The Comprehensive Costs of Cesarean Sections in Rural Rwanda: Incorporating Post-discharge Expenses Into Overall Estimates

Abstract

opioid use was 15.1% among naive, 27.2% among intermittent and 77,3% among chronic opioid users. Multivariable models demonstrated naive and intermittent users who filled a prescription within 30 days prior to pancreatectomy, those who above the 90th MME percentile, and a >14-day supply were most at risk of persistent opioid use. Almost 23% of chronic users stopped using opioids postoperatively, suggesting surgery can provide relief.CONCLUSION: Preoperative and persistent opioid use after pancreatectomy is substantially greater than expected based on other operations. Providers may mitigate this by recognizing the issue, managing expectations, and altering the timing and quantities of opioid prescribed.