FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3004553621> ?p ?o ?g. }

• W3004553621 endingPage "1126" @default.
• W3004553621 startingPage "1118" @default.
• W3004553621 abstract "Background Hemorrhoids cause more than 4 million ambulatory care visits in the United States annually, and hemorrhoidectomy is associated with significant postoperative pain. There are currently no evidence-based opioid-prescribing guidelines for hemorrhoidectomy patients. Objective The purpose of this study was to investigate patterns of opioid prescribing and to identify factors associated with opioid refill after hemorrhoidectomy. Design This was a retrospective database review. Settings The study was conducted using the Department of Defense Military Health System Data Repository (2006-2014). Patients Opioid-naive patients aged 18 to 64 years enrolled in TRICARE insurance who underwent surgical hemorrhoidectomy were included in this study. Main outcome measures We measured patterns of opioid prescriptions and predictors of a second opioid prescription within 2 weeks of the end date for the first prescription after hemorrhoidectomy. Results A total of 6294 patients were included; 5536 (88.0%) filled an initial opioid prescription with a median 5-day supply, and 1820 (32.9%) required an opioid refill. The modeled risk of refill based on initial prescription supply ranged from a high of 39.2% risk with an initial prescription of 1-day supply to an early nadir (26.1% risk of refill) with an initial 10-day supply. A variety of sociodemographic and clinical characteristics influenced the likelihood of opioid refill, including black race (OR = 0.75 (95% CI, 0.62-0.89)), history of substance abuse (OR = 3.26 (95% CI, 1.37-7.34)), and length of index opioid prescription (4-6 d, OR = 0.83 (95% CI, 0.72-0.96) or ≥7 d, OR = 0.67 (95% CI, 0.57-0.78) vs 1-3 d). Limitations Variables assessed were limited because of the use of claims-based data. Conclusions There is wide variability in the length of prescription opioid use after hemorrhoidectomy. Approximately one third of patients require a second prescription in the immediate postoperative period. The optimal duration appears to be between a 5- and 10-day supply. Clinicians may be able to more efficiently discharge patients with adequate analgesia while minimizing the potential for excess supply. See Video Abstract at http://links.lww.com/DCR/B112. PRESCRIPCION DE MEDICAMENTOS OPIOIDES DESPUES DE HEMORROIDECTOMIA: Las afecciones hemorroidarias ocasionan anualmente mas de cuatro millones de consultas ambulatorias en los Estados Unidos. La hemorroidectomia esta asociada con dolor postoperatorio muy significativo. Actualmente no existen pautas claras para la prescripcion de medicamentos opioides despues de hemorroidectomia, basada en la evidencia.Investigar los patrones de prescripcion de medicamentos opioides e identificar los factores asociados con la acumulacion de dichos opioides despues de una hemorroidectomia.Revision retrospectiva de una base de datos.Almacen de datos del Sistema de Salud militar del Departamento de Defensa de los Estados Unidos de America (2006-2014).Todos aquellos sometidos a hemorroidectomia quirurgica, sin tratamiento opiode previo, comprendiodos entre 18-64 anos y beneficiarios de seguro TRICARE.Patrones de prescripcion de recetas de opioides, predictores de una segunda receta de opioides dentro las dos semanas posteriores a la fecha de finalizacion de la primera receta despues de la hemorroidectomia.6.294 pacientes fueron incluidos en el estudio. 5.536 (88,0%) completaron una receta inicial de opioides con un suministro promedio de cinco dias, y 1.820 (32,9%) pacientes requirieron reabastecerse de opioides. El riesgo modelado de reabastecimiento de opiodes basado en el suministro de la prescripcion inicial, vario desde un alto riesgo (39.2%) con una prescripcion inicial de suministro por dia, hasta un acme temprano (26.1% de riesgo de reabastecimiento) con un suministro inicial de 10 dias. Una gran variedad de caracteristicas socio-demograficas y clinicas influyeron en la probabilidad del reabastecimeinto de los opioides, incluida la raza negra (OR 0.75, intervalo de confianza (IC) del 95% (0.62, 0.89)), los antecedentes de abuso de substancias (OR 3.26, IC del 95% (1.37, 7.34)) y la duracion del indice de la prescripcion de opioides (4-6 dias (OR 0.83, IC 95% (0.72, 0.96)), o 7 dias o mas (OR 0.67, IC 95% (0.57, 0,78)) comparados a 1-3 dias.Las variables analizadas fueron limitadas debido al uso de datos basados en reclamos.Existe una gran variabilidad en la duracion del uso de opioides recetados despues de hemorroidectomia. Aproximadamente un tercio de los pacientes requieren una segunda prescripcion en el postoperatorio inmediato. La duracion optima parece estar entre un suministro de cinco y 10 dias. Los medicos pueden dar de alta de manera mas eficiente a los pacientes con analgesia adecuada y minimizar el potencial de exceso de suministro. Consulte Video Resumen en http://links.lww.com/DCR/B112. (Traduccion-Dr. Xavier Delgadillo)." @default.
• W3004553621 created "2020-02-14" @default.
• W3004553621 creator A5002186139 @default.
• W3004553621 creator A5009615805 @default.
• W3004553621 creator A5028045410 @default.
