Michigan Opioid Prescribing Engagement Network, Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI 48109, USA.
Michigan Opioid Prescribing Engagement Network, Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI 48109, USA; Department of Plastic Surgery, University of Michigan Medical School, 2130 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Clin Plast Surg. 2020 Apr;47(2):181-190. doi: 10.1016/j.cps.2019.12.005.
Increases in opioid prescribing over the last several decades is correlated with an alarming increase in opioid-related morbidity and mortality owing to both prescription opioid misuse and abuse as well as heroin abuse. Prescribing after surgery is commonly in excess, and leftover pills are an important driver of opioid use disorders owing to diversion and misuse. Creating evidence-based prescribing guidelines based on patient-centered outcomes and encouraging safe opioid storage and disposal is critical to curbing opioid-related morbidity and mortality going forward and to ensure safe and appropriate postoperative pain management.
在过去几十年中,阿片类药物的处方量不断增加,这与由于处方类阿片类药物的误用和滥用以及海洛因滥用导致的阿片类药物相关发病率和死亡率的惊人增加有关。手术后的处方量通常过多,剩余的药丸由于被转移和滥用,是导致阿片类药物使用障碍的一个重要因素。基于以患者为中心的结果制定循证处方指南,并鼓励安全储存和处理阿片类药物,对于控制阿片类药物相关发病率和死亡率以及确保安全和适当的术后疼痛管理至关重要。