Opioid Prescribing and Consumption Patterns following Outpatient Plastic Surgery Procedures

Plastic and Reconstructive Surgery
Katherine R RoseBrett F Michelotti

Abstract

Opioid overprescribing is a nationwide problem contributing to the current epidemic. This study evaluated opioid consumption, physician prescribing, and patient satisfaction with pain control following outpatient plastic surgery procedures. Patients completed a questionnaire during their first postoperative visit. The authors queried about procedure type, quantity of opioids prescribed and consumed, days to opioid cessation, prescription refills, pain scores, use of nonopioid analgesics, and satisfaction with pain control. One hundred seventy patients were included. On average, 26 tablets were prescribed and 13 were consumed. Eighty percent of patients stopped opioids by postoperative day 5. Patients rated their worst pain at 6.1 and follow-up pain at 1.9. Approximately 50 percent of patients consumed nonopioid analgesics. Ninety-six percent of patients were satisfied with their pain control. Similar findings were observed across procedure subcategories. The number of pills prescribed was not correlated with satisfaction but was predictive of worst pain level (p = 0.014). Reduction mammaplasty and abdominoplasty patients consumed the most opioids at 17 and 18.6 pills, respectively; however, first-stage alloplastic breast recons...Continue Reading

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Citations

Sep 4, 2019·Annals of Surgery·Ryan HowardJennifer Waljee
Sep 17, 2019·Plastic and Reconstructive Surgery·Mark C Kendall
Sep 17, 2019·Plastic and Reconstructive Surgery·Katherine RoseBrett Michelotti
Jan 28, 2020·Plastic and Reconstructive Surgery·Fereydoun Don ParsaAlan A Parsa
Feb 8, 2020·Annals of Plastic Surgery·Shepard P JohnsonBrian C Drolet
Feb 11, 2020·Annals of Plastic Surgery·Emily A LongGalen Perdikis
Nov 7, 2019·Annals of Plastic Surgery·Alec H FisherGary L Freed
Jan 8, 2020·Aesthetic Plastic Surgery·Walter J JosephEmily H Beers
Sep 25, 2020·Plastic and Reconstructive Surgery·Katie G EganRichard Korentager
Dec 29, 2019·Plastic and Reconstructive Surgery·Katherine RoseBrett Michelotti
Aug 26, 2020·Plastic and Reconstructive Surgery·Rod J RohrichIra L Savetsky
Sep 25, 2020·Plastic and Reconstructive Surgery·Trina Ebersole, Terence M Myckatyn
Aug 5, 2020·Journal of General Internal Medicine·Katherine B SantosaJennifer F Waljee
Mar 10, 2020·Annals of Plastic Surgery·Steven A OvadiaSeth R Thaller
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Bradley R HallPerry J Johnson
Mar 3, 2020·Clinics in Plastic Surgery·Lily A Upp, Jennifer F Waljee
Oct 7, 2020·Pain·Corinne WoodsGerald Dal Pan
Mar 23, 2021·Plastic and Reconstructive Surgery. Global Open·Rachel A McKennaInes C Lin
Jan 27, 2021·The Journal of Craniofacial Surgery·Mikhail PakvasaRussell R Reid
Aug 12, 2021·Aesthetic Plastic Surgery·Rami D SherifRobert H Gilman
Sep 4, 2021·Plastic and Reconstructive Surgery. Global Open·Banafsheh Sharif-AskaryDavid H Song
Aug 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Celeste A MallamaTamra Meyer
Oct 16, 2021·Aesthetic Surgery Journal·Lakshmi NairClayton L Moliver
Jan 5, 2022·Aesthetic Surgery Journal·Logan ErzDoug Wagner

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