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
. 2023 Jan;43(1):167-174.
doi: 10.1007/s10792-022-02413-3. Epub 2022 Jul 22.

Opioid prescribing patterns among oculofacial plastic surgeons

Amisha D Dave  1   2 , Madina Falcone  3
Affiliations

Opioid prescribing patterns among oculofacial plastic surgeons

Amisha D Dave et al. Int Ophthalmol. 2023 Jan.

Abstract

Purpose: Oculofacial plastic surgeons (OPS) prescribe narcotic pain prescriptions at a rate four times higher than that of other ophthalmologists. We conducted a cross-sectional survey to understand trends in opioid prescriptions among oculofacial plastic surgeons after common oculoplastic surgeries.

Methods: This cross-sectional survey was sent to OPS in the USA between June 19, 2020 and December 1, 2020. Participants were asked about their training and practice as well as their top two choices for post-operative pain management both overall and for seven common oculoplastic surgeries. Fisher's exact and chi-square tests were performed to analyze relationships between categorical variables.

Results: The two most common opioid medications, in percentage of respondents (n = 82), prescribed overall by OPS were hydrocodone-acetaminophen (35%) and tramadol (21%). Between OPS completed training before 1990 (16%) and those who completed training from 1991 to 2000 (12%), the latter cohort is 4.9 times more likely to prescribe opioids overall ([95% CI = 1.3-15.4], p = .01). Additionally, OPS who are currently practicing in the Southeast USA are 4.2 times more likely to prescribe opioids overall than those practicing in the Northeast USA ([95% CI: 1.4-12.8], p = .02).

Conclusion: This study has helped identify patterns in opioid prescribing behavior among OPS based on demographic information and common oculoplastic surgeries. This knowledge will help bring awareness of prescribing behavior to the oculoplastics community and identify areas of improvement to reduce opioid prescriptions. Kindly check and confirm the OD and ON has been correctly identified in 2nd affiliationYes.

Keywords: Behavior; Oculofacial plastic surgery; Oculoplastic; Opioid use; Prescriptions.

PubMed Disclaimer

References

    1. (2019) Prescribing Practices | Drug Overdose | CDC Injury Center. https://www.cdc.gov/drugoverdose/data/prescribing/prescribing-practices.... . Accessed 20 Mar 2021
    1. Charlson ES, Feng PW, Bui A et al (2019) Opioid prescribing patterns among American society of ophthalmic plastic and reconstructive surgery members in the medicare part D database. Ophthal Plast Reconstr Surg 35:360–364. https://doi.org/10.1097/IOP.0000000000001266 - DOI
    1. Ye H, Chen R, Lian X et al (2018) Risk factors associated with postoperative pain and discomfort in oculoplastic surgery with general anesthesia: a prospective study. J Pain Res 11:407–415. https://doi.org/10.2147/JPR.S156104 - DOI
    1. Patel S, Sternberg P (2017) Association between opioid prescribing patterns and abuse in ophthalmology. JAMA Ophthalmol 135:1216–1220. https://doi.org/10.1001/jamaophthalmol.2017.4055 - DOI
    1. Dryden SC, Rho JE, Nix GC et al (2021) Long-acting opioid prescribing patterns of ophthalmic plastic surgeons in the medicare Part D database. Orbit. https://doi.org/10.1080/01676830.2021.1975772 - DOI

Substances

LinkOut - more resources