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Opioid Prescribing for Analgesia After Common Otolaryngology Operations

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2 Key Points ➤ Prescribing opioids has come under scrutiny due to the nationwide epidemic of opioid dependence and overdose-related deaths. ➤ Data on opioids misuse includes: • Chronic pain patients ▶ Misuse: 21% – 29% ▶ Addiction: 8% – 12% • 10% chronic misuse after short-stay surgery • 40% of misuse is from diverted opioids ➤ Otolaryngologists are over-represented in prescribing opioids to Medicare patients, accounting for 10% of all surgeons' prescriptions. ➤ This summary applies to patients of any age who require treatment for anticipated or reported pain within 30 days after undergoing common otolaryngologic procedures. For the Purpose of this Guideline, the Authors Adopted the Following Definitions: Pain An unpleasant sensory and emotional experience associated with actual or potential tissue damage and is categorized as mild, moderate, or severe. Postoperative period e period of patient recovery up to 30 days aer a surgical procedure. Opioids A class of medications that interact with opioid receptors, have addictive potential, and are used to treat moderate-to-severe pain. ey are legally available for health care providers to prescribe as synthetic opioids such as fentanyl or prescription pain relievers such as oxycodone, hydrocodone, and others. Analgesia e absence or reduction of pain in response to stimulation that would normally be painful. Opioid use disorder (OUD) When individuals are unable to cease or appropriately reduce opioids and their opioid use negatively impacts work, school, or social responsibilities. Opioid diversion e transfer of prescription pain medications from the intended person to another person.

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