MP07-15 LANGUAGE-RELATED DISPARITIES IN ACUTE POSTOPERATIVE PAIN MANAGEMENT FOLLOWING PELVIC FLOOR RECONSTRUCTIVE SURGERY

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP07-15 LANGUAGE-RELATED DISPARITIES IN ACUTE POSTOPERATIVE PAIN MANAGEMENT FOLLOWING PELVIC FLOOR RECONSTRUCTIVE SURGERY Grace K. Sarris, Fatima A. Khan, Nachiketh S. Prakash, Raveen Syan, Lauren Martin, and Katherine Amin Grace K. SarrisGrace K. Sarris More articles by this author , Fatima A. KhanFatima A. Khan More articles by this author , Nachiketh S. PrakashNachiketh S. Prakash More articles by this author , Raveen SyanRaveen Syan More articles by this author , Lauren MartinLauren Martin More articles by this author , and Katherine AminKatherine Amin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003222.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Current literature suggests racial/ethnic disparities exist in acute pain management, where minority patients are often less likely to receive opioid medication. Lower English proficiency is correlated with minority race/ethnicity in the United States, however limited data exists on this relationship with opioid administration during post anesthesia care unit (PACU) stay. This study investigates predictors of opioid use in PACU following female pelvic floor reconstructive surgery (FPMRS). METHODS: A retrospective chart review of 3,511 patients who underwent FPMRS was performed. Continuous and categorical variables were analyzed using a t-test and chi-squared test, respectively. Non-parametric data was analyzed using Wilcoxon rank-sum tests. A Multinomial logistic regression model was fitted to identify independent predictors. A p-value <0.05 was considered statistically significant. RESULTS: Sociodemographic details off 155 women who underwent FPMRS are outlined in Table 1. Spanish as a preferred language (aOR 0.16, 95% CI: 0.03-0.88) shows a decreased likelihood of receiving opioids in the PACU. Prolapse stage 1 (aOR 19.65, 95% CI: 1.17-327.57) and 4 (aOR 92.03, 95% CI (1.13-7435) and previous smokers (aOR 8.15, 95% CI: 1.35-49.160) were associated with an increased likelihood of receiving opioids in PACU. Patient race, parity, menopausal status, BMI, and diagnosis of hypertension, diabetes or chronic pain were not predictive of receiving opioids in the PACU (Table 2). CONCLUSIONS: Our results showed Spanish speaking patients are more likely to receive opioids in the PACU. Previously reported disparities in postoperative opioid use including race and ethnicity did not appear to exist in our unique Hispanic minority-majority patient population. Instead, our study implicates the importance of communication in acute postoperative pain management. The etiology of this language-related disparity is complex and future studies to investigate are warranted. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e90 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Grace K. Sarris More articles by this author Fatima A. Khan More articles by this author Nachiketh S. Prakash More articles by this author Raveen Syan More articles by this author Lauren Martin More articles by this author Katherine Amin More articles by this author Expand All Advertisement PDF downloadLoading ...