Mp76-13 Identifying Risk Factors for Increased Healthcare Utilization Following Ipp Placement

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP76)1 May 2024MP76-13 IDENTIFYING RISK FACTORS FOR INCREASED HEALTHCARE UTILIZATION FOLLOWING IPP PLACEMENT Roger D. Klein, Sherry L. Huang, John Myrga, William Daly, and Paul J. Rusilko Roger D. KleinRoger D. Klein , Sherry L. HuangSherry L. Huang , John MyrgaJohn Myrga , William DalyWilliam Daly , and Paul J. RusilkoPaul J. Rusilko View All Author Informationhttps://doi.org/10.1097/01.JU.0001009484.98400.42.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Previous studies have demonstrated increased rates of postoperative healthcare utilization in patients with a preoperative diagnosis of a chronic pain and/or psychiatric condition. Preoperative counselling and referral for specialist support prior to elective surgery can outline expectations regarding postsurgical recovery and decrease burden on providers' outpatient clinics. Herein, we seek to quantify healthcare utilization rates following inflatable penile prosthesis (IPP) placement and determine if an existing chronic pain and/or psychiatric diagnosis affects the frequency of healthcare system interaction. METHODS: We performed a retrospective chart review of 128 patients who underwent placement of a three-piece inflatable penile prosthesis with a single surgeon between 2017 and 2023. Age, BMI, distance traveled for surgery, history of a chronic pain condition, preoperative analgesic use, and the presence of a charted psychiatric diagnosis were assessed. All patient phone calls and unscheduled office visits within the first 90 days of discharge were recorded. RESULTS: Patients with a documented chronic pain condition, including neuropathy, arthritis, low back pain, and fibromyalgia were significantly more likely to have an unplanned office visit within 90 days of IPP placement than those who did not (OR 2.10, 95% CI 1.01-4.34, p=0.04). There were no differences in the background demographics of these populations, including age, BMI, or distance traveled for surgery. There was no significant difference in postoperative office visit frequency noted between patients with and without chronic opioid (OR 1.35, 95% CI 0.49-3.77, p=0.56) or nonopioid (OR=0.84, 98% CI 0.41-1.73, p=0.64) analgesic use. There was no significant difference in the frequency of postoperative office calls or visits between patients with a psychiatric diagnosis listed in the electronic medical record and those who did not, although patients with an active psychiatric diagnosis undergoing IPP placement were more likely to be younger (63.9 vs 60.3, p=0.04) and have a lower BMI (29.0 vs 31.3, p=0.04). CONCLUSIONS: A history of a chronic pain condition was associated with an increased likelihood of an unplanned postoperative office visit relative to those who did not report a chronic pain condition. This suggests that these patients may benefit from preoperative counselling and/or chronic pain referral to address their chronic pain prior to elective IPP placement. Source of Funding: None to report © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1247 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Roger D. Klein More articles by this author Sherry L. Huang More articles by this author John Myrga More articles by this author William Daly More articles by this author Paul J. Rusilko More articles by this author Expand All Advertisement PDF downloadLoading ...