Publications
OPEN examines data, clinical practices and strategies to support better pain management, opioid stewardship, policy, treatment and care.
Care Coordination for Patients on Chronic Opioid Therapy Following Surgery
Lagisetty P, Bohnert A, Goesling J, et al. Care Coordination for Patients on Chronic Opioid Therapy Following Surgery: A Cohort Study. Ann Surg. 2020;272(2):304-310. doi:10.1097/SLA.0000000000003235- 10% of patients did not have a usual prescriber preoperatively and were more likely to have prescriptions from multiple prescribers and new long-acting opioid prescriptions.
- 8% of patients were exposed to high risk prescribing postoperatively.
- Among patients with a usual prescriber, earlier return was associated with decreased odds of receiving prescriptions from multiple prescribers.
Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Naïve Patients in the USA: A Retrospective Review
Klueh MP, Hu HM, Howard RA, et al. Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Naïve Patients in the USA: a Retrospective Review. J Gen Intern Med. 2018;33(10):1685-1691.- Among surgical patients who developed new persistent opioid use, surgeons provided the majority of opioid prescriptions during the first three months after surgery.
- By nine to twelve months after surgery, however, the majority of opioid prescriptions were provided by primary care physicians.
- Enhanced care coordination between surgeons and primary care physicians could allow earlier identification of patients at risk for new persistent opioid use to prevent misuse and dependence.