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1,150 results on '"Matlaga, Brian"'

154. PD33-04 COMPARISON OF MEDICATION PRESCRIBING FOR LOWER URINARY TRACT SYMPTOMS ASSOCIATED WITH BENIGN PROSTATIC HYPERPLASIA AMONG SEXAGENARIANS WITH MEDICARE AND PRIVATE INSURANCE

Author

McVary*, Kevin, primary, Feinstein, Lydia, additional, Ward, Julia B., additional, Abbott, Kevin C., additional, Bavendam, Tamara, additional, Kirkali, Ziya, additional, Martinez-Miller, Erline, additional, Matlaga, Brian R., additional, and Welliver, Charles, additional

Published
2020
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169. Recommendations for Opioid Prescribing after Endourological and Minimally Invasive Urological Surgery: An Expert Panel Consensus

Author

Koo, Kevin, primary, Faisal, Farzana, additional, Gupta, Natasha, additional, Meyer, Alexa R., additional, Patel, Hiten D., additional, Pierorazio, Phillip M., additional, Matlaga, Brian R., additional, Allaf, Mohamad E., additional, Gorin, Michael A, additional, Gupta, Mohit, additional, Han, Misop, additional, Johnson, Michael H., additional, Padilla, Anastasia, additional, Pavlovich, Christian P., additional, and Sharpe, Whitney, additional

Published
2020
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170. Reply by Authors

Author

Koo, Kevin, primary, Faisal, Farzana, additional, Gupta, Natasha, additional, Meyer, Alexa R., additional, Patel, Hiten D., additional, Pierorazio, Phillip M., additional, and Matlaga, Brian R., additional

Published
2020
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177. Nephrocalcinosis

Author

Semins, Michelle J., Lang, Erich, and Matlaga, Brian R.

Published
2009

196. Evidence-Based Recommendations for Opioid Prescribing After Endourological and Minimally Invasive Urological Surgery.

Author

Koo, Kevin, Winoker, Jared S., Patel, Hiten D., Faisal, Farzana, Gupta, Natasha, Metcalf, Meredith R., Mettee, Lynda Z., Meyer, Alexa R., Pavlovich, Christian P., Pierorazio, Phillip M., and Matlaga, Brian R.

Subjects
MINIMALLY invasive procedures, UROLOGICAL surgery, PROSTATE surgery, DELPHI method, OPIOIDS, ADULTS
Abstract

Introduction: Procedure-specific guidelines for postsurgical opioid use can decrease overprescribing and facilitate opioid stewardship. Initial recommendations were based on feasibility data from limited pilot studies. This study aims to refine opioid prescribing recommendations for endourological and minimally invasive urological procedures by integrating emerging clinical evidence with a panel consensus. Materials and Methods: A multistakeholder panel was convened with broad subspecialty expertise. Primary literature on opioid prescribing after 16 urological procedures was systematically assessed. Using a modified Delphi technique, the panel reviewed and revised procedure-specific recommendations and opioid stewardship strategies based on additional evidence. All recommendations were developed for opioid-naive adult patients after uncomplicated procedures. Results: Seven relevant studies on postsurgical opioid prescribing were identified: four studies on ureteroscopy, two studies on robotic prostatectomy including a combined study on robotic nephrectomy, and one study on transurethral prostate surgery. The panel affirmed prescribing ranges to allow tailoring quantities to anticipated need. The panel noted that zero opioid tablets would be potentially appropriate for all procedures. Following evidence review, the panel reduced the maximum recommended quantities for 11 of the 16 procedures; the other 5 procedures were unchanged. Opioids were no longer recommended following diagnostic endoscopy and transurethral resection procedures. Finally, data on prescribing decisions supported expanded stewardship strategies for first-time prescribing and ongoing quality improvement. Conclusion: Reductions in initial opioid prescribing recommendations are supported by evidence for most endourological and minimally invasive urological procedures. Shared decision-making before prescribing and periodic reevaluation of individual prescribing patterns are strongly recommended to strengthen opioid stewardship. [ABSTRACT FROM AUTHOR]

Published
2021
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198. Study of stone pain stresses personalized treatment

Author

Matlaga, Brian R.

Subjects
Opioid abuse -- Care and treatment, Pain management, Business, Health care industry
Abstract

Managing patient pain following stone treatment can be challenging. The genesis of the pain can be multifactorial, and often there is no single, curative agent that the treating urologist can [...]

Published
2020

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