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Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons
Author(s) -
Ferrell Jay K.,
Singer Michael C.,
Farwell D. Gregory,
Stack Brendan C.,
Shindo Maisie
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25694
Subject(s) - medicine , endocrine system , endocrine surgery , head and neck , opioid , thyroid , pain management , general surgery , physical therapy , surgery , hormone , receptor
Background There is currently a lack of evidence‐based guidelines regarding postoperative opioids after thyroid and parathyroid surgery. This study aimed to objectively characterize contemporary postoperative pain management practices via a national survey of head and neck endocrine surgeons. Methods A standardized electronic survey was distributed to the membership of the American Head and Neck Society's Endocrine section. Results A total of 102 surgeons completed the survey representing a 34% response rate. In all, 65.7% of respondents utilize opioids with wide variations in the total morphine equivalents prescribed. Practice environment (χ 2 = 10.0; P = 0.04) and performing preoperative pain counseling (χ 2 = 9.7; P = 0.002) were significantly associated with a decreased likelihood of prescribing postoperative opioids. Utilization of non‐opioid pain management strategies was common and significantly associated with performing outpatient surgery (χ 2 = 6.2; P = 0.013) and preoperative pain counseling (χ 2 = 4.5; P = 0.034). Conclusions Pain management practice patterns vary significantly among head and neck endocrine surgeons which further emphasize the need for evidence‐based guidelines.