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Development of Multimodal Analgesia Pathways in Outpatient Thyroid and Parathyroid Surgery and Association With Postoperative Opioid Prescription Patterns

Development of Multimodal Analgesia Pathways in Outpatient Thyroid and Parathyroid Surgery and... Key PointsQuestionWhat is the association of institutional availability of multimodal analgesia pathways with adoption and adherence to such pathways, and the frequency of opioid prescriptions at discharge following thyroid and parathyroid surgery? FindingsIn this cohort study of 528 adults who underwent thyroid and parathyroid surgery, availability of institutional multimodal analgesia pathways was associated with progressive increase in adoption and adherence to the multimodal analgesia pathway and with reduced frequency of opioid prescriptions on discharge. MeaningAvailability of effective nonopioid multimodal analgesia pathways can favorably influence physician prescribing practices, encourage adherence to pathway components, and avoid unnecessary opioid prescriptions following thyroid and parathyroid surgery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Development of Multimodal Analgesia Pathways in Outpatient Thyroid and Parathyroid Surgery and Association With Postoperative Opioid Prescription Patterns

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2018.0987
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the association of institutional availability of multimodal analgesia pathways with adoption and adherence to such pathways, and the frequency of opioid prescriptions at discharge following thyroid and parathyroid surgery? FindingsIn this cohort study of 528 adults who underwent thyroid and parathyroid surgery, availability of institutional multimodal analgesia pathways was associated with progressive increase in adoption and adherence to the multimodal analgesia pathway and with reduced frequency of opioid prescriptions on discharge. MeaningAvailability of effective nonopioid multimodal analgesia pathways can favorably influence physician prescribing practices, encourage adherence to pathway components, and avoid unnecessary opioid prescriptions following thyroid and parathyroid surgery.

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Nov 19, 2018

References