1. Evidence-based prescribing of opioids after laparotomy: A quality-improvement initiative in gynecologic oncology.
- Author
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Kay, Allison, Levy, Rachel, Hills, Nancy, Jang, Allyson, Mcgough-Maduena, Alison, Dematteo, Natalia, Mark, Melissa, Ueda, Stefanie, Chen, Lee-may, and Chapman, Jocelyn
- Subjects
Opioids ,Perioperative care ,Postoperative pain - Abstract
INTRODUCTION: Across specialties, surgeons over-prescribe opioids to patients after surgery. We aimed to develop and implement an evidence-based calculator to inform post-discharge opioid prescription size for gynecologic oncology patients after laparotomy. METHODS: In 2021, open surgical gynecologic oncology patients were called 2-4 weeks after surgery to ask about their home opioid use. This data was used to develop a calculator for post-discharge opioid prescription size using two factors: 1) age of the patient, 2) oral morphine equivalents (OME) used by patients the day before hospital discharge. The calculator was implemented on the inpatient service from 8/21/22 and patients were contacted 2-4 weeks after surgery to again assess their opioid use at home. RESULTS: Data from 95 surveys were used to develop the opioid prescription size calculator and are compared to 95 post-intervention surveys. There was no difference pre- to post-intervention in demographic data, surgical procedure, or immediate postoperative recovery. The median opioid prescription size decreased from 150 to 37.5 OME (p
- Published
- 2024