{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:41:12Z","timestamp":1777448472050,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T00:00:00Z","timestamp":1669161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100001803","name":"Dorothy Rider Pool Health Care Trust","doi-asserted-by":"publisher","award":["20121584-010"],"award-info":[{"award-number":["20121584-010"]}],"id":[{"id":"10.13039\/100001803","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Background: The opioid overdose epidemic remains one of the leading focuses of the United States\u2019 public health agenda. Current literature has suggested that many surgical procedures are associated with an increased risk of chronic opioid use in the post-operative period of opioid-na\u00efve patients. We aimed to assess whether providing feedback on the average morphine milligram equivalents (MMED) and opioid utilization by selected post-operative patients would impact the provider opioid prescribing patterns.<\/jats:p>\n                  <jats:p>Methods: An opioid stewardship educational intervention provided didactic and email feedback to general surgeons about their prescribing patterns and summary feedback on opioid usage among post-operative patients from the pre-intervention period. We used descriptive statistics, Chi Square, Fisher\u2019s Exact test, Wilcoxon Rank Sum, two sample t test, and Spearman\u2019s rho to analyze the data gathered.<\/jats:p>\n                  <jats:p>Results: A total of 5142 patients with an average age of 43.9 years were included in the study period. Women accounted for 3096 (60.2%) and 2046 (39.8%) were men. The surgeries during the study period included 1928 (37.5%) appendectomies and 3214 (62.5%) cholecystectomies. The predominant surgical approach was laparoscopic 5028 (97.8%). In both groups, the total MMED and total number of pills prescribed decreased significantly after the intervention was implemented. There were no refill prescriptions nor 30-day readmissions among those discharged with an opioid prescription in either study phase.<\/jats:p>\n                  <jats:p>Discussion: An intervention that provided general surgeons with feedback about their post-operative prescription patterns and data on post-operative opioid utilization by patients decreased prescribed MMED.<\/jats:p>","DOI":"10.1177\/00031348221129511","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T09:03:23Z","timestamp":1669280603000},"page":"5175-5182","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Modifying Post-operative Opioid Stewardship Through a System of Educational Feedback"],"prefix":"10.1177","volume":"89","author":[{"given":"Gillian","family":"Beauchamp","sequence":"first","affiliation":[{"name":"Department of Emergency and Hospital Medicine, USF Morsani College of Medicine, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavit","family":"Deol","sequence":"additional","affiliation":[{"name":"University of South Florida (USF) Morsani College of Medicine, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Sipko","sequence":"additional","affiliation":[{"name":"University of South Florida (USF) Morsani College of Medicine, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Yazdanyar","sequence":"additional","affiliation":[{"name":"Department of Emergency and Hospital Medicine, USF Morsani College of Medicine, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Rosentel","sequence":"additional","affiliation":[{"name":"Department of Quality Assessment, Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kuehler","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rovinder S.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"McCambridge","sequence":"additional","affiliation":[{"name":"Department of Quality Assessment, Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,23]]},"reference":[{"issue":"10","key":"bibr1-00031348221129511","first-page":"1","volume":"65","author":"Warner M","year":"2016","journal-title":"Natl Vital Stat 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