Optimizing Opioid Pain Medication Use After Vasectomy—A Prospective Study

Baker, Benjamin; Fox, Janelle; Womble, Paul R.; Stromberg, Ines H.; Grossgold, Erik T.; Walters, R. Chanc

doi:10.1016/j.urology.2019.11.019

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…8 Over the last 20 years, enhanced recovery after surgery (ERAS) protocols have developed in many surgical subspecialties, including urology, which focus on optimizing post-operative recovery in part by limiting opioid usage post-operatively; 9 however, many of these protocols fail to extend to post-discharge prescribing. 10 Studies have found 54%-92% of patients have leftover opioids post-operatively [11][12][13][14] with 36-71% of the total prescribed tablets going unused. [12][13][14][15] Therefore, we aimed to create a standardized postoperative order set for minor urologic operations (MUO) that would integrate into an electronic medical record (EMR) to decrease opioid prescriptions without compromising pain control.…”

Section: Introductionmentioning

confidence: 99%

“…10 Studies have found 54%-92% of patients have leftover opioids post-operatively [11][12][13][14] with 36-71% of the total prescribed tablets going unused. [12][13][14][15] Therefore, we aimed to create a standardized postoperative order set for minor urologic operations (MUO) that would integrate into an electronic medical record (EMR) to decrease opioid prescriptions without compromising pain control.…”

Section: Introductionmentioning

confidence: 99%

“…Over the last 20 years, enhanced recovery after surgery (ERAS) protocols have developed in many surgical subspecialties, including urology, which focus on optimizing post-operative recovery in part by limiting opioid usage post-operatively; 9 however, many of these protocols fail to extend to post-discharge prescribing. 10 Studies have found 54%-92% of patients have leftover opioids post-operatively 11-14 with 36-71% of the total prescribed tablets going unused. 12-15…”

Section: Introductionmentioning

confidence: 99%

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Post-Operative Order Set Decreases Opioid Prescriptions and Increases Efficiency

Bates

Batra

Auerbach

et al. 2023

The American Surgeon™

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Background Opioid addiction remains a public health crisis. We aimed to create an electronic medical record (EMR) based protocol to decrease post-operative prescribing of opioid medications and streamline the ordering process while maintaining adequate pain control. Methods An order set was created to minimize opioid prescriptions. The post-operative prescribing practices for minor urologic procedures (MUOs) over 6-week periods at three time points were compared: one period before and two periods after implementation of the order set. Results 72 MUOs were performed in the pre-implementation, 52 in post-implementation, and 60 in the long-term period. Opioid medications were prescribed for 66 patients (91.7%) pre-implementation, 23 patients (44.2%) post-implementation, and 45 patients (75.0%) at the long-term time point ( P < .0001 and P = .015 respectively). The mean morphine milligram equivalent (MME) prescribed was 81.52 units before implementation, 38.74 units after, and 24.21 units at the long-term time point ( P = .0002 and P < .0001 respectively). Discussion The integration of a post-operative prescribing order set into our EMR substantially decreased opioid prescribing after MUO while streamlining the ordering process to improve efficiency.

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