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Association of limiting opioid prescriptions with use of opioids after corneal surgery

JAMA Ophthalmology Nov 07, 2019

Woodward MA, Zhang Y, Tannen B, et al. - Researchers examined how decreasing the quantity of opioids prescribed after corneal surgery influences the postsurgical opioid use and pain control. In a cohort study, they assessed patients who underwent corneal surgery and for whom physicians decreased opioid prescribing. Despite using less opioids, patients had adequate (19 of 27 [70%]) or more-than-needed (6 of 27 [22%]) tablets for pain control. Unused opioid tablets were reported in most patients (20 of 28 [71%]), however, none of them disposed of tablets properly. Findings revealed the use of fewer opioid tablets when surgeons prescribed fewer tablets. This indicates the necessity for physicians to evaluate opioid needs for their patients and reduce the number of tablets prescribed when possible. Safe opioid storage and disposal should be emphasized to minimize dispersion to the community.
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