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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
PubMed

Insights

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.
Abstract

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