Demographic Factors Associated with Opioid Use Following Laparoscopic or Robotic Hysterectomy
ACOG ePoster. Cohen M. Apr 27, 2018; 211901; 8R
Michael Cohen
Michael Cohen
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction: The number of opioid-related deaths has quadrupled in the United States since 1999, and the opioid crisis is well-defined. The purpose of this study is to identify demographic predictors of increased inpatient and post-discharge opioid use in order to tailor postoperative opioid dispensation.

Methods: This study is a secondary analysis of a prospective cohort designed to correlate mindfulness with post-operative pain in patients undergoing laparoscopic or robotic hysterectomy by a gynecologic oncologist at a single institution. Inpatient opioid use was measured via chart review and outpatient use via surveys at 1-2 week and 4-6 week post-operative visits and via pharmacy records. Demographic information was measured via chart review and pre-operative surveys. Descriptive statistics and correlation were used to determine associations.

Results: Mean age (n=126) was 60.4 (SD 11.66) and mean BMI was 33.6 (SD 9.35). Additionally, 54% of subjects had private insurance, 20% had Medicaid products, and 25.6% had Medicare. 85% of subjects were referred from a private OBGYN office. Younger patients used significantly more opioids inpatient and outpatient based on total milligram morphine equivalents (MME) (p=0.0003 inpatient, p=0.045 outpatient) and total number of doses (p=0.001 inpatient; p=0.048 outpatient). Insurance source trended with post-discharge MMEs used, with Medicaid patients using more, but this correlation was not statistically significant (p=0.13). BMI, race, insurance status, referral source, and comorbidities did not predict post-operative opioid use.

Conclusion/Implications: Older patient use fewer opioids and this population may be a target for smaller postoperative prescriptions to reduce unused opioids. This warrants further study in other populations.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings