Related Experiment Video
Updated: Sep 19, 2025
07:17
Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
8.1K
Opioid Prescribing Patterns and Post-prostatectomy Readmission: Data From a Statewide Quality Collaborative
Patrick Lewicki1, Kevin Ginsburg2, Sabir Meah1
1Department of Urology, University of Michigan, Ann Arbor, MI.
Urology
|June 2, 2025
Summary
Omitting post-radical prostatectomy (RP) opioid prescriptions is linked to fewer hospital readmissions. Shifting to "opioid-free" prescribing practices can reduce unplanned health service utilization after RP surgery.
Area of Science:
- Urology
- Health Services Research
- Pain Management
Background:
- Post-radical prostatectomy (RP) care often involves opioid prescriptions.
- Unplanned hospital readmissions represent a significant burden on healthcare systems.
- Understanding factors influencing readmission is crucial for improving patient outcomes and resource allocation.
Purpose of the Study:
- To investigate the association between post-radical prostatectomy (RP) opioid prescribing patterns and hospital readmission rates.
- To determine if reducing opioid prescriptions can decrease unplanned healthcare utilization following RP.
Main Methods:
- Analysis of data from the Michigan Urological Surgery Improvement Collaborative registry.
- Inclusion of patients who underwent RP between May 2018 and October 2024.
- Multivariable modeling to assess the relationship between opioid pill quantity, provider prescribing practices, and hospital readmissions.
Main Results:
- A 2.9% readmission rate was observed among 2656 patients.
- Prescribing zero opioid pills was associated with significantly lower odds of readmission (OR 0.45, P=.012).
- A shift towards "opioid-free" prescribing practices by providers correlated with decreased readmission rates (OR 0.53, P=.0495).
Conclusions:
- Eliminating post-RP opioid prescriptions is significantly associated with reduced hospital readmissions.
- Adopting "opioid-free" prescribing is an effective strategy for lowering readmission rates.
- Post-RP opioid prescribing is a modifiable target for reducing unplanned health service utilization.
More Related Videos
Related Concept Videos
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
454
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...
454
01:20Opioid Analgesics: Morphine and Other Natural Cogeners
382
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...
382
01:25Analgesia and Pain Management
823
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...
823
01:22Opioid Receptors: Overview
2.0K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
2.0K
01:31Discharge Summary Forms
830
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
830
01:27Pulmonary Embolism III: Nursing Management
46
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
46