A perioperative approach to the opioid crisis

Bai et al cite that opioid overprescribing after surgery may be contributing to Canada's current opioid crisis. Despite guideline recommendations to limit duration and dose, evidence suggests that opioids are being prescribed for too long and at doses that are too high, after many surgical proc...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 190; no. 39; pp. E1151 - E1152
Main Authors Bai, Johnny-Wei, MD, Bao, James, MSPH, Bhatia, Anuj, MD, Chan, Vincent W.S., MD
Format Journal Article
LanguageEnglish
Published Canada Joule Inc 01.10.2018
CMA Impact, Inc
Subjects
Anesthesia
Complications and side effects
Dosage and administration
Drug dosages
Hospitals
Internal Medicine
Medical personnel
Methods
Narcotics
Opioid abuse
Opioids
Pain management
Patients
Perioperative care
Prescriptions
Prevention
Risk factors
Surgery
Canada
United States > US
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Summary:Bai et al cite that opioid overprescribing after surgery may be contributing to Canada's current opioid crisis. Despite guideline recommendations to limit duration and dose, evidence suggests that opioids are being prescribed for too long and at doses that are too high, after many surgical procedures. Overprescribing increases the risk of adverse effects, dependence, stockpiling or diversion of tablets, and opioid use disorder. Possible solutions include efforts to identify high-risk patients routinely, individualizing opioid prescriptions through predictive tools, improving community follow-up and leveraging specialists' roles.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.180801