures.
Abstract

Keywords:
EducationOpioid, Pediatric surgeryUmbilical herniorrhaphy

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