Which Surgeries Drive the Most Opioid Prescriptions in Youth?

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All rights reserved. This material may not be published, broadcast, copied, or otherwise reproduced or distributed without the prior written permission of Frontline Medical Communications Inc.</copyrightNotice> </rightsInfo> </provider> <abstract/> <metaDescription>A small pool of major surgeries accounts for a large portion of opioids prescribed to children and teens,</metaDescription> <articlePDF/> <teaserImage/> <teaser>Three procedures accounted for 59.1% of morphine milligram equivalents: Tonsillectomy and/or adenoidectomy, open treatment of upper extremity fracture, and removal of deep implants.</teaser> <title>Which Surgeries Drive the Most Opioid Prescriptions in Youth?</title> <deck/> <disclaimer/> <AuthorList/> <articleURL/> <doi/> <pubMedID/> <publishXMLStatus/> <publishXMLVersion>1</publishXMLVersion> <useEISSN>0</useEISSN> <urgency/> <pubPubdateYear>2024</pubPubdateYear> <pubPubdateMonth/> <pubPubdateDay/> <pubVolume/> <pubNumber/> <wireChannels/> <primaryCMSID/> <CMSIDs/> <keywords/> <seeAlsos/> <publications_g> <publicationData> <publicationCode>PN</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> <journalTitle/> <journalFullTitle/> <copyrightStatement/> </publicationData> <publicationData> <publicationCode>FP</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> <journalTitle/> <journalFullTitle/> <copyrightStatement>Copyright 2017 Frontline Medical News</copyrightStatement> </publicationData> </publications_g> <publications> <term canonical="true">25</term> <term>15</term> </publications> <sections> <term>39313</term> <term canonical="true">27970</term> </sections> <topics> <term>50122</term> <term canonical="true">302</term> <term>271</term> </topics> <links/> </header> <itemSet> <newsItem> <itemMeta> <itemRole>Main</itemRole> <itemClass>text</itemClass> <title>Which Surgeries Drive the Most Opioid Prescriptions in Youth?</title> <deck/> </itemMeta> <itemContent> <h2>TOPLINE:</h2> <p><span class="tag metaDescription">A small pool of major surgeries accounts for a large portion of opioids prescribed to children and teens,</span> according to a new study.</p> <h2>METHODOLOGY:</h2> <ul class="body"> <li>The researchers analyzed national commercial and Medicaid claims from December 2020 to November 2021 in children aged 0-21 years.</li> <li>More than 200,000 procedures were included in the study.</li> <li>For each type of surgery, researchers calculated the total amount of opioids given within 3 days of discharge, measured in morphine milligram equivalents (MMEs).</li> </ul> <h2>TAKEAWAY:</h2> <ul class="body"> <li>In children up to age 11 years, three procedures accounted for 59.1% of MMEs: Tonsillectomy and/or adenoidectomy (50.3%), open treatment of upper extremity fracture (5.3%), and removal of deep implants (3.5%).</li> <li>In patients aged 12-21 years, three procedures accounted for 33.1% of MMEs: Tonsillectomy and/or adenoidectomy (12.7%), knee arthroscopy (12.6%), and analgesia after cesarean delivery (7.8%).</li> <li>Refill rates for children were all 1% or less.</li> <li>Refill rates for adolescents ranged from 2.3% to 9.6%.</li> </ul> <h2>IN PRACTICE:</h2> <p>“Targeting these procedures in opioid stewardship initiatives could help minimize the risks of opioid prescribing while maintaining effective postoperative pain control,” the researchers wrote.</p> <h2>SOURCE:</h2> <p>The <span class="Hyperlink"><a href="https://publications.aap.org/pediatrics/article-abstract/doi/10.1542/peds.2024-065814/197573/Pediatric-Surgical-Opioid-Prescribing-by-Procedure?redirectedFrom=fulltext?autologincheck=redirected">study</a></span> was led by Kao-Ping Chua, MD, PhD, of the Department of Pediatrics at the University of Michigan Medical School, Ann Arbor, and was published in <em>Pediatrics</em></p> <h2>LIMITATIONS:</h2> <p>The researchers analyzed opioids prescribed only after major surgeries. The sources of data used in the analysis may not fully represent all pediatric patients.</p> <h2>DISCLOSURES:</h2> <p>Dr. Chua reported consulting fees from the US Department of Justice and the Benter Foundation outside the submitted work. Other authors reported a variety of financial interests, including consulting for the pharmaceutical industry.<span class="end"/></p> <p> <em>A version of this article first appeared on <span class="Hyperlink"><a href="https://www.medscape.com/viewarticle/which-surgeries-drive-most-opioid-prescriptions-youth-2024a1000bnp">Medscape.com</a></span>.</em> </p> </itemContent> </newsItem> <newsItem> <itemMeta> <itemRole>teaser</itemRole> <itemClass>text</itemClass> <title/> <deck/> </itemMeta> <itemContent> </itemContent> </newsItem> </itemSet></root>