PD60-03 POST DISCHARGE NARCOTICS ARE UNNECESSARY FOLLOWING RADICAL CYSTECTOMY

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making V (PD60)1 Sep 2021PD60-03 POST DISCHARGE NARCOTICS ARE UNNECESSARY FOLLOWING RADICAL CYSTECTOMY John Myrga, Michelle Yu, Jennifer Mihalo, David Miller, Maria Pere, Bruce Jacobs, and Benjamin Davies John MyrgaJohn Myrga More articles by this author , Michelle YuMichelle Yu More articles by this author , Jennifer MihaloJennifer Mihalo More articles by this author , David MillerDavid Miller More articles by this author , Maria PereMaria Pere More articles by this author , Bruce JacobsBruce Jacobs More articles by this author , and Benjamin DaviesBenjamin Davies More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002097.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Studies have shown that patients can be discharged following prostatectomy and nephrectomy without narcotics while maintaining adequate pain control. We sought to evaluate the feasibility of discharging radical cystectomy patients without narcotics. METHODS: We identified patients who underwent radical cystectomy from March through December 2020 at three hospitals within our major academic medical center. Demographic information, operative information, post-operative opioid prescribing, and post-discharge patient contact with the medical system were collected from electronic medical record review. RESULTS: We identified 107 patients, 32 discharged with a narcotic prescription (Mean Oral Morphine Equivalents Prescribed=116) and 75 discharged without. There were no differences in sex (p=0.60), preoperative opioid use (p=0.21), or open vs. robotic approach (p=1.00). Patients discharged without opioids were significantly older than those discharged with an opioid prescription (p <0.01). There was no difference in the percent of patients coming to the emergency department (p=0.82, Figure 1), being readmitted (p=0.37), calling the office (p=0.06), specific office calls regarding pain (p=0.72, Figure 1), or requests for new or refill narcotic prescriptions (p=0.16) within 30 days of discharge. There was no significant difference in the number of office visits (p=0.74, Figure 2). CONCLUSIONS: Patients can safely be discharged home without narcotics following cystectomy, regardless of robotic or open approach, reducing the incidence of opioid induced side effects as well as decreasing the risk of further perpetuating the opioid epidemic. Source of Funding: Bruce L. Jacobs, MD MPH is supported in part by the Shadyside Hospital Foundation. © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1061-e1061 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information John Myrga More articles by this author Michelle Yu More articles by this author Jennifer Mihalo More articles by this author David Miller More articles by this author Maria Pere More articles by this author Bruce Jacobs More articles by this author Benjamin Davies More articles by this author Expand All Advertisement Loading ...