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Postoperative opioid-prescribing practices in otolaryngology: A multiphasic study

The Laryngoscope Jun 28, 2019

Dang S, et al. - This multiphasic research was performed by researchers to examine opioid prescription and consumption as well as pain trends for common otolaryngologic procedures. Study participants included 161 patients who had procedures between July 2018 and February 2019 were surveyed on their postoperative opioid usage and pain from a day of discharge to the first clinic visit. Parathyroidectomy/thyroidectomy, parotidectomy, sialendoscopy, and transoral robotic surgery resection (TORS) were the selected procedures for analysis. Investigators found that over 50% of prescribed postoperative opioids went unused at the institution. For nonmucosal surgeries, this was most pronounced. This should be taken into consideration by postoperative pain management to minimize unnecessary opioid prescriptions. They are in the process of developing prescription recommendations to be implemented within the institution based on the findings and review of the current literature. Positive predictors of opioid consumption in postoperative patients were male gender, smoking (current and former), and the use of psychiatric medication.
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