{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:21:26Z","timestamp":1785403286093,"version":"3.56.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The United States is experiencing the highest opioid overdose death rate in our nation's history. Misuse and addiction to opioids, including prescription pain relievers, is a serious national crisis that affects public health as well as social and economic welfare.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of the study was to critically evaluate postoperative opioid-prescribing patterns.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The PearlDiver database (Colorado Springs, CO) was queried for body contouring patients from 2010 to 2020. We identified patients that underwent panniculectomy, abdominoplasty, brachioplasty, thighplasty, mastopexy, breast augmentation, breast reduction, and liposuction for analysis. We subsequently analyzed the opioid use, with a focus on comorbid conditions and complications that are associated with increased use of opioids.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 56,773 patients underwent body contouring surgery. The most common opioid prescribed was hydrocodone with acetaminophen (37,017 patients). Average days of therapy was 17.92 days. Comorbid conditions and postoperative complications were examined for risk of increased opioid prescriptions. Patients with peripheral vascular disease and smoking were prescribed significantly more morphine milliequivalents (MME) of opioids than patients without peripheral vascular disease (871.97 vs 535.41; P &amp;lt; .001) and smoking (1069.57 vs 440.84; P &amp;lt; .001). Patients who developed surgical site infection, disruption of wound, and venous thromboembolism were prescribed a significantly higher MME of opioids (1213.63 vs 561.59; P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our data provide information on opioid prescription patterns in the body contouring population, with focused review of comorbid conditions and complications in relation to opioid-prescribing patterns. We hope that the data will improve opioid prescription habits among plastic surgeons in the setting of a global opioid crisis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjad117","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T22:10:45Z","timestamp":1682460645000},"page":"978-985","source":"Crossref","is-referenced-by-count":4,"title":["Opioid-Prescribing Patterns in Body Contouring Surgery"],"prefix":"10.1093","volume":"43","author":[{"given":"Leela","family":"Mundra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4925-6579","authenticated-orcid":false,"given":"Kassra","family":"Garossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Iorio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Mathes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Winocour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christodoulos","family":"Kaoutzanis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"2023081718442572200_sjad117-B1","author":"ASPS National Clearinghouse of Plastic Surgery Procedural Statistics","year":"2021"},{"key":"2023081718442572200_sjad117-B2","author":"US Department of Health & Human Services"},{"issue":"3","key":"2023081718442572200_sjad117-B3","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.amepre.2015.02.020","article-title":"Trends in opioid analgesic\u2013prescribing rates by specialty, U.S., 2007-2012","volume":"49","author":"Levy","year":"2015","journal-title":"Am J Prev Med"},{"issue":"1","key":"2023081718442572200_sjad117-B4","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1097\/prs.0000000000005084","article-title":"Persistent opioid use and high-risk prescribing in body contouring patients","volume":"143","author":"Bennett","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"2023081718442572200_sjad117-B5","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1097\/prs.0000000000005351","article-title":"Opioid prescribing and consumption patterns following outpatient plastic surgery procedures","volume":"143","author":"Rose","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"2023081718442572200_sjad117-B6","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1007\/s00266-021-02494-y","article-title":"Opioid prescribing habits and pain management among aesthetic plastic surgeons","volume":"46","author":"Sherif","year":"2022","journal-title":"Aesthetic Plast Surg"},{"issue":"6","key":"2023081718442572200_sjad117-B7","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0504","article-title":"New persistent opioid use after minor and major surgical procedures in US adults","volume":"152","author":"Brummett","year":"2017","journal-title":"JAMA Surg"},{"key":"2023081718442572200_sjad117-B8","author":"Opioid Prescribing Engagement Network"},{"issue":"3","key":"2023081718442572200_sjad117-B9","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1097\/prs.0000000000004636","article-title":"Opioid use following outpatient breast surgery: are physicians part of the problem?","volume":"142","author":"Hart","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"2023081718442572200_sjad117-B10","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1097\/prs.0000000000006570","article-title":"Quantifying the crisis: opioid-related adverse events in outpatient ambulatory plastic surgery","volume":"145","author":"Crystal","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"2023081718442572200_sjad117-B11","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1001\/jamafacial.2017.1034","article-title":"Opioid use by patients after rhinoplasty","volume":"20","author":"Patel","year":"2018","journal-title":"JAMA Facial Plast Surg. 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