{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:33Z","timestamp":1786725753839,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>To date, there is limited literature to guide emergency providers (EPs) on the proper dosing of prescription opioids. Our study aims to assess the self-reported opioid use, storage, and disposal practices of patients presenting to the emergency department (ED) with acute pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective cohort study employed a validated, cross-sectional survey of subjects identified using electronic medical records. The survey link was e-mailed to a continuous sample of eligible participants 3\u20134 weeks following ED discharge. Nonrespondents were surveyed through telephone after 1 week. We used descriptive and nonparametric statistics to report survey results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 500 eligible subjects, 97 completed the questionnaire. Only 28% of respondents reported that they took all of the prescribed pills. Of the remaining responses, 20% stated that they did not take any pills, 33% took about one-fourth, 7.2% took about half, and 12.4% took about three-fourths of the pills. Among those who did not take any pills, 42% filled the prescription. Most (71.2%) reported storing their leftover pills; among those who stored their pills, less than one-fourth (23.8%) used a locked storage location.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings suggest that less than one-third of patients who receive prescriptions in the ED for acute pain use all of their prescribed pills, suggesting that many patients are unnecessarily prescribed opioids for acute conditions. The findings of this study also suggest that many patients with unused prescription opioids do not practice safe storage or proper disposal of leftover pills. This represents a potential opportunity for EPs to improve medication safety by educating patients on proper storage and disposal practices. Limitations include low response rate and the use of self-reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_55_21","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T03:00:40Z","timestamp":1703818840000},"page":"177-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Opioid Use and Disposal Patterns of Emergency Department Patients"],"prefix":"10.4103","volume":"16","author":[{"given":"Valerie","family":"Hoerster","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Sibley Memorial Hospital, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St. Luke\u2019s University Health Network, Bethlehem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlee","family":"Milkis","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, UPMC St. Margaret, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Litzenberger","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Clemson University, Clemson, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Stoltzfus","sequence":"additional","affiliation":[{"name":"Department of St. Luke's University Health Network, GME Data Measurement and Outcomes Assessment, St. Luke\u2019s University Health Network, Bethlehem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Stankewicz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, St. Luke\u2019s University Health Network, Bethlehem"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"R1-20260514","doi-asserted-by":"crossref","first-page":"e0147972","DOI":"10.1371\/journal.pone.0147972","article-title":"Opioid use and storage patterns by patients after hospital discharge following surgery","volume":"11","author":"Bartels","year":"2016","journal-title":"PLoS One"},{"key":"R2-20260514","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.juro.2010.09.088","article-title":"Overprescription of postoperative narcotics: A look at postoperative pain medication delivery, consumption and disposal in urological practice","volume":"185","author":"Bates","year":"2011","journal-title":"J Urol"},{"key":"R3-20260514","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1001\/jamasurg.2017.0831","article-title":"Prescription opioid analgesics commonly unused after surgery: A systematic review","volume":"152","author":"Bicket","year":"2017","journal-title":"JAMA Surg"},{"key":"R4-20260514","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1001\/jamadermatol.2013.1871","article-title":"Opioid pain medication use after dermatologic surgery: A prospective observational study of 212 dermatologic surgery patients","volume":"149","author":"Harris","year":"2013","journal-title":"JAMA Dermatol"},{"key":"R5-20260514","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1097\/SLA.0000000000001993","article-title":"Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures","volume":"265","author":"Hill","year":"2017","journal-title":"Ann Surg"},{"key":"R6-20260514","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.drugalcdep.2016.08.016","article-title":"Unused opioid analgesics and drug disposal following outpatient dental surgery: A randomized controlled trial","volume":"168","author":"Maughan","year":"2016","journal-title":"Drug Alcohol Depend"},{"key":"R7-20260514","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jhsa.2012.01.035","article-title":"Opioid consumption following outpatient upper extremity surgery","volume":"37","author":"Rodgers","year":"2012","journal-title":"J Hand Surg Am"},{"key":"R8-20260514","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.jen.2011.09.023","article-title":"How do emergency department patients store and dispose of opioids after discharge? 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