Impact of perioperative pain management protocol on opioid prescribing patterns.
Adult
Aged
Analgesics, Opioid
/ therapeutic use
Clinical Protocols
Cohort Studies
Drug Prescriptions
/ statistics & numerical data
Female
Head
/ surgery
Humans
Male
Middle Aged
Neck
/ surgery
Pain Management
/ methods
Pain, Postoperative
/ drug therapy
Patient Satisfaction
Practice Patterns, Physicians'
Retrospective Studies
Head and neck
health policy
quality of life
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
20
01
2019
revised:
13
05
2019
accepted:
24
05
2019
pubmed:
13
6
2019
medline:
1
9
2020
entrez:
13
6
2019
Statut:
ppublish
Résumé
The objective of this study was to demonstrate the impact of preoperative education, patient risk stratification, and a postoperative pain management protocol for common head and neck procedures on opioid prescribing patterns and postoperative pain reporting. Retrospective cohort study. A postoperative pain management protocol was developed and implemented for patients undergoing head and neck surgical procedures. Medical charts were queried and postoperative patient satisfaction surveys were administered. Opioid prescribing patterns were evaluated in cohorts of patients undergoing procedures with anticipated mild pain (e.g., thyroidectomy, parotidectomy, lymph node biopsy) before and after the implementation of the protocol. Postoperative patient surveys were analyzed in the postimplementation group. A total of 302 patients were included for analysis. One hundred fifty-four patients and 148 patients underwent surgery before and after the implementation of the protocol, respectively. There was a decreased incidence of oxycodone-containing prescriptions (83% to 26%), and tramadol became the most common discharge medication (70%). There was a significant decrease in the total number of pills prescribed after the implementation of the protocol (34.71 to 25.36, P < .001). Ninety percent of patients reported high satisfaction (≥8) with pain management. This study shows that a comprehensive pain management protocol can significantly reduce the amount and potency of opioid pain medication prescribed after head and neck procedures while maintaining high patient satisfaction. 4 Laryngoscope, 130:1180-1185, 2020.
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1180-1185Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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