Pediatric Adenotonsillectomy Opioid Prescriptions Before and After Practice Guidelines and American Academy of Pediatrics Challenge

Najm S. Khan; David Z. Allen; Yin Yiu; Omar G. Ahmed; Masayoshi Takashima; Zi Y Jiang

doi:10.1002/ohn.1048

Pediatric Adenotonsillectomy Opioid Prescriptions Before and After Practice Guidelines and American Academy of Pediatrics Challenge

Najm S. Khan, David Z. Allen, Yin Yiu, Omar G. Ahmed, Masayoshi Takashima, Zi Y Jiang

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The opioid epidemic continues to concern the CDC and public health officials but recent trends in opioid prescribing rates following common pediatric otolaryngology surgeries are unexplored. This retrospective cohort study queried the TriNetX Research database from January 1, 2010, through December 31, 2023, for pediatric patients who underwent tonsillectomy and/or adenoidectomy and received oral opioids within 5 days of surgery. Prescription trends from 2010 to 2017 were compared to 2022 to 2023, after the publication of multiple clinical practice guidelines (CPGs). Of 286,572 surgeries, 29% of patients received postoperative opioids. Comparing the 2 time periods, a significant decrease was observed in the risk of postoperative opioid prescriptions following 2022 (RR 0.87, CI_95% 0.86-0.88). Prescribing rates decreased between 2018 and 2023 from 34% to 24%. Publication of CPGs were associated with a decrease in opioid prescribing rates and may have contributed to an encouraging trend in opioid stewardship.

Original language	English (US)
Pages (from-to)	1072-1076
Number of pages	5
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	172
Issue number	3
DOIs	https://doi.org/10.1002/ohn.1048
State	Published - Mar 2025

Keywords

adenoidectomy
clinical practice guideline
narcotic
opioid
pediatric otolaryngology
tonsillectomy
Practice Patterns, Physicians'/statistics & numerical data
United States
Humans
Child, Preschool
Male
Infant
Adenoidectomy
Analgesics, Opioid/therapeutic use
Drug Prescriptions/statistics & numerical data
Tonsillectomy
Adolescent
Female
Retrospective Studies
Child
Pain, Postoperative/drug therapy
Practice Guidelines as Topic

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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10.1002/ohn.1048

Cite this

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title = "Pediatric Adenotonsillectomy Opioid Prescriptions Before and After Practice Guidelines and American Academy of Pediatrics Challenge",

abstract = "The opioid epidemic continues to concern the CDC and public health officials but recent trends in opioid prescribing rates following common pediatric otolaryngology surgeries are unexplored. This retrospective cohort study queried the TriNetX Research database from January 1, 2010, through December 31, 2023, for pediatric patients who underwent tonsillectomy and/or adenoidectomy and received oral opioids within 5 days of surgery. Prescription trends from 2010 to 2017 were compared to 2022 to 2023, after the publication of multiple clinical practice guidelines (CPGs). Of 286,572 surgeries, 29\% of patients received postoperative opioids. Comparing the 2 time periods, a significant decrease was observed in the risk of postoperative opioid prescriptions following 2022 (RR 0.87, CI95\% 0.86-0.88). Prescribing rates decreased between 2018 and 2023 from 34\% to 24\%. Publication of CPGs were associated with a decrease in opioid prescribing rates and may have contributed to an encouraging trend in opioid stewardship.",

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AB - The opioid epidemic continues to concern the CDC and public health officials but recent trends in opioid prescribing rates following common pediatric otolaryngology surgeries are unexplored. This retrospective cohort study queried the TriNetX Research database from January 1, 2010, through December 31, 2023, for pediatric patients who underwent tonsillectomy and/or adenoidectomy and received oral opioids within 5 days of surgery. Prescription trends from 2010 to 2017 were compared to 2022 to 2023, after the publication of multiple clinical practice guidelines (CPGs). Of 286,572 surgeries, 29% of patients received postoperative opioids. Comparing the 2 time periods, a significant decrease was observed in the risk of postoperative opioid prescriptions following 2022 (RR 0.87, CI95% 0.86-0.88). Prescribing rates decreased between 2018 and 2023 from 34% to 24%. Publication of CPGs were associated with a decrease in opioid prescribing rates and may have contributed to an encouraging trend in opioid stewardship.

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Pediatric Adenotonsillectomy Opioid Prescriptions Before and After Practice Guidelines and American Academy of Pediatrics Challenge

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Keywords

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