Excessive Opioid Prescribing After Major Urologic Procedures

Urology
Katherine M TheisenBenjamin J Davies

Abstract

To examine the use of prescription opioids in patients undergoing major prostate and kidney operations. This is a prospective observational study that includes opioid naïve patients who underwent a major prostate or kidney operation from January 2017-May 2017. A telephone survey was conducted 3-4 weeks postoperatively. The survey assessed the number of 5 mg oxycodone-equivalents prescribed, opioid use, and disposal. A total of 155 patients were included in our analysis. Most patients were male (86%), most were married (74%), the median was age 64 (interquartile range 59-70), and the majority were Caucasian (84%). Most patients reported social alcohol use (56%), but most denied current tobacco use (77%) or current and/or previous drug use (76%). Opioid prescribing exceeded use from 1.9- to 6.8-fold for all procedural categories. Overall, a total of 4065 oxycodone-equivalents were prescribed during this study and 60% of pills prescribed went unused. This resulted in 2622 excess pills in the community. Opioids are prescribed far in excess of need following major open and minimally invasive urologic procedures. Overall, 60% of prescribed opioids were unused. These data provide initial benchmarks for appropriate opioid prescribing a...Continue Reading

Citations

Jun 13, 2019·Annals of Surgery·Benjamin Davies, Chad M Brummett
Apr 22, 2020·Current Urology Reports·Juan SernaDaniel J Lee
Jul 8, 2020·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Brandi C FinkRichard S Larson
Apr 30, 2019·Current Opinion in Urology·Kristian D StenslandAndrew A Wagner
Jan 26, 2020·International Urogynecology Journal·Jacqueline ZilliouxDavid Rapp
Jun 20, 2020·World Journal of Urology·Andrew B KatimsJohn P Sfakianos
Aug 28, 2020·Journal of Surgical Education·Jennifer E BakerMichael D Goodman
Apr 16, 2021·Journal of Robotic Surgery·Laura HorodyskiLeslie A Deane
Apr 27, 2021·Seminars in Nephrology·Christina KottooranBrian H Eisner
Aug 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Celeste A MallamaTamra Meyer

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