Erschienen in:
30.10.2019 | ASO Author Reflections
ASO Author Reflections: Multimodal Strategy Controls Pain and Reduces Opioid Prescription in Outpatient Breast Surgery
verfasst von:
Allison H. Maciver, MD, MSc, FRCSC, Luke B. Hartford, DVM, MD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2019
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Excerpt
North America is facing a public health crisis from opioid misuse, and surgeons may play a contributing role. There is variable and excessive prescribing of opioids for surgical procedures, with poor rates of disposal of unused medication.
1 For example, Hill et al. found patients who had undergone partial mastectomy and sentinel lymph node biopsy consumed only 25% of their opioid prescription (five pills).
2 The misuse of illicit fentanyl or heroin is often instigated subsequent to a previously prescribed opioid.
3 Surgeons may be surprised to learn that 5–15% of patients administered a postoperative opioid prescription will still be taking the medication 1 year later.
4 With cancer patients being particularly susceptible to opioid dependence, this is particularly relevant for breast cancer survivors, considering the continued trend to long-term survivorship.
5 …