• W3004553621 creator A5033221676 @default.
• W3004553621 creator A5033876943 @default.
• W3004553621 creator A5049549817 @default.
• W3004553621 creator A5070023280 @default.
• W3004553621 creator A5070786585 @default.
• W3004553621 date "2020-01-30" @default.
• W3004553621 modified "2023-10-10" @default.
• W3004553621 title "Opioid Prescriptions After Hemorrhoidectomy" @default.
• W3004553621 cites W1222886474 @default.
• W3004553621 cites W142629543 @default.
• W3004553621 cites W1965695181 @default.
• W3004553621 cites W1972079553 @default.
• W3004553621 cites W1976511542 @default.
• W3004553621 cites W1988728097 @default.
• W3004553621 cites W1996590803 @default.
• W3004553621 cites W2079091636 @default.
• W3004553621 cites W2085822217 @default.
• W3004553621 cites W2101263029 @default.
• W3004553621 cites W2103825186 @default.
• W3004553621 cites W2106138332 @default.
• W3004553621 cites W2125637902 @default.
• W3004553621 cites W2126497655 @default.
• W3004553621 cites W2147530350 @default.
• W3004553621 cites W2169168414 @default.
• W3004553621 cites W2315166915 @default.
• W3004553621 cites W2340766131 @default.
• W3004553621 cites W2399438629 @default.
• W3004553621 cites W2516267176 @default.
• W3004553621 cites W2519014862 @default.
• W3004553621 cites W2607168684 @default.
• W3004553621 cites W2618114875 @default.
• W3004553621 cites W2621541681 @default.
• W3004553621 cites W2757001466 @default.
• W3004553621 cites W2769094299 @default.
• W3004553621 cites W2792602044 @default.
• W3004553621 cites W2794786338 @default.
• W3004553621 cites W2796042823 @default.
• W3004553621 cites W2802218390 @default.
• W3004553621 cites W2806147124 @default.
• W3004553621 cites W2887963890 @default.
• W3004553621 cites W2906591149 @default.
• W3004553621 cites W32607180 @default.
• W3004553621 doi "https://doi.org/10.1097/dcr.0000000000001570" @default.
• W3004553621 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32015286" @default.
• W3004553621 hasPublicationYear "2020" @default.
• W3004553621 type Work @default.
• W3004553621 sameAs 3004553621 @default.
• W3004553621 citedByCount "11" @default.
• W3004553621 countsByYear W30045536212020 @default.
• W3004553621 countsByYear W30045536212021 @default.
• W3004553621 countsByYear W30045536212022 @default.
• W3004553621 countsByYear W30045536212023 @default.
• W3004553621 crossrefType "journal-article" @default.
• W3004553621 hasAuthorship W3004553621A5002186139 @default.
• W3004553621 hasAuthorship W3004553621A5009615805 @default.
• W3004553621 hasAuthorship W3004553621A5028045410 @default.
• W3004553621 hasAuthorship W3004553621A5033221676 @default.
• W3004553621 hasAuthorship W3004553621A5033876943 @default.
• W3004553621 hasAuthorship W3004553621A5049549817 @default.
• W3004553621 hasAuthorship W3004553621A5070023280 @default.
• W3004553621 hasAuthorship W3004553621A5070786585 @default.
• W3004553621 hasConcept C126322002 @default.
• W3004553621 hasConcept C141071460 @default.
• W3004553621 hasConcept C170493617 @default.
• W3004553621 hasConcept C2426938 @default.
• W3004553621 hasConcept C2780120127 @default.
• W3004553621 hasConcept C2780140570 @default.
• W3004553621 hasConcept C2781063702 @default.
• W3004553621 hasConcept C42219234 @default.
• W3004553621 hasConcept C523026621 @default.
• W3004553621 hasConcept C71924100 @default.
• W3004553621 hasConcept C98274493 @default.
• W3004553621 hasConceptScore W3004553621C126322002 @default.
• W3004553621 hasConceptScore W3004553621C141071460 @default.
• W3004553621 hasConceptScore W3004553621C170493617 @default.
• W3004553621 hasConceptScore W3004553621C2426938 @default.
• W3004553621 hasConceptScore W3004553621C2780120127 @default.
• W3004553621 hasConceptScore W3004553621C2780140570 @default.
• W3004553621 hasConceptScore W3004553621C2781063702 @default.
• W3004553621 hasConceptScore W3004553621C42219234 @default.
• W3004553621 hasConceptScore W3004553621C523026621 @default.
• W3004553621 hasConceptScore W3004553621C71924100 @default.
• W3004553621 hasConceptScore W3004553621C98274493 @default.
• W3004553621 hasIssue "8" @default.
• W3004553621 hasLocation W30045536211 @default.
• W3004553621 hasOpenAccess W3004553621 @default.
• W3004553621 hasPrimaryLocation W30045536211 @default.
• W3004553621 hasRelatedWork W115766805 @default.
• W3004553621 hasRelatedWork W180126274 @default.
• W3004553621 hasRelatedWork W201071328 @default.
• W3004553621 hasRelatedWork W2549135832 @default.
• W3004553621 hasRelatedWork W2903739036 @default.
• W3004553621 hasRelatedWork W2946354953 @default.

• next