{"doi":"10.1016/j.gore.2024.101396","title":"Evidence-based prescribing of opioids after laparotomy: A quality-improvement initiative in gynecologic oncology","abstract":null,"journal":"Gynecologic Oncology Reports","year":2024,"id":669167,"datarank":0.20794415416798362,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":710931,"name":"Rachel Levy","orcid":null,"position":1,"is_corresponding":false},{"id":1554691,"name":"Nancy Hills","orcid":null,"position":2,"is_corresponding":false},{"id":1747597,"name":"Allyson Jang","orcid":null,"position":3,"is_corresponding":false},{"id":1747598,"name":"Alison Mcgough-Maduena","orcid":null,"position":4,"is_corresponding":false},{"id":1747599,"name":"Natalia Dematteo","orcid":null,"position":5,"is_corresponding":false},{"id":1747601,"name":"Melissa Mark","orcid":null,"position":6,"is_corresponding":false},{"id":579384,"name":"Stefanie Ueda","orcid":"0000-0002-4359-0966","position":7,"is_corresponding":false},{"id":579383,"name":"Lee-may Chen","orcid":"0000-0003-3370-0161","position":8,"is_corresponding":false},{"id":475222,"name":"Jocelyn Chapman","orcid":"0000-0002-4260-3016","position":9,"is_corresponding":false},{"id":1157331,"name":"Allison H. Kay","orcid":"0000-0003-4220-3992","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Evidence-based prescribing of opioids after laparotomy: A quality-improvement initiative in gynecologic oncology","abstract":"Introduction: Across specialties, surgeons over-prescribe opioids to patients after surgery. We aimed to develop and implement an evidence-based calculator to inform post-discharge opioid prescription size for gynecologic oncology patients after laparotomy. Methods: In 2021, open surgical gynecologic oncology patients were called 2-4 weeks after surgery to ask about their home opioid use. This data was used to develop a calculator for post-discharge opioid prescription size using two factors: 1) age of the patient, 2) oral morphine equivalents (OME) used by patients the day before hospital discharge. The calculator was implemented on the inpatient service from 8/21/22 and patients were contacted 2-4 weeks after surgery to again assess their opioid use at home. Results: Data from 95 surveys were used to develop the opioid prescription size calculator and are compared to 95 post-intervention surveys. There was no difference pre- to post-intervention in demographic data, surgical procedure, or immediate postoperative recovery. The median opioid prescription size decreased from 150 to 37.5 OME (p < 0.01) and self-reported use of opioids at home decreased from 22.5 to 7.5 OME (p = 0.05). The refill rate did not differ (12.6 % pre- and 11.6 % post-intervention, p = 0.82). The surplus of opioids our patients reported having at home decreased from 1264 doses of 5 mg oxycodone tabs in the pre-intervention cohort, to 490 doses in the post-intervention cohort, a 61 % reduction. Conclusions: An evidence-based approach for prescribing opioids to patients after laparotomy decreased the surplus of opioids we introduced into our patients' communities without impacting refill rates.","is_dataset_classified":null,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38725997","pmcid":"PMC11078636","openalex_id":"https://openalex.org/W4395956961","authors":[],"funders":[],"total_grants":0,"fwci":1.2511,"citation_percentile":0.78903816,"influential_citations":0,"citation_trend":[{"year":2024,"count":2},{"year":2025,"count":1}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"http://dx.doi.org/10.1016/j.gore.2024.101396","host_type":"journal"},{"url":"http://dx.doi.org/10.1016/j.gore.2024.101396","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S2352578924000754?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S2352578924000754?httpAccept=text/plain","host_type":"publisher"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38725997","host_type":"repository"},{"url":"https://escholarship.org/uc/item/8cc0z69d","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11078636","host_type":"repository"},{"url":"https://doaj.org/article/98c4aa98306d46deb5a0bfe31d931dce","host_type":"repository"},{"url":"https://escholarship.org/content/qt8cc0z69d/qt8cc0z69d.pdf","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11078636/pdf/main.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC11078636","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC11078636?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Opioid Use Disorder Treatment","Anesthesia and Pain Management","Cancer, Stress, Anesthesia, and Immune Response"],"mesh_terms":[],"keywords":["Medicine","Gynecologic oncology","Medical prescription","Laparotomy","Opioid","Cohort","Oxycodone","Emergency medicine","Calculator","Internal medicine","Surgery","Nursing","Opioids","Postoperative pain","Perioperative Care"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-14T14:14:14.526389Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}