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Advancing advocacy for evidence-based opioid stewardship
Jenna S Lee1, Emma Kirkpatrick1, Lorraine I Kelley-Quon2
1Division of Pediatric Surgery, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Opioid overprescription in children poses risks like addiction and overdose. This review outlines strategies for safer prescribing, education, and harm reduction to protect pediatric populations from the opioid crisis.
Area of Science:
- Public Health
- Pediatric Medicine
- Pharmacology
Background:
- Opioids are commonly prescribed for pediatric pain but contribute to substance use issues.
- The pediatric opioid crisis persists due to inconsistent practices and limited education.
- Challenges include safe disposal, monitoring gaps, and naloxone access.
Purpose of the Study:
- To identify actionable strategies for advocacy and intervention.
- To reduce the burden of the opioid crisis in children and adolescents.
- To highlight policy recommendations for harm reduction.
Main Methods:
- Review of current literature and practices.
- Analysis of challenges in pediatric opioid management.
- Identification of intervention and advocacy opportunities.
Main Results:
- Opioid stewardship is crucial for postoperative pain management.
- Family engagement and education on safe disposal are vital.
- Improved substance use screening and treatment referral are needed for adolescents.
Conclusions:
- Implementing comprehensive strategies can significantly reduce pediatric opioid risks.
- Policy changes are needed to ensure equitable access to harm reduction tools like naloxone.
- Combined efforts are essential to mitigate the opioid epidemic's impact on children.
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