|Title||Postoperative Opioid Use and Pain Management Following Otologic and Neurotologic Surgery.|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Authors||Boyd C, Shew M, Penn J, Muelleman T, Lin J, Staecker H, Wichova H|
|Journal||Ann Otol Rhinol Laryngol|
|Date Published||2020 Feb|
|Keywords||Analgesics, Opioid, Cohort Studies, Diagnostic Self Evaluation, Drug Utilization, Female, Humans, Male, Middle Aged, Neurosurgical Procedures, Otologic Surgical Procedures, Pain Management, Pain Measurement, Pain Perception, Pain, Postoperative, Prospective Studies|
OBJECTIVES: The topic of prescription opioid overuse remains a growing concern in the United States. Our objective is to provide insight into pain perception and opioid use based on a patient cohort undergoing common otologic and neurotologic surgeries.
STUDY DESIGN: Prospective observational study with patient questionnaire.
SETTING: Single academic medical center.
SUBJECTS AND METHODS: Adult patients undergoing otologic and neurotologic procedures by two fellowship trained neurotologists between June and November of 2018 were included in this study. During first postoperative follow-up, participants completed a questionnaire assessing perceived postoperative pain and its impact on quality of life, pain management techniques, and extent of prescription opioid use.
RESULTS: A total of 47 patients met inclusion and exclusion criteria. The median pain score was 3 out of 10 (Interquartile Range [IQR] = 2-6) with no significant gender differences ( = .92). Patients were prescribed a median of 15.0 (IQR = 10.0-15.0) tablets of opioid pain medication postoperatively, but only used a median of 4.0 (IQR = 1.0-11.5) tablets at the time of first follow-up. Measured quality of life areas included sleep, physical activity, work, and mood. Sleep was most commonly affected, with 69.4% of patients noting disturbances.
CONCLUSIONS: This study suggests that practitioners may over-estimate the need for opioid pain medication following otologic and neurotologic surgery. It also demonstrates the need for ongoing patient education regarding opioid risks, alternatives, and measures to prevent diversion.
|Alternate Journal||Ann Otol Rhinol Laryngol|
Postoperative Opioid Use and Pain Management Following Otologic and Neurotologic Surgery.
Helena Wichova, MD