Division of Surgical Oncology, Oregon Health & Science University, USA.
Breast Cancer Program, Providence Cancer Institute, USA.
Am J Surg. 2020 Jan;219(1):8-14. doi: 10.1016/j.amjsurg.2019.07.032. Epub 2019 Jul 25.
The opioid epidemic has necessitated increased attention to prescribing practices. This study seeks to prospectively quantify postoperative opioid use after breast operation.
Consecutive patients undergoing breast operation at a single institution in 2018 prospectively tracked each dose of medication and completed a survey of perceptions regarding their opioid prescription.
Of 100 patients, 88 completed log, survey, or both. The tab quantity required to fulfill the needs of 80% of patients was: Partial mastectomy (PM) 3, PM with sentinel lymph node biopsy 6, PM with bilateral reduction 8, total mastectomy 34, and bilateral mastectomy 47. Of survey respondents, 51.2% felt they had been prescribed too much pain medication. Most (83.0%) had leftover tabs, and 67.9% indicated they kept them in their home.
The majority of patients were overprescribed opioids after breast operation. A reduction could be achieved by targeting the needs of 80% of the population.
阿片类药物泛滥已经使得人们必须更加关注处方实践。本研究旨在前瞻性地量化乳房手术后的阿片类药物使用情况。
2018 年，在一家机构接受乳房手术的连续患者前瞻性地跟踪每剂药物，并完成了一项关于他们的阿片类药物处方认知的调查。
在 100 名患者中，88 名完成了日志、调查或两者。满足 80%患者需求所需的片剂数量为：部分乳房切除术（PM）3 片，PM 加前哨淋巴结活检 6 片，PM 加双侧乳房缩小术 8 片，全乳房切除术 34 片，双侧乳房切除术 47 片。在接受调查的患者中，51.2%的人认为自己被开了太多的止痛药。大多数（83.0%）有剩余的药片，67.9%的人表示他们把药片放在家里。
大多数患者在乳房手术后被过度开具阿片类药物。通过针对 80%人群的需求，可以实现减少处方量的目标。
