Pain Control in Breast Surgery: Survey of Current Practice and Recommendations for Optimizing Management-American Society of Breast Surgeons Opioid/Pain Control Workgroup

Roshni Rao; Rubie Sue Jackson; Barry Rosen; David Brenin; Wendy Cornett; Oluwadamilola M Fayanju; Steven L Chen; Negar Golesorkhi; Kandice Ludwig; Ayemoethu Ma; Starr Koslow Mautner; Michelle Sowden; Lee Wilke; Barbara Wexelman; Sarah Blair; Monique Gary; Stephen Grobmyer; E Shelley Hwang; Ted James; Nimmi S Kapoor; Jaime Lewis; Ingrid Lizarraga; Megan Miller; Heather Neuman; Shayna Showalter; Linda Smith; Joshua Froman; American Society of Breast Surgeons: Patient Safety & Quality Committee, Research Committee

doi:10.1245/s10434-020-08197-z

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Pain Control in Breast Surgery: Survey of Current Practice and Recommendations for Optimizing Management-American Society of Breast Surgeons Opioid/Pain Control Workgroup

Journal article

Open access

Peer reviewed

Pain Control in Breast Surgery: Survey of Current Practice and Recommendations for Optimizing Management-American Society of Breast Surgeons Opioid/Pain Control Workgroup

Roshni Rao, Rubie Sue Jackson, Barry Rosen, David Brenin, Wendy Cornett, Oluwadamilola M Fayanju, Steven L Chen, Negar Golesorkhi, Kandice Ludwig, Ayemoethu Ma, …

Annals of surgical oncology, Vol.27(4), pp.985-990

04/2020

DOI: 10.1245/s10434-020-08197-z

PMCID: PMC7241428

PMID: 31965373

Files and links (1)

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https://www.ncbi.nlm.nih.gov/pmc/articles/7241428View

Open Access

Abstract

The opioid epidemic in the United States is a public health crisis. Breast surgeons are obligated to provide good pain control for their patients after surgery but also must minimize administration of narcotics to prevent a surgical episode of care from becoming a patient's gateway into opioid dependence. A survey to ascertain pain management practice patterns after breast surgery was performed. A review of currently available literature that was specific to breast surgery was performed to create recommendations regarding pain management strategies. A total of 609 surgeons completed the survey and demonstrated significant variations in pain management practices, specifically within regards to utilization of regional anesthesia (e.g., nerve blocks), and quantity of prescribed narcotics. There is excellent data to guide the use of local and regional anesthesia. There are, however, fewer studies to guide narcotic recommendations; thus, these recommendations were guided by prevailing practice patterns. Pain management practices after breast surgery have significant variation and represent an opportunity to improve patient safety and quality of care. Multimodality approaches in conjunction with standardized quantities of narcotics are recommended.

United States

Analgesics, Opioid - administration & dosage

Breast Neoplasms - surgery

Female

Humans

Mastectomy - adverse effects

Narcotics - administration & dosage

Nerve Block

Pain Management

Pain Measurement

Pain, Postoperative - prevention & control

Practice Patterns, Physicians' - statistics & numerical data

Societies, Medical

Surgeons

Surveys and Questionnaires

Details

Title: Subtitle: Pain Control in Breast Surgery: Survey of Current Practice and Recommendations for Optimizing Management-American Society of Breast Surgeons Opioid/Pain Control Workgroup
Creators: Roshni Rao - Columbia University
Rubie Sue Jackson - Anne Arundel Medical Center
Barry Rosen - University of Illinois Chicago
David Brenin - University of Virginia
Wendy Cornett - Prisma Health
Oluwadamilola M Fayanju - Duke University
Steven L Chen
Negar Golesorkhi - Maryland Surgeons, Catonsville, MD, USA
Kandice Ludwig - Indiana University
Ayemoethu Ma - Scripps Health
Starr Koslow Mautner - Miami Cancer Institute, Miami, FL, USA.
Michelle Sowden - University of Vermont
Lee Wilke - University of Wisconsin–Madison
Barbara Wexelman - TriHealth
Sarah Blair - University of California San Diego
Monique Gary - Grand View Health, Sellersville, PA, USA
Stephen Grobmyer - Cleveland Clinic
E Shelley Hwang - Duke University Medical Center, Durham, NC, USA
Ted James - Beth Israel Deaconess Medical Center
Nimmi S Kapoor - Cedars-Sinai Medical Center
Jaime Lewis - University of Cincinnati
Ingrid Lizarraga - University of Iowa
Megan Miller - University Hospitals of Cleveland
Heather Neuman - University of Wisconsin–Madison
Shayna Showalter - University of Virginia
Linda Smith - Comprehensive Breast Care, Albuquerque, NM, USA
Joshua Froman - Mayo Clinic Health System
American Society of Breast Surgeons: Patient Safety & Quality Committee, Research Committee
Resource Type: Journal article
Publication Details: Annals of surgical oncology, Vol.27(4), pp.985-990
DOI: 10.1245/s10434-020-08197-z
PMID: 31965373
PMCID: PMC7241428
NLM abbreviation: Ann Surg Oncol
ISSN: 1068-9265
eISSN: 1534-4681
Grant note: UL1 TR002553 / NCATS NIH HHS P30 CA014236 / NCI NIH HHS KL2 TR001115 / NCATS NIH HHS KL2 TR002554 / NCATS NIH HHS
Language: English
Date published: 04/2020
Academic Unit: Surgery
Record Identifier: 9984322950402771

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