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Trends in Postoperative Opioid Prescribing in Outpatient Pediatric Surgery
- Source :
- Pain medicine (Malden, Mass.). 20(9)
- Publication Year :
- 2019
-
Abstract
- ObjectiveTo determine trends in opioid prescribing for home use after pediatric outpatient surgery.DesignRetrospective analysis of a de-identified database.SettingMultispecialty children’s hospital and freestanding surgery centers.Patients, ParticipantsA total of 65,190 encounters of pediatric outpatient surgeries from 2013 through 2017 for nine different surgical specialties. Patients in the cardiothoracic service and nonpainful procedures were excluded.MainOutcome Measures. Incidence rate of prescribing, dose, number of doses available (i.e., duration of therapy), and maximum weight-based home opioid availability from 2013 to 2017. Additional independent variables included sex, age, weight, race/ethnicity, insurance type (private vs public), and surgical service.ResultsThe incidence rate of receiving a take-home opioid prescription at discharge ranged from 18% to 21% between 2013 and 2017, with no clear directional trend. Among patients prescribed opioids, however, the maximum available take-home dose steadily declined from 2013 through 2017 (P ConclusionsThe rate of receiving a take-home opioid prescription and the dose prescribed remained stable from 2013 to 2017, but the duration of treatment steadily declined, and beginning in 2015, the amount per dose also decreased. Certain subgroups of patients were more likely to be prescribed opioids and will require further investigation and confirmation.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Outpatient surgery
Opioid prescribing
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Pediatric surgery
medicine
Humans
Pain Management
In patient
030212 general & internal medicine
Practice Patterns, Physicians'
Child
Retrospective Studies
Pain, Postoperative
Public health insurance
business.industry
Infant, Newborn
Infant
General Medicine
Ambulatory Surgical Procedure
Analgesics, Opioid
Anesthesiology and Pain Medicine
Opioid
Ambulatory Surgical Procedures
Child, Preschool
Emergency medicine
Female
Neurology (clinical)
Pediatric anesthesia
business
medicine.drug
Subjects
Details
- ISSN :
- 15264637
- Volume :
- 20
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Pain medicine (Malden, Mass.)
- Accession number :
- edsair.doi.dedup.....43b45c3cebf987a4dbd552f009191684