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A Peer Data Benchmarking Intervention to Reduce Opioid Overprescribing: A Randomized Controlled Trial.

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Peer data benchmarking reports effectively reduced surgeon opioid prescribing for post-surgical pain management. This quality improvement strategy encourages physician behavior change toward high-value care.

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Area of Science:

  • Health Services Research
  • Surgical Quality Improvement
  • Opioid Prescribing Practices

Background:

  • Physician behavior change is critical for reducing low-value care.
  • Nudge interventions at the surgeon level can curb post-surgical opioid overprescribing.
  • Aligning prescribing with consensus guidelines is a key quality improvement goal.

Purpose of the Study:

  • To evaluate the effectiveness of peer data benchmarking reports in reducing surgeon opioid overprescribing.
  • To assess the impact of surgeon-level nudge interventions on opioid prescribing patterns.
  • To promote adherence to opioid prescribing guidelines through data feedback.

Main Methods:

  • Utilized 2017 Medicare data to identify outlier surgeons.
  • Conducted a 1:1 randomized controlled trial comparing intervention and control groups.
  • Provided intervention surgeons with peer data benchmarking reports on opioid prescribing for open inguinal hernia repair.

Main Results:

  • Surgeons receiving the benchmarking report prescribed 14.3% fewer opioids compared to the control group.
  • The intervention was associated with a 1.83 lower mean number of opioid tablets prescribed per patient.
  • A high percentage of surgeons in both groups reduced prescribing (97.7% intervention vs. 95.7% control).

Conclusions:

  • Peer data benchmarking is an effective intervention for driving physician behavior change.
  • This strategy successfully promotes a shift towards high-value, guideline-adherent care.
  • Data feedback interventions can significantly reduce opioid overprescribing in surgical settings.