Journal article
Prospective Comparison of Opioid vs Nonopioid Pain Regimen After Ureteroscopy
Journal of endourology, Vol.36(6), pp.734-739
05/17/2022
DOI: 10.1089/end.2021.0719
PMID: 35057636
Abstract
We wanted to evaluate two new treatment phases within our practice, including a nonopioid pathway, to determine the effect on opioid usage, health care utilization, and pain following ureteroscopy.
Patients undergoing ureteroscopic lithotripsy were enrolled in a study utilizing text messaging to evaluate postoperative pain and opioid usage. Our historical postoperative pain regimen included #30 oxycodone. Patients in the N15 cohort were given improved counseling, preanesthesia acetaminophen, and #15 oxycodone. With further experience, narcotics were removed entirely from our postoperative care plan (N0) and replaced with a nonopioid multimodal regimen.
There were 61 and 58 patients in cohorts N15 and N0, respectively, with no difference in demographics, stone, or procedure details between each cohort. No difference in pain scores was detected between the N15 and N0 cohorts (
= 0.14). The median time to pain resolution was postoperative day (POD) 4 for cohort N15 and POD 3 for cohort N0 (
= 0.06). In the N0 cohort, nine patients required postoperative narcotics (15.5%; average of 2.4 pills/patient). There was no significant difference in emergency department visits, phone calls, or clinic visits (
= 0.17) between each cohort.
Patients undergoing ureteroscopy have adequate postoperative pain control with a nonopioid treatment regimen, although some patients will still ultimately require narcotics.
Details
- Title: Subtitle
- Prospective Comparison of Opioid vs Nonopioid Pain Regimen After Ureteroscopy
- Creators
- Mark D Bevill - University of IowaMorgan E Schubbe - University of IowaKevin J Flynn - University of IowaMohammed A Said - University of IowaPatrick Ten Eyck - University of IowaChad R Tracy - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of endourology, Vol.36(6), pp.734-739
- DOI
- 10.1089/end.2021.0719
- PMID
- 35057636
- ISSN
- 0892-7790
- eISSN
- 1557-900X
- Language
- English
- Date published
- 05/17/2022
- Academic Unit
- Radiology; Biostatistics; Urology
- Record Identifier
- 9984318686602771
Metrics
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