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RESULTS: There was a wide variation in the number of opioid pills prescribed to patients undergoing reduction mammoplasty at a single institution. The mean number (and range) prescribed was 38 (10–60) pills. The mean (and range) of morphine equivalents prescribed was 230.5 (75– 675). 78% of patients consumed 25% or less of the pills prescribed. 14% of patients took no narcotics or never filled their prescription. Approximately 15% of patients obtained refills. Average refill prescription was for 35 pills. There is a large variation in prescribing habits among providers for the same procedure. Only one of the 12 prescribing providers prescribed the same number of morphine equivalents routinely. We identified the number of pills that suffice the opioid needs of 80% of patients undergoing reduction mammoplasty to be 20 pills. Compared to the current average 38 pill prescription, this would be a 47% reduction of opioid pills prescribed.

plastic and reconstructive surgery. global open

Abstract 141: Outcomes Associated with Free and Local Flap Reconstruction for Lower Extremity Open Fractures: 2010 - 2016 Nationwide Readmissions Database