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01-12-2020 | Breast Surgery | ASO Author Reflections

ASO Author Reflections: We Can Do It: Using Non-Opioid Regimens After Breast Surgery

Author: Sharon B. Chang, MD, FACS

Published in: Annals of Surgical Oncology | Special Issue 3/2020

Excerpt

Decreasing postoperative opioid-prescribing is a key strategy in combating the United States opioid epidemic.1 Using opioid-sparing regimens and non-opioid regimens (NORs) can reduce postoperative opioid-prescribing, and researchers have described the safety and efficacy of NORs after breast surgery.2^,3 Despite the success of these approaches, a recent survey of U.S. breast surgeons found that relatively few respondents reported using NORs.4 Two questions emerge: Are NOR experiences from small, single-center pilot studies scalable to larger community breast surgery practices? If so, what factors may facilitate adoption of these approaches? …

Barth RJ Jr, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a “never event”. JAMA Surg. 2020;155:543–544. https://doi.org/10.1001/jamasurg.2020.0432.CrossRefPubMed

Rothenberg KA, Huyser MR, Edquilang JK, et al. Experience with a nonopioid protocol in ambulatory breast surgery: opioids are rarely necessary, and use is surgeon-dependent. Perm J. 2019;23(pii):18–127. https://doi.org/10.7812/tpp/18-127.CrossRefPubMedPubMedCentral

Rojas KE, Manasseh DM, Flom PL, et al. A pilot study of a breast surgery enhanced recovery after surgery (ERAS) protocol to eliminate narcotic prescription at discharge. Breast Cancer Res Treat. 2018;171:621–6. https://doi.org/10.1007/s10549-018-4859-y.CrossRefPubMed

Rao R, Jackson RS, Rosen B, et al. Pain control in breast surgery: survey of current practice and recommendations for optimizing management. American Society of Breast Surgeons Opioid/Pain Control Workgroup. Ann Surg Oncol. 2020;27:985–90. https://doi.org/10.1245/s10434-020-08197-zCrossRefPubMed

Patel AR, Vuong B, Kuehner G, et al. Adoption of opioid-sparing and non-opioid regimens after breast surgery in a large, integrated health care delivery system. Ann Surg Oncol. 2020. https://doi.org/10.1245/s10434-020-08897-6.

Title: ASO Author Reflections: We Can Do It: Using Non-Opioid Regimens After Breast Surgery
Author: Sharon B. Chang, MD, FACS
Publication date: 01-12-2020
Publisher: Springer International Publishing
Keywords: Breast Surgery
Breast Surgery
Opioids
Opioids
Published in: Annals of Surgical Oncology / Issue Special Issue 3/2020
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-020-09036-x

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ASO Author Reflections: We Can Do It: Using Non-Opioid Regimens After Breast Surgery

Excerpt

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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