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Experience with a Nonopioid Protocol in Ambulatory Breast Surgery: Opioids are Rarely Necessary and Use is Surgeon-Dependent
Author(s) -
Kara A. Rothenberg,
Michelle R. Huyser,
Joanne K Edquilang,
Elizabeth L. Cureton,
Rita O. Kwan,
Peter D. Peng,
Jonathan Svahn,
Vickie Shim
Publication year - 2019
Publication title -
the permanente journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.445
H-Index - 30
eISSN - 1552-5775
pISSN - 1552-5767
DOI - 10.7812/tpp/18-127
Subject(s) - medicine , ambulatory , breast surgery , medical prescription , protocol (science) , opioid , mastectomy , breast reconstruction , regimen , outpatient surgery , logistic regression , surgery , breast cancer , alternative medicine , cancer , receptor , pathology , pharmacology
Surgeons write 1.8% of all prescriptions and 9.8% of all opioid prescriptions. Even small doses prescribed for short-term use can lead to abuse; thus, surgeons are uniquely able to combat the opioid epidemic by changing prescribing practices. As part of a department wide quality improvement project, we initiated a nonopioid protocol for all patients undergoing ambulatory breast surgery.

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