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An opioid prescription for men undergoing minor urologic surgery is associated with an increased risk of new persistent opioid use

European Urology Sep 26, 2019

Welk B, et al. - Through a retrospective cohort study was done using linked administrative data from Ontario, Canada on 91,083 men who underwent their first vasectomy, transurethral prostatectomy, urethrotomy, circumcision, spermatocelectomy, or hydrocelectomy between 2013 and 2016, researchers ascertained whether filling a postoperative opioid prescription following low acuity urologic surgery was related to new continuous opioid use. Codeine was the most prevalent opioid prescribed, and the primary prescribers were urologists. For most of the 57 medical comorbidities or markers of healthcare utilization that were estimated men who filled a postprocedure opioid prescription did not vary from those who did not fill an opioid prescription. Long-term opioid use in 1,447 was noted. A significantly greater risk of long-term opioid use and opioid overdose was noted in men who had filled a postoperative opioid prescription. Hence, prescription of opioids following low acuity urology procedures is significantly correlated with enhanced opioid use at 1 yr following surgery and thus efforts should be made to decrease postoperative opioids, particularly for urologic procedures that do not typically need opioids.
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