{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T17:22:17Z","timestamp":1781284937326,"version":"3.54.1"},"reference-count":0,"publisher":"Canadian Society of Healthcare-Systems Pharmacy","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJHP"],"abstract":"<jats:p>Background: Few studies have evaluated opioid consumption after various inpatient surgical procedures.Objectives: To describe opioid prescription patterns and to characterize patient-reported use of opioids after surgery.\nMethods: This single-centre prospective observational study was conducted between February and October 2021 at the Jewish General Hospital in Montr\u00e9al, Quebec. Patients 18 years of age or older who underwent a surgical procedure, were hospitalized for 24 hours or longer after the procedure, and had an opioid prescription at the time of discharge were included. Data were collected for the quantity of opioids prescribed, as documented in hospital records, and the quantity consumed, as reported by participants. Various potential predictors of opioid consumption were explored, and data were also collected on patients\u2019 use of non-opioid coanalgesia, scores on the Numeric Rating Scale for pain, opioid renewal requests, and proper opioid disposal during the 30-day follow-up period.\nResults: A total of 150 participants completed the study. The median dose prescribed was 10 opioid pills (75.0 morphine milligram equivalents). By the end of the follow-up period, a median of 1 pill (7.5 morphine milligram equivalents) had been consumed from the total amount in the discharge prescription. Overall, 66 participants (44.0%) did not consume any of the opioids prescribed at discharge. Of the total number of pills prescribed, 58.2% (1193\/2050) were unused, and 7.0% (5\/71) of participants with unused pills disposed of them properly.\nConclusions: Following discharge from hospital, postoperative patients consumed a median proportion of only 10% of prescribed opioid pills. More than half of all prescribed pills were unused.Protocols implementing specific prescribing strategies warrant further investigation to evaluate their potential impact on opioid prescription and consumption.\nKeywords: opioids, surgery, pain\nR\u00c9SUM\u00c9 \nContexte : Peu d\u2019\u00e9tudes ont \u00e9valu\u00e9 la consommation d\u2019opio\u00efdes apr\u00e8s diverses interventions chirurgicales en milieu hospitalier.\nObjectifs : D\u00e9crire les sch\u00e9mas de prescription d\u2019opio\u00efdes et caract\u00e9riser leur utilisation d\u00e9clar\u00e9e par les patients apr\u00e8s une intervention chirurgicale.\nM\u00e9thodologie : Cette \u00e9tude observationnelle prospective monocentrique a \u00e9t\u00e9 men\u00e9e entre f\u00e9vrier et octobre 2021 \u00e0 l\u2019H\u00f4pital g\u00e9n\u00e9ral juif de Montr\u00e9al, au Qu\u00e9bec. Les patients d\u2019au moins 18 ans ayant subi une intervention chirurgicale, ayant \u00e9t\u00e9 hospitalis\u00e9s pendant au moins 24 heures apr\u00e8s l\u2019intervention et qui avaient une prescription d\u2019opio\u00efdes au moment de leur cong\u00e9 ont \u00e9t\u00e9 inclus dans l\u2019\u00e9tude. Des donn\u00e9es ont \u00e9t\u00e9 recueillies sur la quantit\u00e9 d\u2019opio\u00efdes prescrite, telle que document\u00e9e dans les dossiers de l\u2019h\u00f4pital, et sur la quantit\u00e9 consomm\u00e9e, telle que d\u00e9clar\u00e9e par les participants. Divers pr\u00e9dicteurs potentiels de la consommation d\u2019opio\u00efdes ont \u00e9t\u00e9 \u00e9tudi\u00e9s et des donn\u00e9es ont aussi \u00e9t\u00e9 recueillies, sur une p\u00e9riode de suivi de 30 jours, sur l\u2019utilisation de coanalg\u00e9sie non opio\u00efde par les patients, leurs scores sur l\u2019\u00e9chelle d\u2019\u00e9valuation num\u00e9rique de la douleur, les demandes de renouvellement d\u2019opio\u00efdes et l\u2019\u00e9limination appropri\u00e9e de ces derni\u00e8res.\nR\u00e9sultats : Au total, 150 participants ont compl\u00e9t\u00e9 l\u2019\u00e9tude. La dose m\u00e9diane prescrite \u00e9tait de 10 comprim\u00e9s d\u2019opio\u00efdes (75,0 \u00e9quivalents en milligrammes de morphine). \u00c0 la fin de la p\u00e9riode de suivi, une moyenne de 1 comprim\u00e9 (7,5 \u00e9quivalents en milligrammes de morphine) avait \u00e9t\u00e9 consomm\u00e9e sur la quantit\u00e9 totale indiqu\u00e9e dans l\u2019ordonnance remise au moment du cong\u00e9. Dans l\u2019ensemble, 66 participants (44,0 %) n\u2019ont consomm\u00e9 aucun des opio\u00efdes prescrits au moment du cong\u00e9. Sur le nombre total de comprim\u00e9s prescrits, 58,2 % (1193\/2050) n\u2019ont pas \u00e9t\u00e9 utilis\u00e9s et 7,0 % (5\/71) des participants ayant des comprim\u00e9s inutilis\u00e9s s\u2019en sont d\u00e9barrass\u00e9s correctement.\nConclusions : Suite au cong\u00e9 de l\u2019h\u00f4pital, les patients postop\u00e9ratoires ne consommaient qu\u2019une proportion m\u00e9diane de 10 % des comprim\u00e9s d\u2019opio\u00efde prescrits. Plus de la moiti\u00e9 de tous les comprim\u00e9s prescrits n\u2019ont pas \u00e9t\u00e9 utilis\u00e9s. Les protocoles mettant en \u0153uvre des strat\u00e9gies de prescription sp\u00e9cifiques justifient des recherches plus approfondies pour \u00e9valuer leur incidence potentielle sur la prescription et la consommation d\u2019opio\u00efdes.\nMots-cl\u00e9s : opio\u00efdes, chirurgie, douleur<\/jats:p>","DOI":"10.4212\/cjhp.3574","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T16:20:03Z","timestamp":1726071603000},"source":"Crossref","is-referenced-by-count":3,"title":["Discharge Opioid Prescription and Consumption Following Surgery: The POPCORN Observational Study"],"prefix":"10.4212","volume":"77","author":[{"given":"Kenzi Wassil","family":"Mohktari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianne","family":"Giard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Ly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Wazzan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Williamson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Dagenais-Beaul\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2732","published-online":{"date-parts":[[2024,9,11]]},"container-title":["Canadian Journal of Hospital Pharmacy"],"original-title":[],"link":[{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3574\/5411","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3574\/5416","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3574\/5411","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T16:20:04Z","timestamp":1726071604000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/view\/3574"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,11]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9,11]]}},"URL":"https:\/\/doi.org\/10.4212\/cjhp.3574","relation":{},"ISSN":["1920-2903","0008-4123"],"issn-type":[{"value":"1920-2903","type":"electronic"},{"value":"0008-4123","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9,11]]}}}