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Revisiting Postoperative Pediatric Urology Opioid Prescriptions
Michael K Tram1, Laura Donnelly1, Paul J Feustel2
1Department of Urology, Albany Medical Center, Albany, NY.
Urology
|March 31, 2023
Summary
Pediatric urology opioid prescriptions decreased to 2.2% from 8% in 2019, with no adverse effects noted. Further targeted feedback is recommended to reduce opioid usage.
Area of Science:
- Pediatric Urology
- Pain Management
- Opioid Prescribing Practices
Background:
- Opioid prescriptions are a concern in pediatric surgery.
- Reducing opioid use is a key goal in pediatric urology.
- Previous data indicated an 8% opioid prescription rate in 2019.
Purpose of the Study:
- To measure the current opioid prescription rate in pediatric urology patients.
- To compare the current rate with the 2019 rate.
- To identify areas for future interventions to decrease opioid prescriptions.
Main Methods:
- Retrospective review of pediatric urology patients (age ≤18 years) undergoing procedures between October 2020 and October 2021.
- Data collected included opioid prescribing, patient demographics, surgeon, procedure type, and setting.
- Procedures were categorized into six groups for analysis.
Main Results:
- The overall opioid prescription rate was 2.2% (18/821 discharges).
- The rate significantly decreased from 8% in 2019.
- Older patients, inpatient procedures, and one specific provider were associated with higher prescription rates. No adverse effects were reported.
Conclusions:
- The institution achieved a significant reduction in opioid prescriptions in pediatric urology.
- Heightened awareness has contributed to the decrease.
- Targeted provider feedback is necessary for further reduction.
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