Mp21-20 National Postoperative Opioid Prescribing Rates Following Pediatric Urology Procedures Before and After the 2018 American Academy of Pediatrics Challenge to Reduce Opioid Prescribing: A Claims Database Analysis

You have accessJournal of UrologyPediatrics II (MP21)1 May 2024MP21-20 NATIONAL POSTOPERATIVE OPIOID PRESCRIBING RATES FOLLOWING PEDIATRIC UROLOGY PROCEDURES BEFORE AND AFTER THE 2018 AMERICAN ACADEMY OF PEDIATRICS CHALLENGE TO REDUCE OPIOID PRESCRIBING: A CLAIMS DATABASE ANALYSIS Corey A. Able, Courtney Stewart, Andrew Gabrielson, Tyler Overholt, Steven Banner, Kelli Gilliam, Aditya Srinivasan, Nora Haney, Taylor P. Kohn, Chad Crigger, and Jonathan Gerber Corey A. AbleCorey A. Able , Courtney StewartCourtney Stewart , Andrew GabrielsonAndrew Gabrielson , Tyler OverholtTyler Overholt , Steven BannerSteven Banner , Kelli GilliamKelli Gilliam , Aditya SrinivasanAditya Srinivasan , Nora HaneyNora Haney , Taylor P. KohnTaylor P. Kohn , Chad CriggerChad Crigger , and Jonathan GerberJonathan Gerber View All Author Informationhttps://doi.org/10.1097/01.JU.0001008844.84871.17.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In 2018, the American Academy of Pediatrics challenged physicians to reduce opioid prescribing to pediatric patients. In this study, we evaluate the overall rates and trends of pediatric urology opioid prescriptions. METHODS: We queried the TriNetX Research database and included children under age 18 who underwent circumcision, hydrocelectomy, inguinal hernia repair, orchiopexy, hypospadias repair, pyeloplasty, or ureteral reimplantation who received an oral opioid prescription within five days of surgery. Patients were excluded if they had any concomitant surgery. The primary analysis evaluated the total rate of opioid prescriptions (number of patients prescribed opioids/number of procedures) using 3 month intervals from January 2010 to December 2022. Secondary analysis was performed by procedure, race (White, Black, Hispanic), age (0 to 5, 6 to 10, 11 to 18), and United States region (West, Midwest, South, Northeast). An interrupted time series linear regression analysis was used to assess trends before and after the challenge. Statistical significance was set at p<0.05. RESULTS: A total of 77,823 pediatric cases were identified, 25,617 (32.92%) of which received an opioid prescription. Figure 1 displays the rate of pediatric urology opioid prescriptions over time. In December 2022, 24.4% of patients received an opioid prescription. Opioids were prescribed for 29.8% of circumcisions, 39.6% of hypospadias repairs, 25.8% of hydrocelectomies, 42.7% of pyeloplasties, and 42.8% of ureteral reimplants. Table 1 displays the trends before and after the challenge for each cohort. CONCLUSIONS: We conclude that prescription rates remain high but have steadily decreased since the AAP statement. Additionally, the racial and age prescription disparities warrant further evaluation. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e338 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Corey A. Able More articles by this author Courtney Stewart More articles by this author Andrew Gabrielson More articles by this author Tyler Overholt More articles by this author Steven Banner More articles by this author Kelli Gilliam More articles by this author Aditya Srinivasan More articles by this author Nora Haney More articles by this author Taylor P. Kohn More articles by this author Chad Crigger More articles by this author Jonathan Gerber More articles by this author Expand All Advertisement PDF downloadLoading ...