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Live Event Content
Dr. Mallory Perez - Best of the Best in Pediatric Surgery 2025
With Dr. Mallory Perez
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
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Clinical & Research Update: Sarcoma w/ Drs. Roshni Dasgupta, Joseph Pressey, Arthur Meyer, Luke Pater
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What the experts said
Over 3 million children undergo surgery each year in the United States, many of whom receive opioids
There are no nationally recognized opioid prescribing benchmarks for pediatric surgery
The AAP has issued a challenge to surgeons to decrease opioid utilization by 50% at discharge
The study cohort included nearly 1700 patients of which 34% received opioids at discharge, ranging from 26 to 44% across hospitals
For general surgery, 15% were prescribed opioids overall with a 300% change across hospitals from 5 to 20%
Mean total MME at discharge was 97
Orthopedic surgery, plastics, and gynecology most frequently prescribed opioids at discharge
General surgery, neurosurgery and orthopedic surgery were the highest total MME prescribers
For general surgery, opioids while infrequently prescribed, were often prescribed at a greater intensity than many other specialties
Hospital site, adolescent age, orthopedic surgery, neurosurgery and multimodal analgesia use were associated with increased total MME
Compliance with FDA contraindications was overall strong with most at 100%
Compliance with the warning on concurrent benzodiazepine and opioid prescribing was highly variable from 46 to 93%
73% of the Illinois study population were privately insured
Illinois is among the moderate dispensing states in the United States for all patients, adults and children
ACS NSQIP-P as of January 2023 has started collecting more detailed opioid data for the greater than 150 hospitals in its program
There was no association with decreased use of opioids and increased follow-up for pain
Those who were prescribed opioids were more likely to have pain control challenges
In the total cohort only 8% had pain-related follow-up visits
Some procedures may be appropriate for no opioids at all, while others may be targeting more of the MME reduction category