Tags

Type your tag names separated by a space and hit enter

Opioid prescribing habits of podiatric surgeons following elective foot and ankle surgery.
Foot (Edinb). 2020 Dec; 45:101710.F

Abstract

Prescription of opioids following surgery is commonplace in the United States, but with that has come increases in misuse, overdose and death. Evaluating prescribing habits in efforts to reduce the opioid epidemic is becoming more frequent. The purpose of the present study was to examine the self-reported practices of podiatric surgeons regarding their methods of post-operative pain management in adult, sensate patients, as well as assessing the frequency of use of adjunctive pain control modalities. A survey was created and distributed to Podiatric Surgeons electronically, across the United States. Results of this study show that Podiatric Surgeons prescribe hydrocodone/acetaminophen most commonly after surgery, with most prescribing opioids for less than 2 weeks. With regards to adjunctive pain management, two-thirds of respondents use regional anesthesia blocks, with only 13% using post-anesthesia delivery devices (PADD). Interestingly, those using PADDs prescribed significantly more opioids at the first prescription and were more likely to refill the prescription. Podiatric Surgeons are concerned with various negative outcomes for their patients when taking opioids, including addiction, non-adherence, and motor vehicle accidents. Podiatric Surgeons are less concerned about negative outcomes for themselves when prescribing opioids. This study is in agreement with previously published studies in other medical specialties regarding opioid prescribing habits and concerns. However, further research is needed to fully understand the role PADDs and regional anesthesia blocks play in reducing the amount of opioids prescribed following surgery. The Opioid Epidemic in the United States is multi-faceted, but over-prescription by providers is part of it. Continuing to assess and understand how opioids are prescribed will be paramount to curb the epidemic.

Authors+Show Affiliations

Foot and Ankle Specialists of West Michigan, 2144 E. Paris Ave SE, Suite 100, Grand Rapids, MI, 49503, USA. Electronic address: rasundling@gmail.com.Foot and Ankle Specialists of Central Ohio, 426A Beecher Road, Gahanna, OH, 43230, USA.Foot and Ankle Specialists of Central Ohio, 426A Beecher Road, Gahanna, OH, 43230, USA.Bryant Health, Lincoln, NE, USA; Ohio Innovation Group, Ohio, USA.OhioHealth Grant Foot and Ankle Residency, 111 S. Grant St, Columbus, OH, 43215, USA.Foot and Ankle Specialists of Central Ohio, 426A Beecher Road, Gahanna, OH, 43230, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33137545

Citation

Sundling, Rebecca A., et al. "Opioid Prescribing Habits of Podiatric Surgeons Following Elective Foot and Ankle Surgery." Foot (Edinburgh, Scotland), vol. 45, 2020, p. 101710.
Sundling RA, Logan DB, Tawancy CH, et al. Opioid prescribing habits of podiatric surgeons following elective foot and ankle surgery. Foot (Edinb). 2020;45:101710.
Sundling, R. A., Logan, D. B., Tawancy, C. H., So, E., Lee, J., & Logan, K. (2020). Opioid prescribing habits of podiatric surgeons following elective foot and ankle surgery. Foot (Edinburgh, Scotland), 45, 101710. https://doi.org/10.1016/j.foot.2020.101710
Sundling RA, et al. Opioid Prescribing Habits of Podiatric Surgeons Following Elective Foot and Ankle Surgery. Foot (Edinb). 2020;45:101710. PubMed PMID: 33137545.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Opioid prescribing habits of podiatric surgeons following elective foot and ankle surgery. AU - Sundling,Rebecca A, AU - Logan,Daniel B, AU - Tawancy,Cherreen H, AU - So,Eric, AU - Lee,Jonathan, AU - Logan,Kaitlyn, Y1 - 2020/07/13/ PY - 2020/05/12/received PY - 2020/06/23/revised PY - 2020/07/03/accepted PY - 2020/11/3/pubmed PY - 2021/10/7/medline PY - 2020/11/2/entrez KW - Opioids KW - Podiatry KW - Surgery SP - 101710 EP - 101710 JF - Foot (Edinburgh, Scotland) JO - Foot (Edinb) VL - 45 N2 - Prescription of opioids following surgery is commonplace in the United States, but with that has come increases in misuse, overdose and death. Evaluating prescribing habits in efforts to reduce the opioid epidemic is becoming more frequent. The purpose of the present study was to examine the self-reported practices of podiatric surgeons regarding their methods of post-operative pain management in adult, sensate patients, as well as assessing the frequency of use of adjunctive pain control modalities. A survey was created and distributed to Podiatric Surgeons electronically, across the United States. Results of this study show that Podiatric Surgeons prescribe hydrocodone/acetaminophen most commonly after surgery, with most prescribing opioids for less than 2 weeks. With regards to adjunctive pain management, two-thirds of respondents use regional anesthesia blocks, with only 13% using post-anesthesia delivery devices (PADD). Interestingly, those using PADDs prescribed significantly more opioids at the first prescription and were more likely to refill the prescription. Podiatric Surgeons are concerned with various negative outcomes for their patients when taking opioids, including addiction, non-adherence, and motor vehicle accidents. Podiatric Surgeons are less concerned about negative outcomes for themselves when prescribing opioids. This study is in agreement with previously published studies in other medical specialties regarding opioid prescribing habits and concerns. However, further research is needed to fully understand the role PADDs and regional anesthesia blocks play in reducing the amount of opioids prescribed following surgery. The Opioid Epidemic in the United States is multi-faceted, but over-prescription by providers is part of it. Continuing to assess and understand how opioids are prescribed will be paramount to curb the epidemic. SN - 1532-2963 UR - https://neuro.unboundmedicine.com/medline/citation/33137545/Opioid_prescribing_habits_of_podiatric_surgeons_following_elective_foot_and_ankle_surgery_ DB - PRIME DP - Unbound Medicine ER -