Postoperative pain management after sinus surgery: a survey of the American Rhinologic Society

International Forum of Allergy & Rhinology
Mingyang L GraySatish Govindaraj

Abstract

Postoperative pain management is controversial as there are no current guidelines to direct clinical practice. The purpose of this study was to demonstrate prescribing patterns for pain management after functional endoscopic sinus surgery (FESS). A 15-item web-based survey was electronically distributed to 1770 members of the American Rhinologic Society (ARS). Linear regression analysis was used to determine associations between providers and prescribing patterns. The survey was completed by 168 members (9.49%), representing all regions of the United States. The most commonly prescribed medications were opioid/non-opioid combination pills. One hundred fifty-seven of 168 members (94.05%) prescribed at least one kind of opioid after FESS, with an average of 27.38 pills. The majority of surveyed members worked in private or academic settings. Academic physicians were less likely to prescribe ibuprofen (p = 0.0407), and nonsteroidal anti-inflammatory drugs (NSAIDs) in general (p = 0.032). Physicians in private practice were less likely to refer patients to pain management (p = 0.0117), but more likely to refer patients to nontraditional forms of pain management (p = 0.0164). Academic physicians were more likely to refer patients to...Continue Reading

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Citations

Mar 13, 2019·The Laryngoscope·Milap D RaikundaliaDavid W Jang
Dec 5, 2019·American Journal of Rhinology & Allergy·Yunbo GaoLuo Zhang
Feb 26, 2020·Plastic and Reconstructive Surgery·Dustin T CrystalSamuel J Lin
Dec 26, 2018·The Laryngoscope·Rosh K V SethiStacey T Gray
Nov 4, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jaxon W JordanScott P Stringer
Dec 19, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Petros D Karkos, Jannis Constantinidis
Jan 4, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ping Wang
Jan 13, 2021·Ear, Nose, & Throat Journal·Lukas SteigerwaldSarina K Mueller
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Apr 21, 2021·American Journal of Otolaryngology·Tara E MokhtariMark A Varvares
Jul 13, 2021·International Forum of Allergy & Rhinology·Jivianne T LeeZachary M Soler

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