OPEN examines data, clinical practices and strategies to support better pain management, opioid stewardship, policy, treatment and care.
- 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 ReviewKlueh 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.