Katherine B Santosa1, Christine S Wang2, Hsou-Mei Hu3, Chad M Brummett4, Michael J Englesbe5, Jennifer F Waljee6. 1. House Officer, Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500, E. Medical Center Drive, Ann Arbor, MI, USA. Electronic address: ksantosa@med.umich.edu. 2. House Officer, Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500, E. Medical Center Drive, Ann Arbor, MI, USA. Electronic address: wangchr@med.umich.edu. 3. Analyst, Michigan Opioid Prescribing Engagement Network (Michigan OPEN), University of Michigan Health System, 1500, E. Medical Center Drive, Ann Arbor, MI, USA. Electronic address: hsoumeih@med.umich.edu. 4. Associate Professor, Division of Pain Medicine, Department of Anesthesiology, University of Michigan Health System, 1500, E. Medical Center Drive, Ann Arbor, MI, USA. Electronic address: cbrummet@med.umich.edu. 5. Professor of Surgery, Section of Transplantation, Department of Surgery, University of Michigan Health System, 1500, E. Medical Center, Ann Arbor, MI, USA. Electronic address: englesbe@med.umich.edu. 6. Associate Professor, Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500, E. Medical Center, Ann Arbor, MI, USA. Electronic address: filip@med.umich.edu.
Abstract
BACKGROUND: We evaluated the effects of surgeon characteristics such as surgeon experience on differences in opioid prescribing after surgery. METHODS: We evaluated a 20% national sample of Medicare beneficiaries ≥65 years old who underwent 15 different types of surgery to identify surgeon characteristics associated with opioid prescription size filled within seven days of discharge using a multi-level linear model. RESULTS: 174,141 patients and 13,828 surgeons met inclusion criteria. 53.8% of patients filled an opioid prescription within seven days postoperatively. The amount of opioids prescribed after surgery was highest for patients whose surgeons were early in practice (i.e. 0-7 years in practice). Surgeon credentials, type of surgery, and geographic region were associated with differing sizes of opioid fills postoperatively. CONCLUSIONS: Surgeon characteristics such as cumulative years of practice contribute to differences in prescribing behavior after surgery. These findings can help develop strategic interventions to enhance opioid stewardship.
BACKGROUND: We evaluated the effects of surgeon characteristics such as surgeon experience on differences in opioid prescribing after surgery. METHODS: We evaluated a 20% national sample of Medicare beneficiaries ≥65 years old who underwent 15 different types of surgery to identify surgeon characteristics associated with opioid prescription size filled within seven days of discharge using a multi-level linear model. RESULTS: 174,141 patients and 13,828 surgeons met inclusion criteria. 53.8% of patients filled an opioid prescription within seven days postoperatively. The amount of opioids prescribed after surgery was highest for patients whose surgeons were early in practice (i.e. 0-7 years in practice). Surgeon credentials, type of surgery, and geographic region were associated with differing sizes of opioid fills postoperatively. CONCLUSIONS: Surgeon characteristics such as cumulative years of practice contribute to differences in prescribing behavior after surgery. These findings can help develop strategic interventions to enhance opioid stewardship.
Authors: Chad M Brummett; Jennifer F Waljee; Jenna Goesling; Stephanie Moser; Paul Lin; Michael J Englesbe; Amy S B Bohnert; Sachin Kheterpal; Brahmajee K Nallamothu Journal: JAMA Surg Date: 2017-06-21 Impact factor: 14.766
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Authors: Eddie Blay; Michael J Nooromid; Karl Y Bilimoria; Jane L Holl; Bruce Lambert; Julie K Johnson; Jonah J Stulberg Journal: Am J Surg Date: 2017-11-01 Impact factor: 2.565
Authors: David C Cron; Charles Hwang; Hsou M Hu; Jay S Lee; James M Dupree; John D Syrjamaki; Kevin C Chung; Chad M Brummett; Michael J Englesbe; Jennifer F Waljee Journal: Surgery Date: 2018-11-26 Impact factor: 3.982
Authors: Katherine B Santosa; Hsou-Mei Hu; Chad M Brummett; Margaret A Olsen; Michael J Englesbe; Eva A Williams; Jennifer F Waljee Journal: Surgery Date: 2019-07-23 Impact factor: 3.982
Authors: Maryann Mazer-Amirshahi; Peter M Mullins; Christie Sun; Jesse M Pines; Lewis S Nelson; Jeanmarie Perrone Journal: Pain Med Date: 2016-04-14 Impact factor: 3.750