Overprescribed
opioids is a common occurrence after surgery, resulting in leftover
pills that could fall into the wrong hands, according to researchers. The study
looked at reviews of 1,158 patient charts — 558 of which shows operations that
occurred before the opioid recommendations were in effect, with 600 surgeries
taking place more than 10 months after the new guidelines.
Researchers
found that for sleeve gastrectomy, the most extensive procedure, the average
prescription post-surgery was 89 pills before the recommendations and 58
afterward. The number of pills prescribed for hernia repair went from 37 pills to
21 — a 43% reduction and 35 pills to 17 after an appendectomy — about a 50%
reduction, according to the study.
Thyroidectomy/parathyroidectomy
post-surgery prescriptions went from 16 pills to eight.
Seniors
support opioid prescription limits:
A recent AARP and University of Michigan survey found a majority of older adult’s support limits on opioid prescriptions. Three in four seniors support limits on the total number of days and pills that can be prescribed, according to the poll. Fewer than half of senior’s support guidelines requiring the return of unused medications.
Following
the original recommendations for prescribing opioids post-gall bladder removal,
the Michigan Surgical Quality Collaborative and Opioid Prescribing Engagement
Network developed recommendations for 17 other procedures, including three
types of hysterectomy, breast biopsy and mastectomy.
This
study details how surgeons at the University of Michigan discovered a
“spillover” effect after the development of prescribing recommendations based
on published medical evidence for gall bladder removal. As a result, the
surgeons began prescribing about 10,000 fewer pills for major operations,
according to the study published in an article in the Journal of the American
College of Surgeons.
For
more details: https://worldnursing.pulsusconference.com/
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