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Real-Time Measurement of Patient Reported Outcomes and Opioid Use Following Urologic Procedures using Automated Text

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Area of Science:

  • Urology
  • Pain Management
  • Public Health

Background:

  • Opioid over-prescription is a significant public health concern.
  • Accurate assessment of patient opioid consumption is crucial for effective pain management and stewardship.

Purpose of the Study:

  • To evaluate opioid consumption and patient-reported pain intensity following urologic procedures.
  • To assess the discrepancy between prescribed and actual opioid use in urologic surgery patients.

Main Methods:

  • Adult patients undergoing urologic procedures were enrolled.
  • An automated text messaging platform collected data on pain intensity and opioid use up to postoperative day 28.
  • Outcomes were weighted to ensure representative estimates.

Main Results:

  • Over 60% of prescribed opioid tablets were unused by patients.
  • 38.4% of patients did not use any of the prescribed opioids.
  • Opioid prescriptions generally exceeded patient-reported needs, except for major open procedures.

Conclusions:

  • Significant opioid over-prescription occurs in urologic procedures relative to patient-reported pain and use.
  • Real-time, patient-reported data via text messaging can guide evidence-based prescribing practices.
  • This data can support personalized prescriptions and shared decision-making to reduce opioid excess.