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Pediatric Surgical Opioid Prescribing by Procedure, 2020–2021

  • Pediatric surgical opioid prescribing is concentrated among a small number of procedures.
  • For patients aged 0 to 11 years, the top 3 procedures (tonsillectomy and/or adenoidectomy, open treatment of upper extremity fracture, and removal of deep implants) accounted for 59.1% of MMEs in opioid prescriptions dispensed after surgery.
  • For patients aged 12 to 21 years, the top 3 procedures (tonsillectomy and/or adenoidectomy, knee arthroscopy, and cesarean delivery) accounted for 33.1% of MMEs • Targeting these procedures in opioid stewardship initiatives could help minimize the risks of opioid prescribing while maintaining effective postoperative pain control.

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Chua, K. P., Brummett, C. M., Kelley-Quon, L. I., Bicket, M. C., Gunaseelan, V., & Waljee, J. F. (2024). Pediatric Surgical Opioid Prescribing by Procedure, 2020-2021. Pediatrics, 154(1), e2024065814. https://doi.org/10.1542/peds.2024-065814