Background: Opioid abuse continues to be an ongoing issue in the United
States. Prescriber prescriptions play a large role in this epidemic. This study
describes opioid prescribing patterns following cesarean section before and after
the New York State Department of Health (NYSDOH) mandated the Opioid Prescriber
Training Program in 2017. Methods: This is a retrospective cohort study
of 1494 women hospitalized for cesarean section at a single institution in New
York City between July 2016 and August 2018. We obtained patient data via chart
review. Results: Primary outcome was total amount of opioid prescribed
before and after the Opioid Prescriber Training. Secondary outcomes included
outpatient opioid prescription habits by provider level, as well as outpatient
opioid prescription patterns related to the amount of inpatient opioid use; and
patient, surgical, and hospital-specific factors. There was a significant
difference in opioids prescribed before and after training. The median dose of
opioid prescribed pre and post intervention was 150 morphine milligram
equivalents (MME) which is equal to 20 pills of 5 mg of oxycodone. Pre-training,
41.1% of prescriptions amounted to
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Open Access
Original Research
Prescriber opioid patterns following cesarean section pre and post provider training
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1
Department of Obstetrics & Gynecology and Women’s Health, Montefiore Medical Center, The University Hospital of Albert Einstein College of Medicine, Bronx, NY 10461, USA
2
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
*Correspondence: talmarti@montefiore.org (Talitha L. Bruney)
Clin. Exp. Obstet. Gynecol. 2021, 48(6), 1440–1447;
https://doi.org/10.31083/j.ceog4806227
Submitted: 10 August 2021 | Revised: 28 August 2021 | Accepted: 1 September 2021 | Published: 15 December 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Opioid prescriptions
Opioids post-cesarean
Opioid provider training
Prescribing patterns
Provider training