Interventions for Postsurgical Opioid Prescribing: A Systematic Review

JAMA Surgery
Martha WetzelMehul V Raval

Abstract

Over the past 20 years, opioid misuse and opioid addiction have risen to epidemic proportions in the United States. One-third of adults receiving long-term opioid therapy report that their first opioid prescription came from a surgeon, indicating that postsurgical prescribing is an important point of intervention in the opioid epidemic. Such interventions differ from historical interventions on prescribing in that they must be closely monitored to ensure pain continues to be adequately controlled after surgical procedures. As evidence on nonopioid-based pain control grows, a key question is how to implement practice change in postsurgical discharge prescribing. To examine interventions associated with changing opioid prescription practices on surgical discharge. Studies published after 2000 that included interventions that aimed at postsurgical opiate stewardship and evaluated outcomes were included. PubMed and Embase were searched through March 2018 for relevant articles, with additional articles retrieved based on citations in articles retrieved in the initial search. Quality was assessed by 2 independent reviewers using the Quality Assessment Tool for Quantitative Studies, and quality scores were reconciled through discussio...Continue Reading

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Citations

Mar 9, 2019·European Journal of Pain : EJP·Amalie H SimoniAlma B Pedersen
Nov 2, 2019·JAMA Ophthalmology·Maria A WoodwardJennifer Waljee
Sep 4, 2019·Annals of Surgery·Ryan HowardJennifer Waljee
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Apr 3, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Robert Beaumont Wilson
Sep 5, 2019·JAMA Network Open·Karim S LadhaHannah Wunsch
Oct 7, 2020·The Laryngoscope·Yusuf M AgamawiJennifer V Brinkmeier
Oct 13, 2020·Diseases of the Colon and Rectum·Devon Livingston-RosanoffElise H Lawson
Nov 1, 2020·Journal of the American Pharmacists Association : JAPhA·Jennifer N CooperKatherine J Deans
Jan 17, 2021·American Journal of Obstetrics & Gynecology MFM·LeAnn LamSarah S Osmundson
Mar 1, 2021·British Journal of Anaesthesia·Haoyan ZhongStavros G Memtsoudis
Mar 31, 2021·American Journal of Surgery·Jackly M JuprasertHeather L Yeo
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Jun 15, 2021·Anesthesia and Analgesia·Andres Zorrilla-VacaChristopher L Wu
Feb 3, 2022·Anesthesiology·Daniel B LarachChad M Brummett

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