Data for:Opioid Prescribing can be reduced in Oral Surgery practice.
Description
Abstract Background: Pain management is one of the most critical aspects of practice in Oral and Maxillofacial Surgery. We performed a three year retrospective analysis of heavy opioid prescription in one practice after introduction of Office Protocol designed to decrease such prescriptions. Methods: We analyzed data available through Illinois Monitoring Service of patients who obtained hydrocodone/oxycodone prescriptions for qualified procedures routinely requiring heavy opioids. The number of procedures performed in each year, starting 2015 and ending 2017 was analyzed along with percentage of patients that filled prescription for heavy opioids in the same time frame. 95 % confidence intervals were used to analyze the data and compare between each year. Results: Based on the 95% confidence intervals, 56.6% of patients undergoing qualified surgical procedures required heavy opioid prescriptions in 2015. After introduction of Office Protocol for pain management that numbered fell to 15.2% in 2 years. Thus, we obtained a 3.7fold reduction in Hydrocodone/Oxycodone prescription in a three years interval. Conclusion: The Office Protocol utilized in this study that included use of NSAIDs, acetominophen and homeopathic Recovery Kit has effectively decreased the number of heavy opioids required for patients undergoing various oral surgery procedures.