Non-Opioid Otolaryngology Medical Practice

Conventional practice for medical conditions for chronic opioid therapy.

When considering chronic opioid therapy (COT) for chronic noncancer pain, it has been proposed that it is prudent to contemplate 4 questions which may be useful and influence medical decision making (1): 1. What is the conventional practice? 2. Are there reasonable alternatives to COT? 3. What is the risk of adverse events? 4. Is the patient likely to be a responsible drug-taker? Question 4 – (...

The otolaryngology hospitalist: a novel practice paradigm.

OBJECTIVES/HYPOTHESIS To define a new clinical hospitalist practice paradigm originating at the University of California, San Francisco. DESIGN Retrospective administrative database review at a tertiary referral hospital. MATERIALS AND METHODS A consortium model of an otolaryngologist hospitalist practice was developed. Billing records, including Current Procedural Terminology (CPT) and Int...

Otolaryngology at Baylor University Medical Center.

Non-Medical Prescription Opioid Use and Prescription Opioid Use Disorder: A Review

Over the past few decades, there has been a rise in the non-medical use of prescription opioids, which has now reached epidemic proportions in the United States. In some cases, this non-medical use progresses to prescription opioid use disorder, heroin use, injection, and inhalation drug use, all of which may have further devastating consequences. The purpose of this review article is to discus...

A Patient-Centered Approach to Clinical Practice Guidelines in Otolaryngology.

Patient education is used to engage patients in their own health care and is relevant in most clinical situations. Shared decision making (SDM) is used to engage patients when a choice needs to be made about a diagnostic or therapeutic procedure and the medical evidence does not indicate which choice is best. American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) clinical practice g...