{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:07:11Z","timestamp":1773043631191,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Determine whether opioid prescriber patterns have changed for tonsillectomy, parotidectomy, and thyroidectomy after implementation of the Massachusetts Prescription Awareness Tool (MassPAT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single\u2010center tertiary care hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were included if they received tonsillectomy, parotidectomy, or thyroid surgery at Lahey Hospital and Medical Center (Burlington, Massachusetts) between October 1, 2015, and October 1, 2019. Prescribing patterns were compared prior to implementation of MassPAT, October 1, 2015, to October 14, 2016, to postimplementation of MassPAT, October 15, 2016, to October 1, 2019. Quantity of opioids prescribed was described using total morphine milligram equivalents (MME). Data were analyzed using univariate analysis, multivariate analysis, and trend line using line of best fit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 737 subjects were included in the study. There was a downward trend in the quantity of opioids prescribed for all 3 surgeries during the study period. There was a significant difference in the quantity of opioids prescribed pre\u2010 and postimplementation of MassPAT for tonsillectomy (647.70 \u00b1 218.50\u00a0MME vs 474.60 \u00b1 185.90\u00a0MME, <jats:italic>P<\/jats:italic> &lt;. 001), parotidectomy (241.20 \u00b1 57.66\u00a0MME vs 156.70 \u00b1 72.99\u00a0MME, <jats:italic>P<\/jats:italic> &lt;. 001), and thyroidectomy (171.20 \u00b1 93.77\u00a0MME vs 108.50 \u00b1 63.84\u00a0MME, <jats:italic>P<\/jats:italic> &lt;. 001). There was also a decrease in the number of patients who did not receive opioids for thyroidectomy pre\u2010 and post\u2010MassPAT (7.56% vs 24.14%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We have demonstrated that there is an association with state drug monitoring programs and decrease in the amount of opioids prescribed for acute postoperative pain control for common otolaryngology surgeries.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820987454","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T01:21:49Z","timestamp":1613524909000},"page":"781-787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Impact of MassPAT on Opioid Prescribing Patterns for Otolaryngology Surgeries"],"prefix":"10.1002","volume":"164","author":[{"given":"Samuel","family":"Rubin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston Medical Center Boston Massachusetts USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Lahey Hospital and Medical Center Burlington Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline A.","family":"Wulu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston Medical Center Boston Massachusetts USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Lahey Hospital and Medical Center Burlington Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather A.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston Medical Center Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Dolan","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Lahey Hospital and Medical Center Burlington Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Brams","sequence":"additional","affiliation":[{"name":"Division of General Surgery Lahey Hospital and Medical Center Burlington Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat B.","family":"Yarlagadda","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Boston Medical Center Boston Massachusetts USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Lahey Hospital and Medical Center Burlington Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530230060032"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6626a4"},{"key":"e_1_2_8_4_1","unstructured":"Centers for Disease Control and Prevention.Drug overdose deaths. 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