MONDAY, June 14, 2021 (HealthDay News) — Many sufferers who’re prescribed opioids after surgical procedure may get the identical stage of pain reduction with non-opioid options akin to ibuprofen or acetaminophen with out the danger of addiction, researchers say.
“Opioids have been a routine part of postsurgical pain care for decades, but the risk that they could lead to persistent use has been clearly documented,” stated lead creator Dr. Ryan Howard, a surgical resident at Michigan Medicine, the University of Michigan’s educational medical heart in Ann Arbor.
“Perhaps it’s time to make them the exception, not the rule,” he famous in a college information launch.
Howard and his colleagues analyzed knowledge from greater than 22,000 sufferers who had one in every of these frequent forms of surgical procedure — gynecological, hernia, gallbladder, appendix, bowel or thyroid.
Opioids had been prescribed to 86% of the sufferers; 14% acquired prescriptions for non-opioid painkillers.
Within 30 days, 12% of sufferers in each teams had problems, emergency division visits or repeat surgical procedure, the examine discovered.
Patients who acquired non-opioids had been barely extra more likely to be readmitted to the hospital, however hardly ever on account of pain-related points, researchers discovered.
There was no distinction between the 2 teams within the proportion of sufferers who sought emergency take care of ache.
Nearly 6 out of 10 sufferers accomplished a survey about their ache within the week after leaving the hospital and different post-surgery points.
Eighty-two % of sufferers in each the opioid and non-opioid teams stated they had been happy with their care and 93% had no regrets about having surgical procedure.
Patients within the non-opioid group had been extra more likely to report being pain-free within the first week after surgical procedure, nevertheless, than these within the opioid group (12% versus 7%).
They had been additionally extra more likely to say they’d the very best high quality of life after surgical procedure (66% versus 63%), in line with the findings, lately printed within the journal Annals of Surgery.
“This study clearly shows no difference in pain, major adverse events or patient-centered outcomes when opioids aren’t prescribed,” stated senior creator Dr. Mark Bicket, a ache drugs specialist and co-director of the Michigan Opioid Prescribing Engagement Network (Michigan OPEN).
He stated proof in regards to the dangers of opioid medicines to the affected person and to others who would possibly misuse leftover tablets from the affected person’s prescriptions have to be thought-about together with proof about their relative effectiveness for ache management.
In a associated examine, Michigan OPEN researchers analyzed nationwide insurance coverage claims knowledge on sufferers who weren’t taking opioids earlier than surgical procedure.
They discovered that between 4% and seven% of sufferers who had surgical procedure requiring a hospital keep and 1.5% to six.4% of sufferers who had outpatient surgical procedure crammed opioid prescriptions months after any surgical ache ought to have ended.
Patients with this new persistent opioid use had extra hospital and emergency care within the yr after surgical procedure than those that did not fill a single opioid prescription instantly after their operation, in line with the examine led by Michigan OPEN co-director Dr. Chad Brummett.
In the June challenge of the Journal of Managed Care and Specialty Pharmacy, Brummett’s group reported that sufferers who began taking opioids after surgical procedure acquired 5 instances extra opioid prescriptions and had a lot increased general well being care prices than different sufferers.
The U.S. National Institute on Drug Abuse has extra on prescription opioids.
SOURCE: Michigan Medicine-University of Michigan, information launch, June 10, 2021