Opioid prescribing patterns within otolaryngology

Objective: Determine current opioid prescribing patterns for adult procedures within an academic Otolaryngology-Head and Neck Surgery training program in order to establish a general guideline and more uniform approach to narcotic prescribing practices. Methods: The is a prospective, single-center p...

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Autores principales:	Alexander W. Murphey, Suqrat Munawar, Shaun A. Nguyen, Ted A. Meyer, Ashli K. O'Rourke
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/90db5bae8e6f478c8f90b72ce4892e95
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spelling	oai:doaj.org-article:90db5bae8e6f478c8f90b72ce4892e952021-12-02T14:21:18ZOpioid prescribing patterns within otolaryngology2095-881110.1016/j.wjorl.2019.03.004https://doaj.org/article/90db5bae8e6f478c8f90b72ce4892e952019-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S209588111830146Xhttps://doaj.org/toc/2095-8811Objective: Determine current opioid prescribing patterns for adult procedures within an academic Otolaryngology-Head and Neck Surgery training program in order to establish a general guideline and more uniform approach to narcotic prescribing practices. Methods: The is a prospective, single-center pilot study. An online, anonymous survey was sent to all members of the Otolaryngology-Head and Neck Surgery training program at Medical University of South Carolina including residents, fellows, and attending surgeons, and advanced practice providers (APP). The survey consisted of questions including demographics, most commonly prescribed analgesic and the average number of opioid tablets prescribed post-operatively for eleven of the most common adult procedures within Otolaryngology. Results: Forty-two participants responded to the survey. Of the 42 respondents, 20 were attending surgeons, 11 junior level residents (year 1–3), 6 senior level residents (year 4–5), and 5 A.P.P.s. The most commonly prescribed narcotic was hydrocodone-acetaminophen with 83.3% (35/42) of respondents prescribing this medication. Tonsillectomy or uvulopalatopharyngoplasty had the highest average number of tablets prescribed at 32.3 (Range: 5 to 90). Neck dissection, parotidectomy, and thyroidectomy procedures all averaged over 20 tablets. Direct laryngoscopy opioid dose was the lowest at 4.8 tablets (range 0–20). Opioid prescriptions by surgery were broken down by provider class with only septoplasty showing a significant difference with attending physicians prescribing an average of 20 tablets vs 14.1 tablets for residents (P = 0.034). Conclusion: We believe there remains an unacceptably high variability in current opioid prescribing patterns within otolaryngology especially within more painful procedures. Establishment of standardized post-operative narcotic guidelines is warranted. Keywords: Opioids, Narcotics, OtolaryngologyAlexander W. MurpheySuqrat MunawarShaun A. NguyenTed A. MeyerAshli K. O'RourkeKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 2, Pp 112-116 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Alexander W. Murphey Suqrat Munawar Shaun A. Nguyen Ted A. Meyer Ashli K. O'Rourke Opioid prescribing patterns within otolaryngology
description	Objective: Determine current opioid prescribing patterns for adult procedures within an academic Otolaryngology-Head and Neck Surgery training program in order to establish a general guideline and more uniform approach to narcotic prescribing practices. Methods: The is a prospective, single-center pilot study. An online, anonymous survey was sent to all members of the Otolaryngology-Head and Neck Surgery training program at Medical University of South Carolina including residents, fellows, and attending surgeons, and advanced practice providers (APP). The survey consisted of questions including demographics, most commonly prescribed analgesic and the average number of opioid tablets prescribed post-operatively for eleven of the most common adult procedures within Otolaryngology. Results: Forty-two participants responded to the survey. Of the 42 respondents, 20 were attending surgeons, 11 junior level residents (year 1–3), 6 senior level residents (year 4–5), and 5 A.P.P.s. The most commonly prescribed narcotic was hydrocodone-acetaminophen with 83.3% (35/42) of respondents prescribing this medication. Tonsillectomy or uvulopalatopharyngoplasty had the highest average number of tablets prescribed at 32.3 (Range: 5 to 90). Neck dissection, parotidectomy, and thyroidectomy procedures all averaged over 20 tablets. Direct laryngoscopy opioid dose was the lowest at 4.8 tablets (range 0–20). Opioid prescriptions by surgery were broken down by provider class with only septoplasty showing a significant difference with attending physicians prescribing an average of 20 tablets vs 14.1 tablets for residents (P = 0.034). Conclusion: We believe there remains an unacceptably high variability in current opioid prescribing patterns within otolaryngology especially within more painful procedures. Establishment of standardized post-operative narcotic guidelines is warranted. Keywords: Opioids, Narcotics, Otolaryngology
format	article
author	Alexander W. Murphey Suqrat Munawar Shaun A. Nguyen Ted A. Meyer Ashli K. O'Rourke
author_facet	Alexander W. Murphey Suqrat Munawar Shaun A. Nguyen Ted A. Meyer Ashli K. O'Rourke
author_sort	Alexander W. Murphey
title	Opioid prescribing patterns within otolaryngology
title_short	Opioid prescribing patterns within otolaryngology
title_full	Opioid prescribing patterns within otolaryngology
title_fullStr	Opioid prescribing patterns within otolaryngology
title_full_unstemmed	Opioid prescribing patterns within otolaryngology
title_sort	opioid prescribing patterns within otolaryngology
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/90db5bae8e6f478c8f90b72ce4892e95
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Opioid prescribing patterns within otolaryngology

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