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Updated: Sep 24, 2025
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Opioid Prescriptions and Pain-Related Patient-Initiated Communication After Mohs Micrographic Surgery: A
Background:
There is a wide variety in utilization of opioids during Mohs Micrographic Surgery (MMS) despite evidence that a multimodality approach may be more beneficial.
Objective:
To evaluate prescription opioid use at our institution and subsequent pain-related patient communication following MMS.
Methods:
This was a retrospective cohort study involving 2360 patients who underwent MMS. Patient and operative characteristics in relation to opioid use in the peri-operative period were compared using univariate and bivariate statistical measures.
Results:
A total of 306 patients (13%) were prescribed opioids postoperatively. However, receipt of opioids is associated with greater odds of pain-related patient communication (OR=6.2; 95% CI:3.3–11.4). Opioid type was not significantly associated with reported pain (OR=0.7; 95% CI:0.3–1.8).
Conclusion:
Consistent with existing guidelines, certain patient and operative characteristics such as age, number of Mohs stages, repair type, and anatomic site were associated with greater odds of receiving opioids. While certain patients may require opioids for adequate pain control, in our cohort, opioid use was associated with increased odds of pain-related patient communication post MMS. J Drugs Dermatol. 2022;21(5):551-554. doi:10.36849/JDD.5742.
Insights
Opioid use after Mohs Micrographic Surgery (MMS) was evaluated. While certain factors predict opioid need, post-MMS opioid prescriptions increased pain-related patient communication, suggesting a need for judicious prescribing.
Area of Science:
- Dermatology
- Surgical Oncology
- Pain Management
Background:
- Variability exists in opioid utilization during Mohs Micrographic Surgery (MMS).
- Multimodality pain management approaches may offer superior outcomes.
- Current institutional practices for peri-operative opioid use in MMS require evaluation.
Purpose of the Study:
- To assess prescription opioid patterns following MMS at a specific institution.
- To investigate the relationship between opioid use and subsequent pain-related patient communication.
Main Methods:
- Retrospective cohort study of 2360 patients undergoing MMS.
- Analysis of patient and operative characteristics associated with peri-operative opioid use.
- Univariate and bivariate statistical analyses were employed.
Main Results:
- 13% of patients (306) received postoperative opioid prescriptions.
- Opioid receipt was significantly associated with increased odds of pain-related patient communication (OR=6.2).
- Opioid type did not significantly correlate with reported pain levels.
Conclusions:
- Patient and operative factors (age, Mohs stages, repair type, site) predict opioid necessity.
- Opioid prescription post-MMS was linked to higher rates of pain-related patient communication.
- Findings support cautious opioid prescribing following MMS to mitigate associated communication.
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