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Provider education leads to sustained reduction in pediatric opioid prescribing after surgery
- Source :
- J Pediatr Surg
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- BACKGROUND: The majority of opioid overdose admissions in pediatric patients are associated with prescription opioids. Post-operative prescriptions are an addressable source of opioids in the household. This study aims to assess for sustained reduction in opioid prescribing after implementation of provider-based education at nine centers. METHODS: Opioid prescribing information was collected for pediatric patients undergoing umbilical hernia repair at nine centers between December 2018 and January 2019, one year after the start of an education intervention. This was compared to prescribing patterns in the immediate pre- and post-intervention periods at each of the nine centers. RESULTS: In the current study period, 29/127 (22.8%) patients received opioid prescriptions (median 8 doses) following surgery. There were no medication refills, emergency department returns or readmissions related to the procedure. There was sustained reduction in opioid prescribing compared to pre-intervention (22.8% vs 75.8% of patients, p
- Subjects :
- medicine.medical_specialty
Psychological intervention
Article
Intervention (counseling)
Humans
Medicine
Practice Patterns, Physicians'
Medical prescription
Child
Pediatric Surgical Procedures
Herniorrhaphy
Pain, Postoperative
business.industry
Opioid overdose
General Medicine
Evidence-based medicine
Emergency department
medicine.disease
Surgery
Analgesics, Opioid
Opioid
Pediatrics, Perinatology and Child Health
business
Hernia, Umbilical
medicine.drug
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....921622fedb12e140368a5036481e2951