Pd49-12 Trends in Opioid Prescribing Over Time After Pediatric Urologic Surgery

You have accessJournal of UrologyPediatrics V (PD49)1 May 2024PD49-12 TRENDS IN OPIOID PRESCRIBING OVER TIME AFTER PEDIATRIC UROLOGIC SURGERY Daniel Salevitz, Nicolette Payne, and Gwen Grimsby Daniel SalevitzDaniel Salevitz , Nicolette PayneNicolette Payne , and Gwen GrimsbyGwen Grimsby View All Author Informationhttps://doi.org/10.1097/01.JU.0001008752.72292.d7.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: A previous study from our institution found that after education regarding opioid prescribing practices, urology providers significantly decreased post-operative opioid prescriptions from 60% in 2018 to 33% in 2019. Since that time, the providers have continued to work to decrease opioid prescriptions after pediatric urologic surgery. The goals of this study were to examine the trends in opioid prescribing practices over time and to determine what clinical factors were associated with use of opioids over the years. METHODS: From 2017 to 2023, a written questionnaire querying what medications were used at home for postoperative pain control after pediatric urologic surgery was administered to patients and families at a routine postoperative visit. Survey results and demographic factors were obtained via retrospective chart review and compared between patients who did and did not use opioids with Fisher's exact and t-tests. RESULTS: A total of 1643 patients completed a survey. Mean age was 5.3 years and 95% were male. 558 patients (34%) were prescribed opioids and of these, 482/558 (86%) used opioids after surgery while 457/558 (82%) had leftover opioids. 1085 (66%) patients were not prescribed opioids and 76/558 (14%) of patients prescribed opioids did not use them. Thus, 1161 (71%) patients did not use opioids after surgery. Patients who used opioids were significantly older than those who did not (7 vs 4 years, p<0.0001), Table 1. Only endoscopic surgery type was significantly associated with less frequent use of opioids (p=0.0054), Table 1. When reviewing opioid prescribing rate over time, in 2017 63% of patients were prescribed opioids after surgery, compared with only 6% in 2023 (p<0.0001), Figure 1. CONCLUSIONS: Over the past 6 years, opioid prescription rate by providers at our institution has been drastically reduced. These data demonstrate that the vast majority of patients who undergo pediatric urologic surgeries do not need opioid prescriptions, and targeted provider education regarding post-operative opioid prescribing can lead to meaningful reductions in opioid use after urologic surgery. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1054 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Daniel Salevitz More articles by this author Nicolette Payne More articles by this author Gwen Grimsby More articles by this author Expand All Advertisement PDF downloadLoading ...