Opioid Prescription Among Sinus Surgeons

American Journal of Rhinology & Allergy
Khashayar ArianpourAdam J Folbe

Abstract

Background Misuse and diversion of opioids have contributed to the U.S. opioid crisis, making an understanding of specialty-specific and procedure-specific trends essential. Objective The objective of this analysis was to evaluate nationwide trends in opioid prescribing patterns among sinus surgeons performing functional endoscopic sinus surgery and maxillary sinus balloon dilation, specifically examining factors associated with variations. Methods High-volume sinus surgeons were identified through the Centers for Medicare and Medicaid Services database and cross-referenced against prescriptions to Medicare Part D beneficiaries during 2013 through 2015. Number of opioid prescriptions, prescription lengths, and demographic information were obtained. Results This cohort of 570 surgeons wrote 21,042 opioid prescriptions (5.4 days per prescription) in 2015, with 80.3% and 54.7% writing >10 and >25 prescriptions, respectively. Surgeons writing a greater amount of prescriptions wrote lengthier courses throughout all 3 years ( P = .01, P = .002, P = .003). Female otolaryngologists wrote lengthier prescriptions (6.2 vs 5.3 days, P = .01). Early career otolaryngologists (≤10 years) offered fewer prescriptions compared to those who had g...Continue Reading

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Citations

Mar 13, 2019·The Laryngoscope·Milap D RaikundaliaDavid W Jang
Jun 13, 2019·The Laryngoscope·Jason E ThuenerChad Zender
Feb 8, 2020·The Annals of Otology, Rhinology, and Laryngology·Craig MillerGreg E Davis
Apr 15, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sifon NdonR Peter Manes
Jul 31, 2018·American Journal of Rhinology & Allergy·Harshita Pant
Dec 26, 2018·The Laryngoscope·Rosh K V SethiStacey T Gray
Dec 7, 2018·International Forum of Allergy & Rhinology·Charles A RileyAbtin Tabaee
Dec 29, 2020·Head & Neck·Nicole StarrRony K Aouad
Oct 1, 2020·Current Problems in Cancer·David SamuelGregory M Gressel
Mar 3, 2021·Facial Plastic Surgery & Aesthetic Medicine·Eric BarbariteShekhar K Gadkaree
Jul 13, 2021·International Forum of Allergy & Rhinology·Jivianne T LeeZachary M Soler
Dec 10, 2021·American Journal of Rhinology & Allergy·Tara J WuMarilene B Wang

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