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Implementation of postoperative standard opioid prescribing schedules reduces opioid prescriptions without change in patient-reported pain outcomes

Urology Nov 20, 2020

Gessner KH, Jung J, Cook HE, et al. - Researchers aimed at implementing Standard Opioid Prescribing Schedules (SOPS) based on opioid use following urologic surgeries as well as at ascertaining the effect of evidence-based prescribing schedules on opioid use and patient reported outcomes. They invited patients who underwent urologic surgeries within six procedure subtypes at UNC Health during the two study time periods (“pre-SOPS”: 7/2017-1/2018, “post-SOPS”: 7/2018-1/2019) to complete a survey determining postoperative opioid usage, storage and disposal, and patient reported outcomes (including pain interference using a validated questionnaire). The survey was completed by a total of 438 patients within six procedure types (pre-SOPS: 282 patients, post-SOPS: 156 patients). Analysis revealed correlation of adherence to data-driven postoperative opioid prescribing schedules with decreased opioid prescriptions and use with no compromise on pain interference or patient satisfaction. Results have important implications for urologists’ ability to reduce opioid prescriptions and fight the opioid epidemic. 

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