Tags

Type your tag names separated by a space and hit enter

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons.
Head Neck. 2019 07; 41(7):2315-2323.HN

Abstract

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 (χ2 = 10.0; P = 0.04) and performing preoperative pain counseling (χ2 = 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 (χ2 = 6.2; P = 0.013) and preoperative pain counseling (χ2 = 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.

Links

Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Ferrell JK
Department of Otolaryngology - Head and Neck Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Singer MC
Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan.
Farwell DG
Department of Otolaryngology - Head and Neck Surgery, University of California-Davis, Sacramento, California.
Stack BC
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Shindo M
Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.

MeSH

Ambulatory Surgical ProceduresAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalCounselingDrug PrescriptionsHospitalistsHumansPain, PostoperativeParathyroidectomyPractice Patterns, Physicians'SurgeonsSurveys and QuestionnairesThyroidectomyUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30758893

Citation

Ferrell, Jay K., et al. "Evaluating Contemporary Pain Management Practices in Thyroid and Parathyroid Surgery: a National Survey of Head and Neck Endocrine Surgeons." Head & Neck, vol. 41, no. 7, 2019, pp. 2315-2323.
Ferrell JK, Singer MC, Farwell DG, et al. Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons. Head Neck. 2019;41(7):2315-2323.
Ferrell, J. K., Singer, M. C., Farwell, D. G., Stack, B. C., & Shindo, M. (2019). Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons. Head & Neck, 41(7), 2315-2323. https://doi.org/10.1002/hed.25694
Ferrell JK, et al. Evaluating Contemporary Pain Management Practices in Thyroid and Parathyroid Surgery: a National Survey of Head and Neck Endocrine Surgeons. Head Neck. 2019;41(7):2315-2323. PubMed PMID: 30758893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons. AU - Ferrell,Jay K, AU - Singer,Michael C, AU - Farwell,D Gregory, AU - Stack,Brendan C,Jr AU - Shindo,Maisie, Y1 - 2019/02/13/ PY - 2018/09/03/received PY - 2019/01/09/revised PY - 2019/01/24/accepted PY - 2019/2/14/pubmed PY - 2020/11/18/medline PY - 2019/2/14/entrez KW - head and neck endocrine surgery KW - opioid prescribing KW - parathyroid surgery KW - postoperative pain KW - thyroid surgery SP - 2315 EP - 2323 JF - Head & neck JO - Head Neck VL - 41 IS - 7 N2 - 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 (χ2 = 10.0; P = 0.04) and performing preoperative pain counseling (χ2 = 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 (χ2 = 6.2; P = 0.013) and preoperative pain counseling (χ2 = 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. SN - 1097-0347 UR - https://www.unboundmedicine.com/medline/citation/30758893/Evaluating_contemporary_pain_management_practices_in_thyroid_and_parathyroid_surgery:_A_national_survey_of_head_and_neck_endocrine_surgeons_ L2 - https://doi.org/10.1002/hed.25694 DB - PRIME DP - Unbound Medicine ER -