Implementation of a patient-specific tapering protocol at discharge decreases total opioid dose prescribed for 6 weeks after elective primary spine surgery.

Sarah S JooOluwatobi O HunterMallika TamboliJody C LengT Kyle HarrisonKate KassabJody D KeetonStephen SkirbollSuzanne TharinEmam SalehSeshadri C MudumbaiRachel R WangAlex KouEdward R Mariano

Published in: Regional anesthesia and pain medicine (2020)

This patient-specific prescribing and tapering protocol effectively decreases the total opioid dose prescribed for 6 weeks postdischarge after elective primary spine surgery. Our experience also demonstrates the potential generalizability of this protocol, which was originally designed for joint replacement patients, to other surgical populations.

Keyphrases

randomized controlled trial
primary care
chronic pain
end stage renal disease
pain management
patients undergoing
ejection fraction
newly diagnosed
healthcare
peritoneal dialysis
prognostic factors
emergency department
quality improvement
risk assessment
climate change
patient reported outcomes
adverse drug