Patient Factors ID'd That Predict Low or No Postoperative Opioid Use

Follow Drugslib on

Medically reviewed by Drugs.com.

By Lori Solomon HealthDay Reporter

MONDAY, Dec. 18, 2023 -- Younger age, being opioid-naïve, and a lower discharge pain score are associated with low or no postoperative opioid use, according to a study published online in the December issue of Annals of Surgery Open.

Anish K. Agarwal, M.D., M.P.H., from the University of Pennsylvania in Philadelphia, and colleagues sought to identify patient-level variables associated with low or no use that can inform tailored prescribing. The analysis included 3,603 patients undergoing surgery (May 1, 2021, to Feb. 29, 2022).

The researchers found variation in patient-reported use, with 28.1 percent of men reporting zero use versus 24.3 percent of women. Self-reported zero use was also lower among Black versus White patients (20.5 versus 27.2 percent). More zero use was reported among opioid-naïve patients versus those with chronic use (29.7 versus 9.8 percent). Higher use was associated with more telephone calls and office visits within 30 days but not emergency department utilization or admissions. Higher use was also associated with a higher discharge pain score. Higher than guideline-recommended opioid use was associated with age, male sex, obesity, discharge pain score, and a history of mental health disorder, while younger age and being opioid-naïve were associated with low to zero use across procedures.

"The next steps here are to take this research and translate it into actual clinical practice," Agarwal said in a statement. "We've already used the feedback from our patients to help support our existing guidelines, and with this data our clinicians can become even more specific to personalize the approach to pain management for patients."

Abstract/Full Text

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

Source: HealthDay

Posted : 2023-12-19 02:15

Read more

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Popular Keywords