Erschienen in:
26.09.2019 | ASO Author Reflections
ASO Author Reflections: Opportunities for Reducing Initial Opioid Exposure in Cancer Surgery Patients
verfasst von:
Timothy E. Newhook, MD, Ching-Wei D. Tzeng, MD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2019
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Excerpt
Opioid abuse is one of this generation’s public health crises, and opioids following surgery often are the initial exposure to these potentially dangerous drugs.
1 The irony is that while surgical oncologists offer potentially curative resection to rid patients of their cancer, we leave a significant proportion of our patients with a long-term health burden with consequences that extend to their families and communities. With an estimated 10–15% of opioid-naïve cancer survivors still using opioids 1 year later, there must be a call to action to limit the unintended consequences of the necessary pain management during postoperative recovery.
2 For most cancer operations, especially the subject of our study, pancreatectomy, we are in an era of enhanced surgical recovery. However, the “success” of enhanced surgical recovery was traditionally measured by hospital-centric metrics, such as length of stay (LOS), cost-effectiveness, and institutional morbidity indices. It is time to consider patient-centric measures, including the long-term sequelae of the postoperative pain management that we provide. …