口腔颌面外科阿片类药物处方模式的多机构回顾性研究。

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2025-02-01 DOI:10.1016/j.adaj.2024.11.009

Steven J.D. Zbarsky MD, DMD, MPH, Issa A. Hanna DDS, Je Dong Ryu DMD, MD, Audra Boehm DDS, MD, MA, Simon Young DDS, MD, PhD, Gary Yu DrPH, Minh Phuong Dong MD, PhD, Minh Chau Joe Tran MD, MPH, Alan Herford DDS, MD, Samuel Young DMD, Chi T. Viet DDS, MD, PhD

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引用次数: 0

摘要

背景：阿片类药物的流行在美国是一个严重的危机。有人提出，牙科手术后的阿片类药物处方是阿片类药物使用和滥用的主要原因。美国牙科协会一直在努力教育牙科保健提供者关于安全的阿片类药物处方做法。作者假设，在美国牙科协会的努力和出版物之后，口腔颌面外科医生已经减少了术后阿片类药物的处方。方法：这是一项多机构回顾性研究，共有3710名患者来自洛马林达大学和休斯顿德克萨斯大学健康科学中心，在全身麻醉或镇静下进行门诊手术拔牙。分析2011 - 2016年和2017 - 2021年2个时间段的术后阿片类药物总量（即吗啡毫克当量）。结果：两个研究机构在所有人口统计学特征和队列中，处方阿片类药物的数量随着时间的推移显着减少。平均（SD）吗啡毫克当量从2011年至2016年期间的143.01（71.08）显著降低到2017年至2021年期间的72.09 (55.40)（P < 0.001）。结论：数据表明，在10年的研究期间，门诊口腔手术后处方阿片类药物的数量显著减少。这为牙科保健提供者对阿片类药物危机作出反应提供了证据。实际意义：通过确定阿片类药物的处方模式，作者提出了一个机会，以帮助告知干预措施和政策，促进负责任的处方，提高患者安全，并支持最佳的疼痛管理。

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Multi-institutional retrospective study on opioid prescribing patterns of oral and maxillofacial surgeons

Background

The opioid epidemic is a serious crisis in the United States. It has been proposed that opioid prescriptions after dental procedures are a major contributor to opioid use and abuse. The American Dental Association has been working to educate dental care providers about safe opioid prescribing practices. The authors hypothesized that oral and maxillofacial surgeons, following the efforts and publications from the American Dental Association, have been prescribing fewer postoperative opioids.

Methods

This was a multi-institutional retrospective study with a total of 3,710 patients from Loma Linda University and University of Texas Health Science Center at Houston undergoing ambulatory surgical tooth extraction under general anesthesia or sedation. The total quantity of postoperative opioids (ie, morphine milligram equivalents) was analyzed during the following 2 periods: from 2011 through 2016 and from 2017 through 2021.

Results

The amount of opioids prescribed decreased significantly over time at both study institutions across all demographic characteristics and cohorts. The mean (SD) morphine milligram equivalents prescribed per patient was significantly reduced from 143.01 (71.08) in the 2011 through 2016 period to 72.09 (55.40) in the 2017 through 2021 period (P < .001).

Conclusions

The data suggested that there has been a significant decrease in the amount of opioids prescribed after ambulatory oral surgery procedures during the 10-year study period. This provides evidence that dental care providers have responded to the opioid crisis.

Practical Implications

By means of identifying opioid prescribing patterns, the authors presented an opportunity to help inform interventions and policies that promote responsible prescribing, enhance patient safety, and support optimal pain management.

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来源期刊

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

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