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Reducing Opioid Overprescribing through Procedure-specific Prescribing Guidelines.

Kevin K Zhang1, Kevin M Blum2,3, Jacqueline J Chu1

  • 1Department of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.

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Summary
This summary is machine-generated.

Procedure-specific prescribing guidelines in plastic surgery reduced opioid prescriptions by 25%. While actual opioid consumption did not change, the guidelines promoted safer opioid prescribing and increased non-opioid analgesic use.

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Area of Science:

  • Plastic Surgery
  • Pain Management
  • Pharmacology

Background:

  • Postdischarge opioid overprescribing persists in plastic surgery despite advances in pain management.
  • Procedure-specific prescribing protocols, successful in other surgical fields, are not widely adopted in plastic surgery.

Purpose of the Study:

  • To evaluate the effectiveness of procedure-specific prescribing guidelines in reducing postdischarge opioid overprescribing in plastic surgery patients.

Main Methods:

  • A retrospective study of 561 plastic surgery patients before and after implementing prescribing guidelines in July 2020.
  • Comparison of opioid prescription amounts, postdischarge opioid consumption, patient satisfaction, and non-opioid analgesic use.

Main Results:

  • Average opioid pills per prescription decreased by 25% (19.3 to 15.0; P=0.001).
  • Opioid-only prescriptions decreased (17.9% to 7.6%; P=0.01), while use of multiple non-opioid analgesics increased (27.5% to 42.9%; P=0.003).
  • Patient satisfaction and opioid consumption did not significantly change.

Conclusions:

  • Procedure-specific prescribing guidelines offer a straightforward method to enhance opioid prescribing safety in plastic surgery.
  • Implementation of these guidelines can lead to more appropriate opioid prescribing practices.