this post was submitted on 08 Jul 2024
8 points (100.0% liked)

Public Health

414 readers
20 users here now

For issues concerning:

๐Ÿฉบ This community has a broader scope so please feel free to discuss. When it may not be clear, leave a comment talking about why something is important.

Related Communities

See the pinned post in the Medical Community Hub for links and descriptions. link ([email protected])

Rules

Given the inherent intersection that these topics have with politics, we encourage thoughtful discussions while also adhering to the mander.xyz instance guidelines.

Try to focus on the scientific aspects and refrain from making overly partisan or inflammatory content

Our aim is to foster a respectful environment where we can delve into the scientific foundations of these topics. Thank you!

founded 1 year ago
MODERATORS
[email protected]
[email protected]
8
A few surgical procedures account for high number of opioid prescriptions (list in post body) (www.sciencedaily.com)
submitted 6 months ago* (last edited 6 months ago) by [email protected] to c/[email protected]
3 comments fedilink hide all child comments
 

the top three procedures for children ages 0-11 account for 59% of opioids dispensed after surgery (tonsillectomies and adenoidectomies 50%, upper extremity fractures 5% and removal of deep implants 4%). Among those ages 12-21, the top three procedures account for about a third of post-surgery opioid prescriptions (tonsillectomies and adenoidectomies 13%, knee arthroscopies 13% and cesarean deliveries 8%).

For adults ages 18-44, C-sections account for the highest share of opioids dispensed post-surgery (19%), followed by hysterectomies (7%) and knee arthroscopies (6%). Among those ages 45-64, four of the top five procedures were orthopedic procedures, collectively accounting for 27% of total opioid prescriptions dispensed after surgery.

"Our findings suggest that surgical opioid prescribing is highly concentrated among a small group of procedures. Efforts to ensure safe and appropriate surgical opioid prescribing should focus on these procedures," said Kao-Ping Chua, lead author of the study in Pediatrics, assistant professor at the U-M Medical School and School of Public Health, and co-director of the Research and Data Domain at the U-M Opioid Research Institute.

In addition to determining which procedures accounted for the highest shares of opioids, the researchers also examined the size of opioid prescriptions for each procedure. For many procedures, prescriptions were far larger than the amount patients typically need for a particular procedure.

you are viewing a single comment's thread
view the rest of the comments
[โ€“] [email protected] 2 points 6 months ago

This is the best summary I could come up with:

The studies, published in Pediatrics and JAMA Network Open, report that the top three procedures for children ages 0-11 account for 59% of opioids dispensed after surgery (tonsillectomies and adenoidectomies 50%, upper extremity fractures 5% and removal of deep implants 4%).

Among those ages 12-21, the top three procedures account for about a third of post-surgery opioid prescriptions (tonsillectomies and adenoidectomies 13%, knee arthroscopies 13% and cesarean deliveries 8%).

For adults ages 18-44, C-sections account for the highest share of opioids dispensed post-surgery (19%), followed by hysterectomies (7%) and knee arthroscopies (6%).

Efforts to ensure safe and appropriate surgical opioid prescribing should focus on these procedures," said Kao-Ping Chua, lead author of the study in Pediatrics, assistant professor at the U-M Medical School and School of Public Health, and co-director of the Research and Data Domain at the U-M Opioid Research Institute.

The information was organized through a novel system developed by the study team, which allowed them to connect different sets of data that had previously been seen as unrelated.

"Our findings suggest that there are important opportunities to reduce surgical opioid prescribing without compromising pain control," said Dominic Alessio-Bilowus, lead author of the paper focused on adults published in JAMA Network Open and a medical student at Wayne State University who just completed a research year at U-M.

The original article contains 370 words, the summary contains 220 words. Saved 41%. I'm a bot and I'm open source!