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Opioid and non-opioid utilization at home following gastrointestinal procedures: A prospective cohort study

Surgical Endoscopy Apr 07, 2019

Bartels K, et al. - A survey consisting of questions from NIH PROMIS tools for pain intensity/interference and queries on postoperative analgesic use was developed to determine important patient and procedural characteristics that are correlated with low vs high rates of self-reported utilization of opioids at home, 1–4 weeks after discharge following gastrointestinal surgery. Researchers noted the survey response rate of 86% (201/233). Following gastrointestinal surgery, the equivalent of each oxycodone 5 mg tablet taken in the last 24 h before discharge increases the chances of taking the equivalent of > 10 oxycodone 5 mg tablets by 5%. Less than half of the cases were administered non-opioid analgesia. For improving quality of post-discharge pain management, they emphasize maximizing non-opioid analgesic therapy and basing opioid prescriptions on 24-h pre-discharge opioid intake.
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