PD28-04 INSTITUTIONAL GUIDELINES ARE EFFECTIVE IN REDUCING POST-OPERATIVE OPIOID PRESCRIPTIONS FOLLOWING UROLOGIC SURGERY: RESULTS FROM THE AMERICAN UROLOGIC ASSOCIATION 2018 CENSUS

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety I (PD28)1 Sep 2021PD28-04 INSTITUTIONAL GUIDELINES ARE EFFECTIVE IN REDUCING POST-OPERATIVE OPIOID PRESCRIPTIONS FOLLOWING UROLOGIC SURGERY: RESULTS FROM THE AMERICAN ASSOCIATION 2018 CENSUS Gregory Amend, Nizar Hakam, Behnam Nabavizadeh, Michael Sadighian, and Benjamin Breyer AmendGregory Amend More articles by this author , HakamNizar Hakam NabavizadehBehnam Nabavizadeh SadighianMichael Sadighian BreyerBenjamin View All Author Informationhttps://doi.org/10.1097/JU.0000000000002029.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Opioid related mortality is a leading cause death in the United States (US). Post-operative prescriptions provide significant source opioids community contributed surge. We examined census data from American Urologic Association (AUA) assess provider practice characteristics that drive prescription behavior. METHODS: The AUA Census specialty-specific, representative survey distributed practicing urologists throughout US. Stratified, weighted analysis using 1,157 samples was performed represent 12,660 who practiced US 2018. compared according their opioid patterns evaluate factors motivation behind use post-operative setting. RESULTS: Overall, 11,205 (88.5%) prescribe presence procedure-specific prescribing guidelines associated with greater tendency ≤10 pills lesser 11-49 ≥ 50 tablets following open abdominal surgery (p=0.0034), laparoscopic (p<0.0001), scrotal (p=0.0002), endoscopic (p=0.0002). more likely lead decreasing over 3-year period (absolute increase 13%), whereas an unchanged time twice as absence such (p=0.0168). For providers, basing current on what given prior patients reported 85% result amount (29.2% vs 13.3%, p=0.0073). Motivations avoid patient phone calls were 23.8% provided (3.2% 0.1%, p<0.0001). CONCLUSIONS: Practitioners endorsed institutional prescribed fewer all types decrease behavior time. This supports continued efforts evidence-based guidance best future. Source Funding: None © 2021 Urological Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e521-e522 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand PDF downloadLoading ...