2019
DOI: 10.1001/jamafacial.2018.2035
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Abstract: IMPORTANCEAlthough the development of persistent opioid use after surgical procedures has garnered much attention in recent years, large-scale studies characterizing patterns of persistent opioid use among patients undergoing plastic and reconstructive surgery procedures are lacking.OBJECTIVE To assess the prevalence of immediate and long-term postoperative opioid use after plastic and reconstructive surgery procedures. DESIGN, SETTING, AND PARTICIPANTSIn this population-based cohort study, patients who underw… Show more

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Cited by 55 publications
(62 citation statements)
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“…Otolaryngologic studies report that psychiatric comorbidities, preoperative opioid use, tobacco use, and higher scores on the Charlson Comorbidity Index were associated with longer opioid use. [8][9][10] Prescription size is associated with increased postoperative opioid use: patients consume five additional pills for every 10 pills overprescribed. 11 Another factor influencing opioid use include cultural beliefs.…”
Section: Predictors Of Opioid Usementioning
confidence: 99%
“…Otolaryngologic studies report that psychiatric comorbidities, preoperative opioid use, tobacco use, and higher scores on the Charlson Comorbidity Index were associated with longer opioid use. [8][9][10] Prescription size is associated with increased postoperative opioid use: patients consume five additional pills for every 10 pills overprescribed. 11 Another factor influencing opioid use include cultural beliefs.…”
Section: Predictors Of Opioid Usementioning
confidence: 99%
“…3 Prolonged use (>180 days) developed in 2.3% of patients who filled a prescription perioperatively, consistent with rates seen in population studies of major thoracic and abdominal surgeries, 9 as well as plastic and reconstructive surgeries. 8 RARP was associated with a significantly lower overall risk of developing either persistent or prolonged opioid use when compared with ORP despite having the same quantity of opioid prescribed perioperatively (225 mg of OMEs in the period from 30 days preoperatively through 14 days postoperatively). Additional risk factors for persistent or prolonged opioid use included higher CCI scores, tobacco use, alcohol abuse, and living in the south, west, or north central region of the United States.…”
Section: Discussionmentioning
confidence: 95%
“…This definition of new persistent opioid use is consistent with prior studies and represents a time frame in which routine postoperative recovery would be expected following radical prostatectomy. 3,8 Pharmacy data were collected for 180 days after discharge to determine whether and when opioid prescriptions were filled as well as the duration and types of opioids filled. Dosages for each type of opioid medication were converted into oral morphine equivalents (OMEs).…”
Section: Outcome Variablesmentioning
confidence: 99%
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