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• W3138586795 abstract "An opioid reduction education program to decrease discharge opioid prescriptions was initiated in our Department of Surgical Oncology. The study's aim was to measure the results and sustainability of these interventions 1 year later.This prospective quality improvement project identified patients undergoing resection in five index tumor sites (peritoneal surface, sarcoma, stomach, pancreas, liver) at a high-volume cancer center. Patients were grouped into pre-education (PRE: July 2017-July 2018) and posteducation (POST: September 2018-July 2019) periods, before and after departmental education talks and videos in August 2018. Opioids were converted to oral morphine equivalents (OME) to compare the groups.Of 1168 evaluable patients (PRE 646, 55%; POST 522, 45%), the median last-24-h inpatient OME was 15 mg in PRE patients and 10 mg in POST patients (p < .001). Median discharge OME decreased from 200 mg in PRE to 100 mg in POST patients (p < .001). The frequency of patients with zero discharge opioids increased from 11% to 19% (p < .001). This discharge OME reduction amounted to 52,200 mg OME saved, or the equivalent of 6960 5-mg oxycodone pills not disseminated.A perioperative opioid reduction education program targeted to providers halved discharge OME, with sustained reductions 1 year later." @default.
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• W3138586795 date "2021-03-22" @default.
• W3138586795 modified "2023-09-29" @default.
• W3138586795 title "Sustained reduction in discharge opioid volumes through provider education: Results of 1168 cancer surgery patients over 2 years" @default.
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• W3138586795 doi "https://doi.org/10.1002/jso.26476" @default.
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