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Related Experiment Video

Updated: May 24, 2025

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A Quality Improvement Initiative to Reduce Opioid Use Following Routine Thyroid and Parathyroid Surgery.

Jordan West1, Nathan Boyd1, Antoinette Esce1,2

  • 1Department of Surgery University of New Mexico Albuquerque, New Mexico USA.

OTO Open
|March 6, 2025
PubMed
Summary
This summary is machine-generated.

A new pain management protocol significantly reduced opioid prescriptions by 46.6% for thyroid and parathyroid surgery patients. Patient education and older age were linked to lower opioid use, while anxiety and drain placement increased it.

Keywords:
NSAIDsopioidspain managementparathyroidperioperative painthyroid

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Area of Science:

  • Pain Management
  • Surgical Outcomes
  • Quality Improvement

Background:

  • Postoperative pain management following thyroid and parathyroid surgery requires effective strategies to minimize opioid reliance.
  • Variability in pain management protocols can lead to inconsistent patient outcomes and opioid prescribing patterns.

Purpose of the Study:

  • To evaluate the impact of a standardized perioperative pain management protocol on postoperative opioid use in patients undergoing thyroid and parathyroid surgery.
  • To compare opioid utilization before and after the implementation of a quality improvement initiative.

Main Methods:

  • Retrospective chart review combined with prospective patient surveys.
  • Implementation of a standardized pain management protocol for thyroid and parathyroid surgery.
  • Analysis of survey data using descriptive statistics, univariate and multivariate logistic regression, and qualitative thematic analysis.

Main Results:

  • The standardized protocol reduced opioid prescriptions by 46.6% (20.2% vs. 11.0%, P < .01).
  • Key factors associated with reduced opioid prescriptions included patient education on pain management and older age.
  • Anxiety and the presence of a surgical drain were associated with increased opioid prescriptions.

Conclusions:

  • Standardized pain management counseling, emphasizing clear expectations and non-opioid adjunctive measures, effectively decreases postoperative opioid prescriptions for thyroid and parathyroid surgery.
  • Targeted patient education and consideration of patient-specific factors like anxiety and drain use can further optimize pain management strategies.