Patients' Experience With Opioid Pain Medication After Discharge From Surgery: A Mixed-Methods Study

Pius, Alexa K.; Jones, Ethan; Bonnell, Levi; Fujii, Mayo H.; MacLean, Charles D.

doi:10.1016/j.jss.2020.06.026

Cited by 8 publications

(28 citation statements)

References 37 publications

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“…(2020), United Kingdom Describe patient expectations related to pain and explore the meaning of satisfaction with pain management Individuals undergoing general surgery, not differentiated. N = 10, (6 males, 4 females) Semi-structured interviews exploring satisfaction with pain management Thematically coded Satisfaction was influenced by nursing empathy and caring communication more than ability to have Numeric Rating Scale score decreased Pius et al. (2020) , USA Describe the patient experience with pain control after discharge Mixed surgery, population not differentiated.…”

Section: Resultsmentioning

confidence: 99%

“…Beliefs are “convictions based on truth or reality” that arise from a variety of sources and modulate or influence a person's expectations, attitudes, and decisions ( Merriam-Webster, 2022 ). For instance, societal factors are known to contribute to patients’ understandings of the potential risks of opioid use ( Pius et al., 2020 ). Cogan et al.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Surgery patients’ perspectives of their role in postoperative pain: A scoping review

Walton¹,

Duff²,

Arora³

et al. 2023

International Journal of Nursing Studies Advances

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Surgery patients’ perspectives of their role in postoperative pain: A scoping review

Walton¹,

Duff²,

Arora³

et al. 2023

International Journal of Nursing Studies Advances

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“…From a clinician's standpoint, there is ample data supporting the benefits and guidelines of non‐opioid medications compared to opioid medications, however, there is limited data on the patient perspective on pain control following common otolaryngology procedures. Understanding the patient's perspective is a critical component of managing surgical discharge, ensuring patient compliance and improving overall health outcomes 9 . A prior study examined the association between decreased postsurgical opioid prescribing and patient satisfaction with surgeons.…”

Section: Introductionmentioning

confidence: 99%

“…Understanding the patient's perspective is a critical component of managing surgical discharge, ensuring patient compliance and improving overall health outcomes. 9 A prior study examined the association between decreased postsurgical opioid prescribing and patient satisfaction with surgeons.…”

mentioning

confidence: 99%

Pain control is comparable between opioid versus non‐opioid management after otolaryngology procedures

Sarathy,

An,

Bever

et al. 2024

Laryngoscope Investig Oto

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ObjectiveThe current study aims to measure patient‐reported satisfaction with pain control using opioid and non‐opioid medications after undergoing the following otolaryngology procedures: parathyroidectomy, thyroid lobectomy, total thyroidectomy, and bilateral tonsillectomy.Materials and MethodsA prospective cohort study was performed at an academic medical center that included a telephone questionnaire and chart review. Opioid prescriptions, usage, and patient‐reported pain outcomes were recorded. Bivariate analyses were used to compare opioid and non‐opioid users.ResultsOf the 107 total patients undergoing otolaryngology procedures included in the study, 49 (45.8%) used an opioid for pain management postoperatively and 58 (54.2%) did not. Among the 81 patients who underwent endocrine procedures (parathyroidectomy, total thyroidectomy/lobectomy), most patients reported being “very satisfied” or “satisfied” with pain control whether they used opioids (n = 27/30, 90%) or not (n = 50/51, 98%). Of the 26 patients who underwent bilateral tonsillectomy, 19 (73%) were prescribed opioids and among these, most (n = 17/19, 89%) reported they were “very satisfied” or “satisfied” with pain control. In the non‐opioid usage group, all patients (n = 7/7, 100%) reported they were “satisfied” with pain control. There was no statistically significant difference in patient‐reported satisfaction with pain control between opioid and non‐opioid users for any of the procedures listed.ConclusionThe results of our study suggest that patients who did not use opioids have a similar level of satisfaction with pain control compared to those using opioids after thyroid, parathyroid and tonsillectomy surgeries. Considering the magnitude of the opioid crisis, providers should reassess the need for opioid prescriptions following certain ENT procedures.Level of EvidenceIV.

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“…Even amidst the current opioid epidemic and emphasis placed on opioid stewardship [8][9][10], US physicians prescribe an excessive amount of opioids to postoperative patients regardless of pain severity or the type of procedures performed [11][12][13]. Lack of proper preoperative pain consultation and education has led to fear of inadequate postoperative control, resulting in patient tendency towards requesting more opioids than they need [14]. Adverse effects associated with overutilization of opioids are well documented, including nausea, ileus, over sedation, respiratory depression, immunosuppression, and rapid development of tolerance, just to name a few [15].…”

Section: Introductionmentioning

confidence: 99%

A Narrative Review on Perioperative Pain Management Strategies in Enhanced Recovery Pathways—The Past, Present and Future

Chen¹,

Chen²,

Xiang³

2021

JCM

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Effective pain management is a key component in the continuum of perioperative care to ensure optimal outcomes for surgical patients. The overutilization of opioids in the past few decades for postoperative pain control has been a major contributor to the current opioid epidemic. Multimodal analgesia (MMA) and enhanced recovery after surgery (ERAS) pathways have been repeatedly shown to significantly improve postoperative outcomes such as pain, function and satisfaction. The current review aims to examine the history of perioperative MMA strategies in ERAS and provide an update with recent evidence. Furthermore, this review details recent advancements in personalized pain medicine. We speculate that the next important step for improving perioperative pain management could be through incorporating these personalized metrics, such as clinical pharmacogenomic testing and patient-reported outcome measurements, into ERAS program.

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Patients' Experience With Opioid Pain Medication After Discharge From Surgery: A Mixed-Methods Study

Cited by 8 publications

References 37 publications

Surgery patients’ perspectives of their role in postoperative pain: A scoping review

Surgery patients’ perspectives of their role in postoperative pain: A scoping review

Pain control is comparable between opioid versus non‐opioid management after otolaryngology procedures

A Narrative Review on Perioperative Pain Management Strategies in Enhanced Recovery Pathways—The Past, Present and Future

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