Trends in patient procurement of postoperative opioids and route of hysterectomy in the United States from 2004 through 2014

American Journal of Obstetrics and Gynecology
Jennifer C ThompsonGena C Dunivan

Abstract

The opioid epidemic in the United States is a public health emergency. Minimally invasive surgical technology has decreased length of hospital stay, improved postoperative recovery, and decreased postoperative pain. Hysterectomy is one of the most commonly performed surgeries in the United States. Increasing trends in minimally invasive gynecologic surgery are expected to reduce patients' postoperative pain. It is unclear whether this assumption has resulted in decreasing postoperative opioid prescriptions or patient need for these prescriptions, as prescribing patterns may be contributing to the current opioid public health emergency. We sought to describe opioid prescribing and patient procurement practices for postoperative pain at time of discharge for benign hysterectomy from 2004 through 2014 using the Truven Health Analytics MarketScan Research Database. The trends of the route of hysterectomy over this time period were concomitantly described to reflect the movement toward more minimally invasive approaches. The Truven Health Analytics MarketScan Research Database including the Commercial Claims and Encounters Database, and the Medicare Supplemental and Coordination of Benefits Database were utilized. Current Procedural...Continue Reading

Citations

Feb 27, 2019·Female Pelvic Medicine & Reconstructive Surgery·Aparna S RamaseshanAdam C Steinberg
Jul 16, 2019·Obstetrics and Gynecology·Jason D WrightDawn L Hershman
Dec 7, 2019·Obstetrics and Gynecology·Jessica C YoungMichele Jonsson Funk
May 27, 2020·Current Opinion in Obstetrics & Gynecology·Ashley S WomackNichole D Mahnert
Nov 8, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·R Tyler HillmanLarissa A Meyer
Jan 28, 2021·Journal of Minimally Invasive Gynecology·Wilson Ventura ChanAlly Murji
Dec 29, 2020·Female Pelvic Medicine & Reconstructive Surgery·Xiaochun LiuYaling Wen
Jan 6, 2021·Southern Medical Journal·Alexis A DieterErin T Carey
Jul 13, 2020·American Journal of Obstetrics and Gynecology·Marcella G Willis-GrayJennifer M Wu
Dec 3, 2021·Obstetrics and Gynecology·Teresa K L BoitanoJ Michael Straughn
Jul 16, 2021·Female Pelvic Medicine & Reconstructive Surgery·Jeannine M MiranneVatche A Minassian

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Arthroplasty
David E DeMikJohn J Callaghan
Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Faina LinkovJohn T Comerci
Female Pelvic Medicine & Reconstructive Surgery
D Allan LeachJohn A Occhino
© 2022 Meta ULC. All rights reserved