Persistent Opioid Use Common Following Surgery
By HospiMedica International staff writers Posted on 01 May 2017 |
Approximately six percent of patients continue to use opioids more than three months after their surgery, irrespective of its extent, according to a new study.
Researchers at University of Michigan reviewed U.S. insurance claims data to calculate incidence of persistent opioid use for more than 90 days among opioid-naive patients after minor surgical procedures (such as varicose veins, laparoscopic cholecystectomy and appendectomy, hemorrhoid treatments, and others), as well as following major surgical procedures, such as colectomy, reflux and bariatric surgery, and hysterectomy. The primary outcome was new persistent opioid use, defined as opioid prescription fulfillment 90-180 days after the surgical procedure.
The results showed that of 36,177 patients (average age 45 years, 66% female, 72% Caucasian) who filed claims in 2013-2014, 80% underwent minor surgical procedures. The rates of new persistent opioid use were similar among all patients, however, ranging from 5.9% to 6.5%. By comparison, the incidence of new opioid use in a non-operative control group was only 0.4%. Risk factors for new, persistent opioid use included preoperative tobacco use, alcohol and substance abuse disorders, mood disorders, anxiety, and preoperative pain disorders. The study was published on April 12, 2017, in JAMA Surgery.
“New persistent opioid use after surgery is common and is not significantly different between minor and major surgical procedures but rather associated with behavioral and pain disorders,” concluded lead author Chad Brummett, MD, of the University of Michigan, and colleagues. “This suggests its use is not due to surgical pain but addressable patient-level predictors. New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness.”
Prescriptions of opioid medications for chronic pain have increased dramatically, a trend that has been accompanied by greatly increased levels of prescription opioid overdose, abuse, addiction, and diversion. While opioid therapy has been found to be associated with alleviation of pain in the short term, most opioid trials do not extend beyond six weeks, and are of limited relevance to long-term opioid use.
Researchers at University of Michigan reviewed U.S. insurance claims data to calculate incidence of persistent opioid use for more than 90 days among opioid-naive patients after minor surgical procedures (such as varicose veins, laparoscopic cholecystectomy and appendectomy, hemorrhoid treatments, and others), as well as following major surgical procedures, such as colectomy, reflux and bariatric surgery, and hysterectomy. The primary outcome was new persistent opioid use, defined as opioid prescription fulfillment 90-180 days after the surgical procedure.
The results showed that of 36,177 patients (average age 45 years, 66% female, 72% Caucasian) who filed claims in 2013-2014, 80% underwent minor surgical procedures. The rates of new persistent opioid use were similar among all patients, however, ranging from 5.9% to 6.5%. By comparison, the incidence of new opioid use in a non-operative control group was only 0.4%. Risk factors for new, persistent opioid use included preoperative tobacco use, alcohol and substance abuse disorders, mood disorders, anxiety, and preoperative pain disorders. The study was published on April 12, 2017, in JAMA Surgery.
“New persistent opioid use after surgery is common and is not significantly different between minor and major surgical procedures but rather associated with behavioral and pain disorders,” concluded lead author Chad Brummett, MD, of the University of Michigan, and colleagues. “This suggests its use is not due to surgical pain but addressable patient-level predictors. New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness.”
Prescriptions of opioid medications for chronic pain have increased dramatically, a trend that has been accompanied by greatly increased levels of prescription opioid overdose, abuse, addiction, and diversion. While opioid therapy has been found to be associated with alleviation of pain in the short term, most opioid trials do not extend beyond six weeks, and are of limited relevance to long-term opioid use.
Latest Surgical Techniques News
- AI Assisted Reading Tool for Small Bowel Video Capsule Endoscopy Detects More Lesions
- First-Ever Contact Force Pulsed Field Ablation System to Transform Treatment of Ventricular Arrhythmias
- Caterpillar Robot with Built-In Steering System Crawls Easily Through Loops and Bends
- Tiny Wraparound Electronic Implants to Revolutionize Treatment of Spinal Cord Injuries
- Small, Implantable Cardiac Pump to Help Children Awaiting Heart Transplant
- Gastrointestinal Imaging Capsule a Game-Changer in Esophagus Surveillance and Treatment
- World’s Smallest Laser Probe for Brain Procedures Facilitates Ablation of Full Range of Targets
- Artificial Intelligence Broadens Diagnostic Abilities of Conventional Coronary Angiography
- AI-Powered Surgical Visualization Tool Supports Surgeons' Visual Recognition in Real Time
- Cutting-Edge Robotic Bronchial Endoscopic System Provides Prompt Intervention during Emergencies
- Handheld Device for Fluorescence-Guided Surgery a Game Changer for Removal of High-Grade Glioma Brain Tumors
- Porous Gel Sponge Facilitates Rapid Hemostasis and Wound Healing
- Novel Rigid Endoscope System Enables Deep Tissue Imaging During Surgery
- Robotic Nerve ‘Cuffs’ Could Treat Various Neurological Conditions
- Flexible Microdisplay Visualizes Brain Activity in Real-Time To Guide Neurosurgeons
- Next-Gen Computer Assisted Vacuum Thrombectomy Technology Rapidly Removes Blood Clots