Health Care

Prescription opioids often go unused after surgery

Prescription opioids often go unused after surgery”

Most patients don't use all of the pills in their opioid prescriptions, but they also don't often dispose of their leftovers properly, according to a new study.

"Unused opioids that have been prescribed for pain after surgery serve as an important reservoir for potential opioid misuse, and this very likely contributes to the ongoing opioid crisis", said Dr. Mark Bicket, a professor at Johns Hopkins University School of Medicine in Baltimore who led the research.

Bicket also noted that the research is not meant to encourage withholding opioids from people in pain, but instead to better understand patients' pain experiences in order to optimize opioid prescribing patterns after surgery. Instead of a one-size-fits-all approach, Bicket says, clinicians need to do a better job of personalizing prescriptions and dosing for each patient.

Surgeons have no guidelines for how much pain medication to dispense to patients when they leave the hospital, and there is no data or research to draw on for direction, Bicket said.

Researchers performed a systematic review and searched Medline, Embase and the Cochrane Center Register of Controlled Trials to identify studies that detailed opioid oversupply for adults following surgery.

Of the 2,419 studies screened, the research team identified six that met all eligibility criteria, with a combined total enrollment of 810 patients. Surgeries included operations on the skin, lungs, shoulder and hands, cesarean sections and dental work.

The CDC previous year released guidelines urging primary-care physicians to dramatically curtail prescribing opioids for chronic pain. Among those who had outpatient procedures, 77% to 92% had surplus opioids, the researchers found. "We have evidence that there are patients who legitimately need these medications, and sometimes pain after surgery has been undertreated". Moreover, 42 percent to 71 percent of the pills prescribed weren't taken, according to the patient reports.

More news: Energizer Holdings, Inc. (ENR) Given Average Recommendation of "Hold" by Brokerages

In an interview with MedPage Today, he expressed surprise at the high rates of unused opioids, noting that "at least two out of every three patients reported leftover pills, a finding that was consistently high even among different types of surgery". A majority of patients reported they stopped or used no opioids due to adequate pain control, while 16 to 29 percent of patients reported they stopped because of opioid-induced side effects, such as nausea, vomiting or constipation.

In two studies that looked at how unused painkillers were stored, 73 percent to 77 percent of the participants said their prescription opioids were not kept in locked containers, which is recommended by the U.S.

All studies reported low rates of anticipated or actual disposal, but none found that disposal methods recommended by the FDA occurred in more than 9% of patients. Additionally, data on usage and disposal was self-reported and the studies did not use pill counts to independently verify unused tablets.

Deutsch said, "We need to reflect on our practices".

For more on how to store and dispose of unused opioids, visit the American Academy of Family Physicians.

Bicket cautions that his research is not meant to encourage withholding opioids from people in pain, and says he and his team are conducting research to better understand patients' pain experiences in a bid to someday identify better ways to optimize the way in which opioid are prescribed after surgery.



Like this

loading...
loading...

Latest


02 August 2017
IShares Russell Microcap Index
Meridian Wealth Management LLC raised its position in shares of iShares Russell 1000 Value Index by 2.6% in the second quarter. FineMark National Bank & Trust boosted its stake in shares of iShares Russell 1000 Growth Index by 1.7% in the second quarter.

02 August 2017
(NYSE:ECL) Updates FY17 Earnings Guidance
The firm owned 34,121 shares of the basic materials company's stock after selling 1,247 shares during the period. North Star Asset Management Inc. increased its position in Ecolab by 1.1% in the first quarter. (NYSE:ECL).

02 August 2017
Shares in LHC Group (LHCG) Acquired by UBS Asset Management Americas Inc
In the joint venture, LHC Group will acquire a majority ownership in Christus' locations, which are across four states. Myers holds 172,428 (0.94% of shares outstanding) and Taylor Harold holds 141,673 (0.78% of shares outstanding).

02 August 2017
MTV's 'TRL' Enlists Social Media Star Liza Koshy as Host
MTV today announced a first-look production and executive producer overall deal with social media superstar, Liza Koshy. Carson Daly will not return to hosting duties and the new show will feature a rotation of hosts .

02 August 2017
Neymar arrives to Barca's training grounds amid PSG rumors
Neymar has told Barcelona that he plans to leave the club, with a blockbuster move to Paris Saint-Germain seemingly imminent. He was then given permission by manager Ernesto Valverde not to train and to "sort out his future".

02 August 2017
Noticeable Buzzer:: Diamond Offshore Drilling, Inc. (DO)
Prudential Financial Inc. boosted its position in shares of Diamond Offshore Drilling by 194.3% in the first quarter. RBC Capital Markets maintained the shares of TMUS in report on Wednesday, February 15 with "Outperform" rating.

02 August 2017
Steph Curry says he wasn't mocking LeBron's workout dance
Despite James taking to Twitter last week to deny having any issues with Irving , the feeling doesn't appear to be mutual. The song, gained more popularity after Lebron posted a video while the song played, sparking the #LebronJamesChallenge.

02 August 2017
Teva Pharmaceutical Industries Ltd (ADR) (TEVA) EPS Estimated At $1.09
Wallington Asset Management Llc decreased Teva Pharmaceutical Industries ( TEVA ) stake by 50.12% reported in 2016Q4 SEC filing. Fifteen research analysts have rated the stock with a hold rating and fifteen have issued a buy rating to the stock.

02 August 2017
Anheuser-Busch Inbev SA (BUD) Given Neutral Rating at Susquehanna Bancshares Inc
The institutional investor owned 55,975 shares of the consumer goods maker's stock after selling 2,402 shares during the period. The stock of Western Digital Corp (NASDAQ:WDC) has "Equalweight" rating given on Wednesday, October 14 by Barclays Capital.

02 August 2017
The Navigant Consulting (NYSE:NCI) Earning Positive Press Coverage, Study Shows
It has underperformed by 39.36% the S&P500. (NYSE:NCI) intently as the stock has moved into "oversold" range with an RSI of 14.82. Equities research analysts anticipate that Navigant Consulting, Inc . will post $1.15 earnings per share for the current year.