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Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions
OBJECTIVE: This study's purpose was to investigate opioid prescribing practices after pediatric tonsillectomy in the year before and year after implementation of statewide policy interventions in Vermont. METHODS: We reviewed charts of consecutive patients less than 18 years old that underwent...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008178/ https://www.ncbi.nlm.nih.gov/pubmed/35434336 http://dx.doi.org/10.1002/lio2.737 |
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author | Gerges, Daniel Wershoven, Nicole Hubbell, Richard Herrington, Heather |
author_facet | Gerges, Daniel Wershoven, Nicole Hubbell, Richard Herrington, Heather |
author_sort | Gerges, Daniel |
collection | PubMed |
description | OBJECTIVE: This study's purpose was to investigate opioid prescribing practices after pediatric tonsillectomy in the year before and year after implementation of statewide policy interventions in Vermont. METHODS: We reviewed charts of consecutive patients less than 18 years old that underwent tonsillectomy or adenotonsillectomy at a single tertiary academic medical center 1 year before (July 2016–June 2017) and 1 year after (July 2017–June 2018) implementation of policy interventions targeted at opioid prescribing. Data collected included demographics, procedure performed, indication, complications, medical comorbidities, opioid prescribing practices (medication, dose, morphine milliequivalents, and postdischarge opioid prescriptions), and postoperative telephone calls and emergency department (ED) visits. RESULTS: Tonsillectomy or adenotonsillectomy was performed in 360 consecutive patients (185 in the pre‐policy year and 175 in the post‐policy year). Those receiving an opioid prescription in the pre‐ compared to post‐policy year was 49.7% versus 15.4% (p < .001). Of patients 6 years and older, 95.8% in the pre‐policy year compared to 25.2% in the post‐policy year received a postoperative opioid (p < .001). There was no difference in pain‐related office phone calls, postdischarge opioid prescriptions or ED visits between the two groups. There was no difference in morphine milligram equivalent prescribed in the pre‐ and post‐groups. CONCLUSION: Implementation of statewide policy interventions can have a substantial impact on opioid prescribing practices in the pediatric tonsillectomy population without an increase in office phone calls, postdischarge opioid prescriptions, and ED visits. LEVEL OF EVIDENCE: 4 |
format | Online Article Text |
id | pubmed-9008178 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90081782022-04-15 Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions Gerges, Daniel Wershoven, Nicole Hubbell, Richard Herrington, Heather Laryngoscope Investig Otolaryngol Pediatrics and Development OBJECTIVE: This study's purpose was to investigate opioid prescribing practices after pediatric tonsillectomy in the year before and year after implementation of statewide policy interventions in Vermont. METHODS: We reviewed charts of consecutive patients less than 18 years old that underwent tonsillectomy or adenotonsillectomy at a single tertiary academic medical center 1 year before (July 2016–June 2017) and 1 year after (July 2017–June 2018) implementation of policy interventions targeted at opioid prescribing. Data collected included demographics, procedure performed, indication, complications, medical comorbidities, opioid prescribing practices (medication, dose, morphine milliequivalents, and postdischarge opioid prescriptions), and postoperative telephone calls and emergency department (ED) visits. RESULTS: Tonsillectomy or adenotonsillectomy was performed in 360 consecutive patients (185 in the pre‐policy year and 175 in the post‐policy year). Those receiving an opioid prescription in the pre‐ compared to post‐policy year was 49.7% versus 15.4% (p < .001). Of patients 6 years and older, 95.8% in the pre‐policy year compared to 25.2% in the post‐policy year received a postoperative opioid (p < .001). There was no difference in pain‐related office phone calls, postdischarge opioid prescriptions or ED visits between the two groups. There was no difference in morphine milligram equivalent prescribed in the pre‐ and post‐groups. CONCLUSION: Implementation of statewide policy interventions can have a substantial impact on opioid prescribing practices in the pediatric tonsillectomy population without an increase in office phone calls, postdischarge opioid prescriptions, and ED visits. LEVEL OF EVIDENCE: 4 John Wiley & Sons, Inc. 2022-01-26 /pmc/articles/PMC9008178/ /pubmed/35434336 http://dx.doi.org/10.1002/lio2.737 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Pediatrics and Development Gerges, Daniel Wershoven, Nicole Hubbell, Richard Herrington, Heather Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title | Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title_full | Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title_fullStr | Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title_full_unstemmed | Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title_short | Opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
title_sort | opioid prescribing practices for pediatric tonsillectomy before and after policy interventions |
topic | Pediatrics and Development |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008178/ https://www.ncbi.nlm.nih.gov/pubmed/35434336 http://dx.doi.org/10.1002/lio2.737 |
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