{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:26:08Z","timestamp":1777386368888,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"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":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Misuse and diversion of opioids have contributed to the U.S. opioid crisis, making an understanding of specialty-specific and procedure-specific trends essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this analysis was to evaluate nationwide trends in opioid prescribing patterns among sinus surgeons performing functional endoscopic sinus surgery and maxillary sinus balloon dilation, specifically examining factors associated with variations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>High-volume sinus surgeons were identified through the Centers for Medicare and Medicaid Services database and cross-referenced against prescriptions to Medicare Part D beneficiaries during 2013 through 2015. Number of opioid prescriptions, prescription lengths, and demographic information were obtained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This cohort of 570 surgeons wrote 21,042 opioid prescriptions (5.4 days per prescription) in 2015, with 80.3% and 54.7% writing &gt;10 and &gt;25 prescriptions, respectively. Surgeons writing a greater amount of prescriptions wrote lengthier courses throughout all 3 years ( P\u2009=\u2009.01, P\u2009=\u2009.002, P\u2009=\u2009.003). Female otolaryngologists wrote lengthier prescriptions (6.2 vs 5.3 days, P\u2009=\u2009.01). Early career otolaryngologists (\u226410 years) offered fewer prescriptions compared to those who had greater experience (31.1 vs 39.3, P\u2009=\u2009.02). Moreover, 73.6% of fellowship-trained otolaryngologists offered &gt;10 prescriptions versus 82.7% of nonfellowship-trained otolaryngologists ( P\u2009=\u2009.02). Practitioners in the South on average prescribed the greatest amount of opioids ( P\u2009&lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A majority of sinus surgeons prescribe \u226525 opioid prescriptions annually, with otolaryngologists who write a greater amount of prescriptions writing lengthier courses. As the mean opioid prescription length is 5.4 days, recent legislation limiting opioid prescriptions to 5 days may only have a modest impact for preventing the diversion of perioperative opioid prescriptions. These data suggest further standardized guidelines may be beneficial in elucidating the appropriate indications for the prescription of opioids among sinus surgeons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1945892418773578","type":"journal-article","created":{"date-parts":[[2018,6,5]],"date-time":"2018-06-05T07:36:54Z","timestamp":1528184214000},"page":"323-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Opioid Prescription Among Sinus Surgeons"],"prefix":"10.1177","volume":"32","author":[{"given":"Khashayar","family":"Arianpour","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan"},{"name":"Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan"},{"name":"Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Yuhan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan"},{"name":"Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter F.","family":"Svider","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Anderson","family":"Eloy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey"},{"name":"Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New Jersey"},{"name":"Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey"},{"name":"Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Folbe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Michigan"},{"name":"Barbara Ann Karmanos Cancer Institute, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,21]]},"reference":[{"key":"bibr1-1945892418773578","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.12.002"},{"key":"bibr2-1945892418773578","unstructured":"American Society of Addiction Medicine. Opioid Addiction: 2016 Facts & Figures. https:\/\/www.asam.org\/docs\/default-source\/advocacy\/opioid-addiction-disease-facts-figures.pdf. Published 2016. Accessed October 25 2017."},{"key":"bibr3-1945892418773578","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2017.4055"},{"key":"bibr4-1945892418773578","unstructured":"The Henry J. Kaiser Family Foundation. Medicare Part D Prescription Drug Benefit. https:\/\/www.kff.org\/medicare\/fact-sheet\/the-medicare-prescription-drug-benefit-fact-sheet\/. Published 2017. Accessed November 1, 2017."},{"key":"bibr5-1945892418773578","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1034"},{"key":"bibr6-1945892418773578","unstructured":"Centers for Medicare & Medicaid Services. Medicare Provider Utilization and Payment Data. https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Medicare-Provider-Charge-Data\/index.html. Published 2017. 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New Prescribing Law for Treatment of Acute and Chronic Pain. https:\/\/www.njafp.org\/content\/new-prescribing-law-treatment-acute-and-chronic-pain. Published 2017. 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