Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Mar 1;153(3):285-287.
doi: 10.1001/jamasurg.2017.4436.

Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines

Ryan Howard  1 , Jennifer Waljee  2 , Chad Brummett  3 , Michael Englesbe  4 , Jay Lee  1
Affiliations

Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines

Ryan Howard et al. JAMA Surg. .

Erratum in

  • Error in Conflict of Interest Disclosures.
    [No authors listed] [No authors listed] JAMA Surg. 2019 Mar 1;154(3):272. doi: 10.1001/jamasurg.2019.0070. JAMA Surg. 2019. PMID: 30785605 Free PMC article. No abstract available.

Abstract

This interrupted time series analysis found significant changes in multiple dimensions of pain medication usage after the implementation of postoperative opioid prescription guidelines in a single hospital.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: Dr Waljee wishes to disclose that she receives research funding from the Agency for Healthcare Research and Quality (grant K08 1K08HS023313-01), the American College of Surgeons, and the American Foundation for Surgery of the Hand, and also serves as an unpaid consultant for 3M Health Information systems. Drs Brummett, Waljee, and Englesbe receive funding from the Michigan Department of Health and Human Services. Dr Howard reports receiving funding from the Blue Cross Blue Shield of Michigan Foundation. The researchers have also received funding via National Institutes of Health National Institute of Drug Abuse grant R01 DA042859. No other disclosures were reported.

Figures

Figure.
Figure.. Reduction in Postoperative Opioid Prescribing After Implementation of Prescribing Guidelines.
Following the implementation of evidence-based prescribing guidelines, opioid prescriptions were significantly reduced from an equivalent of approximately 45 pills of hydrocodone, 5 mg, to approximately 15 pills (P < .001). The dashed line represents the expected decline in prescribing prior to the study intervention.
See this image and copyright information in PMC

References

    1. Hill MV, McMahon ML, Stucke RS, Barth RJ Jr. Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures. Ann Surg. 2017;265(4):709-714. - PubMed
    1. Harris K, Curtis J, Larsen B, et al. . Opioid pain medication use after dermatologic surgery: a prospective observational study of 212 dermatologic surgery patients. JAMA Dermatol. 2013;149(3):317-321. - PubMed
    1. Lipari RN, Hughes A. How people obtain the prescription pain relievers they misuse: the CBHSQ Report. https://www.samhsa.gov/data/sites/default/files/report_2686/ShortReport-.... Published January 12, 2017. Accessed October 19, 2017. - PubMed
    1. Lopez Bernal J, Cummins S, Gasparrini A. Interrupted time series regression for the evaluation of public health interventions: a tutorial. Int J Epidemiol. 2016;pii: dyw098. - PMC - PubMed
    1. Marchiori D, Papies EK, Klein O. The portion size effect on food intake: an anchoring and adjustment process? Appetite. 2014;81:108-115. - PubMed

Publication types

MeSH terms