PD05-12 OPIOID PRESCRIPTION PATTERNS AND USAGE AFTER UROGYNECOLOGIC SURGERY

Prevention and management of postoperative urinary retention after urogynecologic surgery

Postoperative urinary retention (POUR) is a frequent consequence of gynecologic surgery, especially with surgical correction of urinary incontinence and pelvic organ prolapse. Estimates of retention rates after pelvic surgery range from 2.5%-43%. While there is no standard definition for POUR, it is characterized by impaired bladder emptying, with an elevation in the volume of retained urine. T...

Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy

CONTEXT The dramatic rise in the use of prescription opioids to treat non-cancer pain has been paralleled by increasing prescription opioid abuse. However, detailed analyses of these trends and programs to address them are lacking. OBJECTIVE To study the association between state shipments of prescription opioids for medical use and prescription opioid abuse admissions and to assess the effec...

Discharge prescription patterns of opioid and nonopioid analgesics after common surgical procedures

Introduction Recent literature has shown a wide variation in the prescribing patterns of opioids after elective surgery. We conducted an evaluation of discharge opioid prescribing after elective surgical procedures to determine whether opioid-prescribing patterns varied at our institution. Method A single academic medical center retrospective review of patients undergoing laparoscopic cholecy...

Curbing prescription opioid dependency

Opioid Use and Storage Patterns by Patients after Hospital Discharge following Surgery

INTRODUCTION Opioid-based analgesic therapy represents a cornerstone of pain management after surgery. The recent rise in opioid sales and opioid overdoses suggests it is important to maximize the safety of opioid prescribing after surgery. Given that patients may live with other family members in the home, safe storage and appropriate disposal of excess opioids after hospital discharge are nec...