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Occupational Therapy After Breast Cancer Reconstructive Surgery: A Predictor for Opioid Prescriptions.

Adam Steuer1, Katie M Polo2, Lauren Little3

  • 1DePaul University, Chicago, IL, USA.

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Early occupational therapy after breast cancer reconstructive surgery (BCRS) is linked to fewer opioid prescription refills within 90 days. This intervention supports recovery and enhances participation in daily activities for breast cancer survivors.

Keywords:
acute carecanceroccupationpain managementregression analysis

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Area of Science:

  • Rehabilitation Medicine
  • Oncology
  • Health Services Research

Background:

  • Breast cancer survivors often undergo reconstructive surgery (BCRS), necessitating pain management and rehabilitation.
  • Occupational therapy plays a crucial role in interprofessional teams, aiding patient recovery and participation in daily life.
  • Understanding the impact of early occupational therapy on post-surgical medication use is vital for optimizing care.

Purpose of the Study:

  • To investigate the association between acute occupational therapy services post-BCRS and prescription refill rates at 90 days.
  • To determine if occupational therapy influences the need for opioid and non-opioid pain medication refills.
  • To identify predictors of medication refills in breast cancer survivors following reconstructive surgery.

Main Methods:

  • Retrospective analysis of 562 women undergoing BCRS.
  • Binary logistic regression models were used to analyze opioid and non-opioid medication refills.
  • Key variables included occupational therapy intervention, age, and medication refill status.

Main Results:

  • Both opioid and non-opioid refill models were statistically significant, indicating predictive capability.
  • Younger age was a significant predictor for both opioid and non-opioid refills.
  • Occupational therapy services were significantly associated with fewer opioid refills post-BCRS.

Conclusions:

  • Early occupational therapy intervention after BCRS is linked to a reduction in opioid prescription refills.
  • Facilitating occupational participation through therapy may decrease reliance on pain medication.
  • Integrating occupational therapy early in the recovery process is beneficial for breast cancer survivors.