Urology practice · 2018
Laser Papillotomy for Chronic Flank Pain: A Reassessment of Efficacy in the Era of Automated Opioid Prescription Monitoring.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Stern Karen L, Monga Manoj
Аннотация
INTRODUCTION: We determined whether laser papillotomy for patients with chronic flank pain decreased narcotic pain medication use after surgery. Specifically, the introduction of state specific automated prescription reporting systems offers the opportunity for a more objective longitudinal assessment of outcomes in patients who often use multiple providers for pain management.
METHODS: Patients who underwent laser papillotomy for chronic flank pain at a single institution between January 2013 and January 2017 were identified. Narcotic prescription refill information for the 12 months before and 12 months after the surgery was obtained through the Ohio Automated Rx Reporting System and the Pennsylvania Prescription Drug Monitoring Program.
RESULTS: Overall 10 patients underwent laser papillotomy for chronic flank pain. Preoperative outpatient narcotic prescriptions filled ranged from 0 to 23, with a mean of 10.5 separate prescriptions per patient. Postoperatively 8 of 10 cases were considered failures. Six patients had multiple narcotic pain medication refills, with the mean number of pills filled recorded as 993.3 in the 12 months after surgery. One patient became a heroin addict postoperatively and another required ongoing care in the chronic pain clinic.
CONCLUSIONS: Laser papillotomy for chronic flank pain has a high failure rate, especially in patients who are on narcotic pain medication preoperatively. In the era of automated opioid prescription monitoring, urologists should use such information to make surgical decisions and properly counsel patients.
METHODS: Patients who underwent laser papillotomy for chronic flank pain at a single institution between January 2013 and January 2017 were identified. Narcotic prescription refill information for the 12 months before and 12 months after the surgery was obtained through the Ohio Automated Rx Reporting System and the Pennsylvania Prescription Drug Monitoring Program.
RESULTS: Overall 10 patients underwent laser papillotomy for chronic flank pain. Preoperative outpatient narcotic prescriptions filled ranged from 0 to 23, with a mean of 10.5 separate prescriptions per patient. Postoperatively 8 of 10 cases were considered failures. Six patients had multiple narcotic pain medication refills, with the mean number of pills filled recorded as 993.3 in the 12 months after surgery. One patient became a heroin addict postoperatively and another required ongoing care in the chronic pain clinic.
CONCLUSIONS: Laser papillotomy for chronic flank pain has a high failure rate, especially in patients who are on narcotic pain medication preoperatively. In the era of automated opioid prescription monitoring, urologists should use such information to make surgical decisions and properly counsel patients.