{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:14:40Z","timestamp":1778868880519,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Previous research indicates a rise in adult opioid misuse due to childhood opioid use. This study seeks to identify patient-specific features associated with postoperative opioid prescriptions at discharge in pediatric plastic surgery patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Single-institution, retrospective review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Level 1 Pediatric Surgery Center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>Patients under 18 years old who underwent surgery by a single pediatric plastic surgeon between January 2020 and November 2022 (N\u2009=\u2009429).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Surgery by a plastic surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Presence of an active opioid prescription at hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 429 patients were analyzed. Upon multivariate analysis, opioid use in inpatient setting (aOR: 4.310; 95% CI: 1.035-17.960;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.045), private insurance (aOR: 2.031; 95% CI: 1.071-3.854;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.030), prior surgical history (aOR: 2.015; 95% CI: 1.089-3.726;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.026), increased age (aOR: 1.164; 95% CI: 1.101-1.230;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and increased operative time (aOR: 1.016; 95% CI: 1.012-1.020;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) independently increased the odds of having an opioid prescription at discharge. Patients that underwent cleft palate procedures (aOR: 2.299; 95% CI: 1.124-4.702;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.023) or breast procedures (aOR: 6.768; 95% CI: 1.293-35.425;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.024) had increased odds of an opioid prescription at discharge. Patients undergoing cutaneous procedures experienced decreased odds of an opioid prescription at discharge (aOR: 0.206; 95% CI: 0.081-0.528;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient-specific features, including demographic and clinical characteristics, were identified as independent predictors of opioid prescription at discharge in this pediatric plastic surgery patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251337251","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T16:07:33Z","timestamp":1761581253000},"page":"1469-1475","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Patient-Specific Characteristics Predisposing Pediatric Plastic Surgery Patients to Opioid Prescription at Discharge"],"prefix":"10.1177","volume":"63","author":[{"given":"Anitesh","family":"Bajaj","sequence":"first","affiliation":[{"name":"Division of Pediatric Plastic Surgery, Ann and Robert H. 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