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Outpatient Opioid Monitoring and Reclamation Following Minimally Invasive Repair of Pectus Excavatum
R Scott Eldredge1, Brielle Ochoa2, Emalee Orcutt2
1Division of Pediatric Surgery, Department of Surgery, Phoenix Children's, Phoenix, Arizona; Department of Surgery, Mayo Clinic School of Medicine and Science, Phoenix, Arizona.
The Journal of Surgical Research
|January 28, 2025
Summary
A program to educate patients on opioid risks and facilitate safe disposal of unused pain medication after minimally invasive repair of pectus excavatum (MIRPE) showed that half of patients intended to dispose of leftover opioids.
Area of Science:
- Pain Management
- Pediatric Surgery
- Public Health
Background:
- Opioid diversion is a concern following pediatric surgery.
- Minimally invasive repair of pectus excavatum (MIRPE) can lead to unused opioid prescriptions.
- An opioid education, monitoring, and reclamation program was developed to address this issue.
Purpose of the Study:
- To evaluate outpatient opioid utilization and disposal practices after MIRPE.
- To assess the effectiveness of an opioid education and safe disposal program.
Main Methods:
- A retrospective review of 72 patients under 19 years old who underwent MIRPE with intercostal nerve cryoablation.
- Data collected included opioid prescriptions, patient opioid use, and disposal plans.
- Patients received education on opioid risks and safe disposal methods.
Main Results:
- A median of 10 oxycodone tablets were prescribed per patient, with 790 total prescribed.
- Over 90% of patients had unused opioids, totaling 420 tablets.
- Following education, 50.8% of patients with unused opioids planned for safe disposal.
Conclusions:
- Despite conservative prescribing, a significant portion of outpatient opioids remain unused after MIRPE.
- The implemented program demonstrated potential in encouraging safe disposal of unused opioids.
- Patient education and accessible disposal options are key to mitigating opioid diversion risks.
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