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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

American Academy of Orthopaedic Surgeons Pain Relief Toolkit


American Society of Plastic Surgeons Opioid Prescribing Resources

National Institute on Drug Abuse (NIDA)

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

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

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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