Provider education decreases opioid prescribing after pediatric umbilical hernia repair
Author / Expert
Kaitlin N. Piper, Katherine J. Baxter, Martha Wetzel, Courtney McCracken, Curtis Travers, Bethany Slater, Sarah B. Cairo, David H. Rothstein, Robert Cina, Melvin Dassinger, Patrick Bonasso, Aaron Lipskar, Naomi-Liza Denning, Eunice Huang, Sohail R. Shah,
Topic overview
Abstract
Purpose
To improve opioid stewardship for umbilical hernia repair in children.
Methods
An educational intervention was conducted at 9 centers with 79 surgeons. The intervention highlighted the importance of opioid stewardship, demonstrated practice variation, provided prescribing guidelines, encouraged non-opioid analgesics, and encouraged limiting doses/strength if opioids were prescribed. Three to six months of pre-intervention and 3 months of post-intervention prescribing practices for umbilical hernia repair were compared.
Results
A total of 343 patients were identified in the pre-intervention cohort and 346 in the post-intervention cohort. The percent of patients receiving opioids at discharge decreased from 75.8% pre-intervention to 44.6% (p
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