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Linnaus ME, Neville MR, Habermann EB, et al. Postoperative Opioid Utilization and Patient Satisfaction in General Surgery Procedures: A Prospective Observational Study. Am Surg. 2021;88(2):219-225doi: 10.1177/0003134821989040.
Linnaus, M. E., Neville, M. R., Habermann, E. B., & Gray, R. J. (2022). Postoperative Opioid Utilization and Patient Satisfaction in General Surgery Procedures: A Prospective Observational Study. The American surgeon, 88(2), 219-225. https://doi.org/10.1177/0003134821989040
Linnaus, Maria E, et al. "Postoperative Opioid Utilization and Patient Satisfaction in General Surgery Procedures: A Prospective Observational Study." The American surgeon vol. 88,2 (2022): 219-225. doi: https://doi.org/10.1177/0003134821989040
Linnaus ME, Neville MR, Habermann EB, Gray RJ. Postoperative Opioid Utilization and Patient Satisfaction in General Surgery Procedures: A Prospective Observational Study. Am Surg. 2022 Feb;88(2):219-225. doi: 10.1177/0003134821989040. Epub 2021 Jan 30. PMID: 33522273.
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Am Surg. 2022 Feb;88(2):219-225. doi: 10.1177/0003134821989040. Epub 2021 Jan 30.

Postoperative Opioid Utilization and Patient Satisfaction in General Surgery Procedures: A Prospective Observational Study.

The American surgeon

Maria E Linnaus, Matthew R Neville, Elizabeth B Habermann, Richard J Gray

Affiliations

  1. Department of Surgery, 23387Mayo Clinic, Phoenix, AZ, USA.
  2. Department of Surgery, 23400Mayo Clinic Health System, Eau Claire, WI, USA.
  3. Department of Biostatistics, 23387Mayo Clinic, Phoenix, AZ, USA.
  4. Division of Health Services Research, Department of Surgery, 4352Mayo Clinic, Rochester, MN, USA.

PMID: 33522273 DOI: 10.1177/0003134821989040

Abstract

BACKGROUND: Wide variation of opioid prescribing persists despite attempts to quantify number of opioids utilized postoperatively. We aim to prospectively determine number of opioids used after common surgery procedures to guide future prescribing.

METHODS: A prospective observational trial was performed of opioids prescribed and used postoperatively. Patients filled out pre- and postoperative surveys, and number of opioids utilized was captured at postoperative visit.

RESULTS: One-hundred-and-thirteen patients met inclusion. Median opioids prescribed exceeded number of opioids taken for all procedures. Median number of opioids taken postoperatively was fewer than 10 for all categories of procedures: simple skin/soft tissue 2 (IQR 1-4), complex skin/soft tissue 1.5 (IQR 0-14), simple laparoscopy 1 (IQR 0-20) and complex laparoscopy 4 (IQR 0-20), laparotomy 0 (IQR 0-26), and open inguinal hernia 2 (IQR 0-2). Nearly 80% of patients had leftover opioids, and 31% planned to keep them. There was little difference between preoperative and postoperative level of satisfaction with a pain control regimen.

DISCUSSION: Postoperatively, patients utilize opioids less frequently than prescribed and often keep leftover pills. Patient pain control satisfaction is unrelated to number of opioids prescribed and taken postoperatively.

Keywords: opioid use; overprescribing; postoperative pain

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