American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns
Introduction:. Despite the widespread use of opioids in pain management, there are currently no evidence-based guidelines for the treatment of postoperative pain with opioids. Although other surgical specialties have begun researching their pain prescribing patterns, there has yet to be an investiga...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2019-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002125 |
| _version_ | 1811267887022735360 |
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| author | Radbeh Torabi, MD Lynn Bourn, BSN Gerhard S. Mundinger, MD Fouad Saeg Charles Patterson, MD Alejandro Gimenez Ian Wisecarver Hugo St. Hilaire, MD, DDS, FACS Mark Stalder, MD Oren Tessler, MD, MBA |
| author_facet | Radbeh Torabi, MD Lynn Bourn, BSN Gerhard S. Mundinger, MD Fouad Saeg Charles Patterson, MD Alejandro Gimenez Ian Wisecarver Hugo St. Hilaire, MD, DDS, FACS Mark Stalder, MD Oren Tessler, MD, MBA |
| author_sort | Radbeh Torabi, MD |
| collection | DOAJ |
| description | Introduction:. Despite the widespread use of opioids in pain management, there are currently no evidence-based guidelines for the treatment of postoperative pain with opioids. Although other surgical specialties have begun researching their pain prescribing patterns, there has yet to be an investigation to unravel opioid prescribing patterns among plastic surgeons.
Methods:. Survey Monkey was used to sample the American Society of Plastic Surgeons (ASPS) members regarding their opioid prescribing practice patterns. The survey was sent randomly to 50% of ASPS members. Respondents were randomized to 1 of 3 different common elective procedures in plastic surgery: breast augmentation, breast reduction, and abdominoplasty.
Results:. Of the 5,770 overall active ASPS members, 298 responses (12% response rate) were received with the following procedure randomization results: 106 for breast augmentation, 99 for breast reduction, and 95 for abdominoplasty. Overall, 80% (N = 240) of respondents used nonnarcotic adjuncts to manage postoperative pain, with 75.4% (N = 181) using nonnarcotics adjuncts >75% of the time. The most commonly prescribed narcotics were Hydrocodone with Acetaminophen (Lortab, Norco) and Oxycodone with Acetaminophen (Percocet, Oxycocet) at 42.5% (N = 116) and 38.1% (N = 104), respectively. The most common dosage was 5 mg (80.4%; N = 176), with 48.9% (N = 107) mostly dispensing 20–30 tablets, and the majority did not give refills (94.5%; N = 207).
Conclusions:. Overall, plastic surgeons seem to be in compliance with proposed American College of Surgeon’s opioid prescription guidelines. However, there remains a lack of evidence regarding appropriate opioid prescribing patterns for plastic surgeons. |
| first_indexed | 2024-04-12T21:11:51Z |
| format | Article |
| id | doaj.art-9d60f548669f49c3907b1849023343e5 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T21:11:51Z |
| publishDate | 2019-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9d60f548669f49c3907b1849023343e52022-12-22T03:16:35ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-03-0173e212510.1097/GOX.0000000000002125201903000-00019American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing PatternsRadbeh Torabi, MD0Lynn Bourn, BSN1Gerhard S. Mundinger, MD2Fouad Saeg3Charles Patterson, MD4Alejandro Gimenez5Ian Wisecarver6Hugo St. Hilaire, MD, DDS, FACS7Mark Stalder, MD8Oren Tessler, MD, MBA9From the *Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.†School of Medicine, Louisiana State University Health Sciences Center, New Orleans, La.From the *Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.‡School of Medicine, Tulane University, New Orleans, La.From the *Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.†School of Medicine, Louisiana State University Health Sciences Center, New Orleans, La.†School of Medicine, Louisiana State University Health Sciences Center, New Orleans, La.From the *Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.From the *Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, La.§Elite Plastic Surgery, Phoenix, Ariz.Introduction:. Despite the widespread use of opioids in pain management, there are currently no evidence-based guidelines for the treatment of postoperative pain with opioids. Although other surgical specialties have begun researching their pain prescribing patterns, there has yet to be an investigation to unravel opioid prescribing patterns among plastic surgeons. Methods:. Survey Monkey was used to sample the American Society of Plastic Surgeons (ASPS) members regarding their opioid prescribing practice patterns. The survey was sent randomly to 50% of ASPS members. Respondents were randomized to 1 of 3 different common elective procedures in plastic surgery: breast augmentation, breast reduction, and abdominoplasty. Results:. Of the 5,770 overall active ASPS members, 298 responses (12% response rate) were received with the following procedure randomization results: 106 for breast augmentation, 99 for breast reduction, and 95 for abdominoplasty. Overall, 80% (N = 240) of respondents used nonnarcotic adjuncts to manage postoperative pain, with 75.4% (N = 181) using nonnarcotics adjuncts >75% of the time. The most commonly prescribed narcotics were Hydrocodone with Acetaminophen (Lortab, Norco) and Oxycodone with Acetaminophen (Percocet, Oxycocet) at 42.5% (N = 116) and 38.1% (N = 104), respectively. The most common dosage was 5 mg (80.4%; N = 176), with 48.9% (N = 107) mostly dispensing 20–30 tablets, and the majority did not give refills (94.5%; N = 207). Conclusions:. Overall, plastic surgeons seem to be in compliance with proposed American College of Surgeon’s opioid prescription guidelines. However, there remains a lack of evidence regarding appropriate opioid prescribing patterns for plastic surgeons.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002125 |
| spellingShingle | Radbeh Torabi, MD Lynn Bourn, BSN Gerhard S. Mundinger, MD Fouad Saeg Charles Patterson, MD Alejandro Gimenez Ian Wisecarver Hugo St. Hilaire, MD, DDS, FACS Mark Stalder, MD Oren Tessler, MD, MBA American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns Plastic and Reconstructive Surgery, Global Open |
| title | American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns |
| title_full | American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns |
| title_fullStr | American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns |
| title_full_unstemmed | American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns |
| title_short | American Society of Plastic Surgeons Member Post-Operative Opioid Prescribing Patterns |
| title_sort | american society of plastic surgeons member post operative opioid prescribing patterns |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002125 |
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