Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery
Prescription opioids after surgery may pose a risk if left unused. However, prescribers rely on their best judgement in determining how much their patients need, often resulting in over-prescription of these medications. Opioid disposal is a strategy to reduce the risk of persistent use or misuse of...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/14/1/e003040.full |
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| author | Daniel Lee M Kit Delgado Zarina Ali Anish Agarwal Eric Shan Ruiying Xiong Michael Katzman |
| author_facet | Daniel Lee M Kit Delgado Zarina Ali Anish Agarwal Eric Shan Ruiying Xiong Michael Katzman |
| author_sort | Daniel Lee |
| collection | DOAJ |
| description | Prescription opioids after surgery may pose a risk if left unused. However, prescribers rely on their best judgement in determining how much their patients need, often resulting in over-prescription of these medications. Opioid disposal is a strategy to reduce the risk of persistent use or misuse of opioids. At-home disposal kits allow patients to safely dispose of leftover opioids. In this study, we assess the impact of opioid disposal kits on disposal rates after orthopedic surgery. In a difference-in-differences study of 1,321 eligible patients, disposal kits were associated with a 10.6 percentage point increase (95% CI: -3.5% to 24.7%) in disposal rates as well as a 10.5 percentage point increase (95% CI: 0.2% to 20.9%) in the fraction of opioids disposed. We build on prior research and identify that providing surgery patients with an opioid disposal kit at the time of discharge increases their self-disposal rates. |
| format | Article |
| id | doaj-art-19a5c0b854a44f8485369ee628ed21c7 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-19a5c0b854a44f8485369ee628ed21c72025-02-03T18:30:09ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-01-0114110.1136/bmjoq-2024-003040Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgeryDaniel Lee0M Kit Delgado1Zarina Ali2Anish Agarwal3Eric Shan4Ruiying Xiong5Michael Katzman6University of Pennsylvania, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USAEmergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USAPrescription opioids after surgery may pose a risk if left unused. However, prescribers rely on their best judgement in determining how much their patients need, often resulting in over-prescription of these medications. Opioid disposal is a strategy to reduce the risk of persistent use or misuse of opioids. At-home disposal kits allow patients to safely dispose of leftover opioids. In this study, we assess the impact of opioid disposal kits on disposal rates after orthopedic surgery. In a difference-in-differences study of 1,321 eligible patients, disposal kits were associated with a 10.6 percentage point increase (95% CI: -3.5% to 24.7%) in disposal rates as well as a 10.5 percentage point increase (95% CI: 0.2% to 20.9%) in the fraction of opioids disposed. We build on prior research and identify that providing surgery patients with an opioid disposal kit at the time of discharge increases their self-disposal rates.https://bmjopenquality.bmj.com/content/14/1/e003040.full |
| spellingShingle | Daniel Lee M Kit Delgado Zarina Ali Anish Agarwal Eric Shan Ruiying Xiong Michael Katzman Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery BMJ Open Quality |
| title | Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery |
| title_full | Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery |
| title_fullStr | Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery |
| title_full_unstemmed | Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery |
| title_short | Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery |
| title_sort | effect of providing at home opioid disposal kits at discharge after an orthopaedic surgery |
| url | https://bmjopenquality.bmj.com/content/14/1/e003040.full |
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