BACKGROUND: Aligning opioid prescribing with patient needs is important for managing pain while minimizing risks. However, little is known about opioid prescribing after gender-affirming procedures. Given that gender-diverse patients are at higher risk for poor opioid-related outcomes, creating guidelines centered on patient-reported opioid use and pain experiences is critical. We conducted a prospective survey study … Read more
Document Type: Journal Article
OBJECTIVE: To examine the association of prescription opioid fills over the year before surgery with postoperative outcomes. BACKGROUND: Nearly one-third of patients report opioid use in the year preceding surgery, yet an understanding of how opioid exposure influences patient-reported outcomes after surgery remains incomplete. Therefore, this study was designed to test the hypothesis that preoperative … Read more
OBJECTIVE: To investigate the relationships among opioid prescribing, consumption, and patient-reported outcomes (PROs) in patients undergoing emergency surgery. BACKGROUND: Overprescribing of opioids for pain management after surgery has become a public health concern and a major contributor to opioid misuse and dependency. Current guidelines do not address opioid prescribing after emergency surgical procedures, highlighting the … Read more
OBJECTIVE: Patient-reported pain is a crucial measure for postoperative recovery, but the correlation between numeric and categorical scales remains unclear. The Michigan Surgical Quality Collaborative (MSQC) used categorical rating scales (CRS) from 2017 to 2020 and 2022, switching to numeric rating scales (NRS) in 2021, offering a chance to compare both. METHODS: We analyzed surgical … Read more
OBJECTIVE: The authors sought to determine 1) whether receiving an initial stimulant prescription for attention deficit hyperactivity disorder (ADHD) from a provider whom a patient has never seen in person is associated with increased risk for stimulant use disorder (stimUD) or other substance use disorders (SUDs), and 2) whether receiving an initial stimulant prescription during … Read more
INTRODUCTION: Pregnant individuals with opioid use disorder (OUD) deliver >20,000 infants annually in the United States, with serious health consequences for perinatal individuals and their infants. This study compares delivery-related outcomes and healthcare utilization among Michigan Medicaid-enrolled perinatal individuals with and without an OUD diagnosis. METHODS: We conducted a retrospective cohort study among Michigan Medicaid … Read more
INTRODUCTION: Pain is one of the most bothersome symptoms that affects patients with inflammatory bowel disease (IBD) but is often inadequately treated. Inadequate pain control in the inpatient setting not only impacts patients’ experience but increases opioid use and hospital length of stay. Opioids are often considered first-line treatment for severe pain but are associated … Read more
OBJECTIVE: This study examined the association between insurance type and postoperative unplanned care encounters among patients on long-term opioid therapy before surgery. SUMMARY BACKGROUND DATA: Preoperative long-term opioid therapy is associated with unique risks and poorer outcomes following surgery. To date, the extent to which insurance coverage influences postoperative outcomes in this population remains unclear. … Read more
OBJECTIVES: To investigate cannabidiol (CBD) use in women with chronic pelvic pain and nociplastic pain, as represented by a diagnosis of fibromyalgia, including impact on pain and associated symptoms, substitutions for other medications, and side effects. METHODS: This was a cross-sectional study using data derived from an online survey distributed through the National Fibromyalgia Association … Read more