By Robert Preidt
“It’s striking to see the major discrepancy between prescribed amount and the amount patients actually take,” mentioned find out about senior writer Dr. Joceline Vu. She is a surgical resident and analysis fellow at Michigan Medicine.
“This is not a phenomenon of a few outlier surgeons — it was seen across the state, and across many operations,” Vu famous in a school information liberate.
In the find out about, the researchers analyzed knowledge from just about 2,400 sufferers who had one of 12 commonplace sorts of surgical procedure at 33 hospitals in Michigan. On reasonable, sufferers took most effective 27 % of the opioids (reminiscent of OxyContin) prescribed to them. However, for each 10 further drugs prescribed, sufferers took 5 of them.
The median quantity of drugs prescribed used to be 30 and the median quantity used used to be 9, the researchers discovered.
Patients who had a hernia restore operation — both open or minimally invasive surgical procedure — took probably the most opioids, whilst those that had their appendix or thyroid taken out took the least, the findings confirmed.
But the scale of the opioid prescription used to be a extra essential think about what number of drugs a affected person took than their ache ratings, the depth of their operation and private elements, the find out about authors mentioned.
According to check first writer Dr. Ryan Howard, “In what we tell patients about what kind of pain to expect after surgery, and how many pills we give, we set their expectations — and what the patient expects plays a huge role in their post-operative pain experience. So if they get 60 pain pills, they think they have to take many of them.”
Howard, a surgical resident with Michigan Medicine, added, “We hope that by shining a spotlight on the difference between prescription size and actual use, we can empower surgeons to change their prescribing habits, and be a better steward to both their patient and the broader community.”
The file used to be printed Nov. 7 within the magazine JAMA Surgery.