Related Experiment Video

Updated: Jul 9, 2025

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.5K

National Postoperative Opioid Prescribing Rates Following Pediatric Urology Procedures Before and After the 2018

Corey Able1, Courtney Stewart2, Andrew T Gabrielson3

  • 1University of Texas Medical Branch School of Medicine, Department of Surgery, Division of Urology, Galveston, TX.

Urology
|December 3, 2023
PubMed

Insights

Opioid prescribing after pediatric urology surgery decreased significantly after a 2018 guideline. However, rates remain high, with potential disparities needing further study.

Area of Science:

  • Pediatric Urology
  • Pain Management
  • Public Health

Background:

  • Opioid prescribing trends after pediatric urologic surgery were previously rising.
  • The American Academy of Pediatrics released a challenge statement in 2018 to reduce pediatric opioid use.

Purpose of the Study:

  • To evaluate trends in opioid prescribing rates following pediatric urologic surgery.
  • To assess the impact of the American Academy of Pediatrics challenge statement on prescribing patterns.

Main Methods:

  • Utilized the TriNetX Research database for patients under 18 undergoing common pediatric urology procedures.
  • Analyzed postoperative opioid prescription data from January 2010 to December 2022.
  • Performed an interrupted time series analysis to compare prescribing trends before and after 2018.

Main Results:

  • 36.2% of 81,644 pediatric urologic procedures received an opioid prescription.
  • Opioid prescribing rates increased by 0.9% per 3-month interval from 2010-2018.
  • Following the 2018 statement, prescribing decreased by 2.2% per 3-month interval, with significant reductions across all demographic cohorts.

Conclusions:

  • Opioid prescribing following pediatric urology procedures has significantly decreased since the 2018 American Academy of Pediatrics guideline.
  • The findings highlight the effectiveness of cross-specialty quality improvement initiatives.
  • Further investigation is warranted to address persistent high prescribing rates and potential racial or age disparities.
Abstract

More Related Videos

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior12:20

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior

Published on: June 10, 2013

21.2K
Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

11.5K

Related Concept Videos

Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
305
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
740
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
632
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
255