Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

SURGERY

Need for protocolized opioid prescribing after cardiac surgery

An analysis of a large US administrative claims database suggests that new persistent opioid use occurred in nearly 10% of opioid-naive patients undergoing cardiac surgery. Given the variation in the amounts of opioid prescribed and the increased risk of persistent use with greater amounts of opioid received, protocolized prescribing should be adopted to standardize and improve the care of these patients.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Brown, C. R. et al. Development of persistent opioid use after cardiac surgery. JAMA Cardiol. 5, 889–896 (2020).

    Article  Google Scholar 

  2. Habermann, E. B. Are opioids overprescribed following elective surgery? Adv. Surg. 52, 247–256 (2018).

    Article  Google Scholar 

  3. Brescia, A. A. et al. Impact of prescribing on new persistent opioid use after cardiothoracic surgery. Ann. Thorac. Surg. 108, 1107–1113 (2019).

    Article  Google Scholar 

  4. Clement, K. C. et al. Predictors of new persistent opioid use after coronary artery bypass grafting. J. Thorac. Cardiovasc. Surg. https://doi.org/10.1016/j.jtcvs.2019.09.137 (2019).

    Article  PubMed  Google Scholar 

  5. Clarke, H., Soneji, N., Ko, D. T., Yun, L. & Wijeysundera, D. N. Rates and risk factors for prolonged opioid use after major surgery: population based cohort study. BMJ 348, g1251 (2014).

    Article  Google Scholar 

  6. Clement, K. C., Canner, J. K., Whitman, G. J. R., Lawton, J. S., Grant, M. C. & Sussman, M. S. New persistent opioid use after aortic and mitral valve surgery in commercially insured patients. Ann. Thorac. Surg. https://doi.org/10.1016/j.athoracsur.2019.12.031 (2020).

    Article  PubMed  Google Scholar 

  7. Holst, K. A. et al. What drives opioid prescriptions after cardiac operation, practice or patient? Ann. Thorac. Surg. https://doi.org/10.1016/j.athoracsur.2020.01.042 (2020).

    Article  PubMed  Google Scholar 

  8. Michigan Opioid Prescribing Engagement Network. Prescribing recommendations. https://michigan-open.org/prescribing-recommendations/ (2020).

  9. Overton, H. N. et al. Opioid-prescribing guidelines for common surgical procedures: an expert panel consensus. J. Am. Coll. Surg. 227, 411–418 (2018).

    Article  Google Scholar 

  10. Illinois Surgical Quality Improvement Collaborative. Opioid reduction initiatives. https://www.isqic.org/opioid-reduction-initiatives (2020).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth B. Habermann.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Habermann, E.B. Need for protocolized opioid prescribing after cardiac surgery. Nat Rev Cardiol 17, 683–684 (2020). https://doi.org/10.1038/s41569-020-00438-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41569-020-00438-8

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing