A national evaluation of opioid prescribing and persistent use after ambulatory anorectal surgery.

ABSTRACT:

Background

Surgery is a common gateway to opioid-related morbidity. Ambulatory anorectal cases are common, with opioids widely prescribed, but there is limited data on their role in this crisis. We sought to determine prescribing trends, new persistent opioid use rates, and factors associated with new persistent opioid use after ambulatory anorectal procedures.

Methods

The Optum Clinformatics claims database was analyzed for opioid-naïve adults undergoing outpatient hemorrhoid, fissure, or fistula procedures from January 1, 2010, to June 30, 2017. The main outcome measure was the rate of new persistent opioid use after anorectal cases. Secondary outcomes were annual rates of perioperative opioid fills and the prescription size over time (oral morphine equivalents).

Result

SUBMITTER: Keller DS 

PROVIDER: S-EPMC8194057 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature