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04-09-2021 | Opioids | Original Article

Utilization of a National Registry to influence opioid prescribing behavior after hernia repair

Authors: M. Reinhorn, T. Dews, J. A. Warren, The Abdominal Core Health Quality Collaborative Opioid Task Force*

Published in: Hernia | Issue 3/2022

Abstract

Purpose

Despite progress toward curtailing opioid prescribing, physicians are often slow to adopt new prescribing practices. Using the Abdominal Core Health Quality Collaborative (ACHQC), we aimed to demonstrate the ability of a national, disease-specific, personalized registry to impact opioid prescribing.

Methods

Using a collaborative and iterative process, a module was developed to capture surgeon opioid prescribing, patient-reported consumption, and risk factors for opioid use. Study reported according to the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines.

Results

Six months after implementation of the ACHQC opioid module, we assessed participation, prescribing and patient consumption patterns. For ventral hernia repair (VHR; n = 398), 23 surgeons reported prescribing > 20 pills (43%), 11–20 (40%), and < 10 (18%). In contrast, patients (n = 217) reported taking < 10 pills in 65% and only 20% reported taking > 15. For inguinal hernia repair (IHR; n = 443) 37 surgeons reported prescribing > 20 tablets (22%), 11–20 (32%), and < 10 (44%). Patients (n = 277) reported taking < 10 pills in 81% of cases, including 50% reporting zero, and only 13% taking > 15. We identified barriers to practice change and developed a strategy for education, provision of individualized data, and encouraging participation. Surgeon participation has since increased significantly (n = 65 for VHR; n = 53 for IHR), and analysis of the impact of this process is ongoing.

Conclusion

Quality improvement requires physician engagement, which can be facilitated by meaningful and actionable data. The specificity of the ACHQC and the ability to provide surgeons with individualized data is a model method to incite change in physician behavior and improve patient outcomes.

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Title: Utilization of a National Registry to influence opioid prescribing behavior after hernia repair
Authors: M. Reinhorn
T. Dews
J. A. Warren
The Abdominal Core Health Quality Collaborative Opioid Task Force*
Publication date: 04-09-2021
Publisher: Springer Paris
Keywords: Opioids
Opioids
Inguinal Hernia
Published in: Hernia / Issue 3/2022
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-021-02495-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Utilization of a National Registry to influence opioid prescribing behavior after hernia repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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