TY - JOUR
AU1 - Bartels, Karsten
AU2 - Mahoney, Katharine
AU3 - Raymond, Kristen
AU4 - McWilliams, Shannon
AU5 - Fernandez-Bustamante, Ana
AU6 - Schulick, Richard
AU7 - Hopfer, Christian
AU8 - Mikulich-Gilbertson, Susan
AB - Background Overprescribing of opioid medications for patients to be used at home after surgery is common. We sought to ascertain important patient and procedural characteristics that are associated with low versus high rates of self-reported utilization of opioids at home, 1–4 weeks after discharge following gastrointestinal surgery. Methods We developed a survey consisting of questions from NIH PROMIS tools for pain intensity/interference and queries on postoperative analgesic use. Adult patients completed the survey weekly during the first month after discharge. Using regression procedures we determined the patient and procedure characteristics that predicted high post-discharge opioid use operationalized as 75 mg oral morphine equivalents/50 mg oxycodone reported taken. Results The survey response rate was 86% (201/233). High opioid use was reported by 52.7% of patients (106/201). Median reported intake of opioid pain pills was 7 for week #1 and 0 for weeks #2–4. Combinations of acetaminophen and non- steroidal and anti-inflammatory drugs were used by 8.9%–12.5% of patients after discharge. Following adjustment for significant variables of the univariate analysis, last 24-h in-hospital opioid intake remained as a significant co-variate for post-discharge opioid intake. Conclusions After gastrointestinal surgery, the equivalent of each oxycodone 5 mg tablet taken in the last 24 h before dis- charge increases 
TI - Opioid and non-opioid utilization at home following gastrointestinal procedures: a prospective cohort study
JF - Surgical Endoscopy
DO - 10.1007/s00464-019-06767-1
DA - 2019-04-03
UR - https://www.deepdyve.com/lp/springer-journals/opioid-and-non-opioid-utilization-at-home-following-gastrointestinal-3IqpD4sTpu
SP - 304
EP - 311
VL - 34
IS - 1
DP - DeepDyve
ER -