Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?

Summary: Background: Enhanced recovery after surgery (ERAS) protocols are effective at reducing inpatient opiate use. There is a paucity of studies on the effects of an ERAS protocol on outpatient opiate prescriptions. The aim of this study was to determine whether an ERAS protocol for plastic and...

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Autores principales:	Heather R. Faulkner, Suzanne B. Coopey, Rachel Sisodia, Bridget N. Kelly, Lydia R. Maurer, Dan Ellis
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	ERAS plastic surgery pain control opiate use prescribing Surgery RD1-811
Acceso en línea:	https://doaj.org/article/cf19c770ba3a4032aa4d43967ffb5e94
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spelling	oai:doaj.org-article:cf19c770ba3a4032aa4d43967ffb5e942021-11-26T04:34:43ZDoes An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?2352-587810.1016/j.jpra.2021.10.006https://doaj.org/article/cf19c770ba3a4032aa4d43967ffb5e942022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000930https://doaj.org/toc/2352-5878Summary: Background: Enhanced recovery after surgery (ERAS) protocols are effective at reducing inpatient opiate use. There is a paucity of studies on the effects of an ERAS protocol on outpatient opiate prescriptions. The aim of this study was to determine whether an ERAS protocol for plastic and reconstructive surgery would reduce opiate use in the outpatient postoperative setting. Methods: A statewide (Massachusetts, USA) controlled substance prescription monitoring database was retrospectively reviewed to assess the prescribing patterns of a single academic plastic surgeon performing common plastic surgical outpatient operations. The time period prior to implementation of the ERAS protocol was then compared with the time period following protocol implementation. An additional three months of post-implementation data were then compared with those of each of the previous time periods to investigate whether the results were sustained. Results: A comparison of opiate prescriptions in pre-ERAS, immediate post-ERAS procedures, and follow-up ERAS implementation procedures revealed a statistically significant decrease in opiate prescriptions after ERAS protocol implementation. This decrease in the quantity of opiates prescribed was sustained over time. Conclusions: ERAS protocols are effective at reducing outpatient opiate prescriptions after a variety of plastic surgery operations. Appropriate patient and physician education is paramount for success.Heather R. FaulknerSuzanne B. CoopeyRachel SisodiaBridget N. KellyLydia R. MaurerDan EllisElsevierarticleERASplastic surgerypain controlopiate useprescribingSurgeryRD1-811ENJPRAS Open, Vol 31, Iss , Pp 22-28 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	ERAS plastic surgery pain control opiate use prescribing Surgery RD1-811
spellingShingle	ERAS plastic surgery pain control opiate use prescribing Surgery RD1-811 Heather R. Faulkner Suzanne B. Coopey Rachel Sisodia Bridget N. Kelly Lydia R. Maurer Dan Ellis Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
description	Summary: Background: Enhanced recovery after surgery (ERAS) protocols are effective at reducing inpatient opiate use. There is a paucity of studies on the effects of an ERAS protocol on outpatient opiate prescriptions. The aim of this study was to determine whether an ERAS protocol for plastic and reconstructive surgery would reduce opiate use in the outpatient postoperative setting. Methods: A statewide (Massachusetts, USA) controlled substance prescription monitoring database was retrospectively reviewed to assess the prescribing patterns of a single academic plastic surgeon performing common plastic surgical outpatient operations. The time period prior to implementation of the ERAS protocol was then compared with the time period following protocol implementation. An additional three months of post-implementation data were then compared with those of each of the previous time periods to investigate whether the results were sustained. Results: A comparison of opiate prescriptions in pre-ERAS, immediate post-ERAS procedures, and follow-up ERAS implementation procedures revealed a statistically significant decrease in opiate prescriptions after ERAS protocol implementation. This decrease in the quantity of opiates prescribed was sustained over time. Conclusions: ERAS protocols are effective at reducing outpatient opiate prescriptions after a variety of plastic surgery operations. Appropriate patient and physician education is paramount for success.
format	article
author	Heather R. Faulkner Suzanne B. Coopey Rachel Sisodia Bridget N. Kelly Lydia R. Maurer Dan Ellis
author_facet	Heather R. Faulkner Suzanne B. Coopey Rachel Sisodia Bridget N. Kelly Lydia R. Maurer Dan Ellis
author_sort	Heather R. Faulkner
title	Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
title_short	Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
title_full	Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
title_fullStr	Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
title_full_unstemmed	Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?
title_sort	does an eras protocol reduce postoperative opiate prescribing in plastic surgery?
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/cf19c770ba3a4032aa4d43967ffb5e94
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Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?

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