ISQIC Opioid Resources
Minimizing Opioid Prescribing

Local Anesthetic Prior to Incision

Pre-incision local infiltration with levobupivacaine reduces pain and analgesic consumption after laparascopic cholecystectomy: a new device for day-case procedure

Overprescribing and Prescribing Recommendations

Chiu et al. 2018: Association of lowering default pill counts in electronic medical record systems with postoperative opioid prescribing

 

Ladha et al. 2019: Opioid prescribing after surgery in the United States, Canada, and Sweden

 

Sohn et al. 2019: Association of naloxone coprescription laws with naloxone prescription dispensing in the United States

Hill et al. 2017: Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures

 

Levy et al. 2015: Trends in opioid analgesic-prescribing rates by specialty, U.S., 2007-2012

 

Bates et al. 2011: Overprescription of postoperative narcotics: a look at postoperative pain medication delivery, consumption and disposal in urological practice

 

Ringwalt et al. 2014: Differential prescribing of opioid analgesics according to physician specialty for Medicaid patients with chronic noncancer pain diagnoses

 

Morris et al. 2015: The opioid epidemic: impact on orthopaedic surgery

 

Howard et al. 2017: Reduction in opioid prescribing through evidence-based prescribing guidelines

 

Michigan Open

CDC Opioid Prescribing Guidelines

https://www.cdc.gov/drugoverdose/pdf/Guidelines_Factsheet-a.pdf

https://www.cdc.gov/drugoverdose/index.html

American Academy of Orthopaedic Surgeons Pain Relief Toolkit  

https://aaos.org/Quality/PainReliefToolkit/?ssopc=1

 

American Society of Plastic Surgeons Opioid Prescribing Resources 

https://www.plasticsurgery.org/for-medical-professionals/health-policy/opioid-prescribing-resources

National Institute on Drug Abuse (NIDA) 

https://www.drugabuse.gov/

Pain Management Expectation Setting with Patients

Shirley et al. 2013: Patient satisfaction: Implications and predictors of success

Mahomed et al. 2002: The importance of patient expectations in predicting functional outcomes after total joint arthroplasty

VA Step-wise Approach to Pain Management

https://www.pbm.va.gov/PBM/AcademicDetailingService/Documents/Academic_Detailing_Educational_Material_Catalog/Pain_Provider_AcutePainProviderEducationalGuide_IB10998.pdf

Chronic Opioid Abuse Risk Factors

Sun et al. 2016: Incidence of and risk factors for chronic opioid use among opioid-naive patients in postoperative period

 

Harbaugh et al. 2018: Persistent opioid use among pediatric patients after surgery

 

Miech et al. 2015: Prescription opioids in adolescence and future opioid misuse

Illinois PMP 2018 Law

http://www.ilga.gov/legislation/publicacts/100/PDF/100-0564.pdf

www.ilpmp.org

Orthopaedic and Spine Surgery 

Basilico et al. 2019: Prescription opioid type and the likelihood of prolonged opioid use after orthopaedic surgery

Hsu et al. 2019: The Orthopaedic Trauma Association Musculoskeletal Pain Task Force. Clinical practice guidelines for pain management in acute musculoskeletal injury

Lovecchio et al. 2019: An institutional intervention to modify opioid prescribing practices after lumbar spine surgery

Raneses et al. 2019: Opioid prescribing practices of orthopaedic surgeons: Results of a national survey

Reid et al. 2019: Mandatory prescription limits and opioid utilization following orthopaedic surgery

Sabatino et al. 2018: Excess opioid medication and variation in prescribing patterns following common orthopaedic procedures

Stepan et al. 2019: Development of an institutional opioid prescribed education program and opioid-prescribing guidelines: Impact on prescribing patterns

Plastic Surgery 

Rose et al. 2019: Opioid prescribing and consumption patterns following outpatient plastic surgery procedures

Torabi et al. 2019: American Society of Plastic Surgeons member post-operative opioid prescribing patterns

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NOTICE: Data and reports/charts are STRICTLY CONFIDENTIAL. Use of these data and reports is restricted solely to each participating medical center FOR INTERNAL QUALITY IMPROVEMENT PURPOSES ONLY.