2022
Situational Awareness of Opioid Consumption: The Missing Link to Reducing Dependence After Surgery?
Engelman D, Crisafi C, Hodle T, Stiles J, Nathanson B, Zarbock A, Grant M. Situational Awareness of Opioid Consumption: The Missing Link to Reducing Dependence After Surgery? Anesthesia & Analgesia 2022, 135: 653-658. PMID: 35110517, DOI: 10.1213/ane.0000000000005923.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidAwarenessHumansOpioid-Related DisordersPain ManagementPain, PostoperativePractice Patterns, Physicians'Retrospective Studies
2020
New Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients
Clement K, Canner J, Whitman G, Lawton J, Grant M, Sussman M. New Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients. The Annals Of Thoracic Surgery 2020, 110: 829-835. PMID: 32004502, DOI: 10.1016/j.athoracsur.2019.12.031.Peer-Reviewed Original ResearchConceptsNew persistent opioid usePersistent opioid useAortic valve replacementMitral valve replacementMitral valve repairOpioid-naive patientsMitral valve surgeryOpioid useValve replacementValve repairOpioid prescriptionsValve surgeryPerioperative periodRisk factorsMitral valve replacement/repairValve replacement/repairMultivariable logistic regressionHealthcare paymentsTotal healthcare paymentsReplacement/repairOpioid prescribingPrescription opioidsCostly complicationEmergency departmentPatients
2019
Predictors of new persistent opioid use after coronary artery bypass grafting
Clement K, Canner J, Lawton J, Whitman G, Grant M, Sussman M. Predictors of new persistent opioid use after coronary artery bypass grafting. Journal Of Thoracic And Cardiovascular Surgery 2019, 160: 954-963.e4. PMID: 32007246, DOI: 10.1016/j.jtcvs.2019.09.137.Peer-Reviewed Original ResearchMeSH KeywordsAdministrative Claims, HealthcareAgedAmbulatory CareAnalgesics, OpioidCoronary Artery BypassDatabases, FactualDrug Administration ScheduleDrug PrescriptionsFemaleHumansMaleMiddle AgedOpioid-Related DisordersPain, PostoperativePractice Patterns, Physicians'Retrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeConceptsNew persistent opioid usePersistent opioid useCoronary artery bypassArtery bypassOpioid useOpioid prescriptionsPerioperative periodNaïve patientsChronic obstructive pulmonary diseaseAmount of opioidsAppropriate opioid prescribingObstructive pulmonary diseaseMultivariable logistic regressionPrescription opioid overdosePrior substance abuseInsurance claims dataOpioid requirementsOutpatient opioidsOpioid prescribingCardiac surgeryPulmonary diseaseOpioid dependenceProspective studyRisk factorsFemale genderThe Impact of Anesthesia-Influenced Process Measure Compliance on Length of Stay
Grant M, Pio Roda C, Canner J, Sommer P, Galante D, Hobson D, Gearhart S, Wu C, Wick E. The Impact of Anesthesia-Influenced Process Measure Compliance on Length of Stay. Anesthesia & Analgesia 2019, 128: 68-74. PMID: 29782405, DOI: 10.1213/ane.0000000000003458.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnesthesiaAnesthesiologistsColonDigestive System Surgical ProceduresFemaleGuideline AdherenceHumansInterdisciplinary CommunicationLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Care TeamPerioperative CarePractice Guidelines as TopicPractice Patterns, Physicians'Program EvaluationQuality ImprovementQuality Indicators, Health CareRecovery of FunctionRectumTime FactorsTreatment OutcomeConceptsProcess measure complianceMeasure complianceProcess measuresAcute pain servicePain medication useLength of staySpecific process measuresImpact of complianceBreakthrough painHospital lengthPain serviceSurgery cohortERAS programSurgical encountersConsecutive patientsMedication usePerioperative careShorter LOSAnesthesia protocolImproved outcomesMultivariable regressionSurgery programEnhanced recoveryPatientsLOS