Can I read Opioid prescribing after breast surgery: A systematic review of guidelines on EtoBox?

Opioid prescribing after breast surgery: A systematic review of guidelines by Kin Yik Chan; Shane Keogh; Nitin Aucharaz; Anne Merrigan; Shona Tormey is a Medicine article available to read on EtoBox.

What is Opioid prescribing after breast surgery: A systematic review of guidelines about?

Background Despite advances in opioid-sparing analgesia, opioid prescribing in breast surgery remains suboptimal. Besides delayed rehabilitation, excess post-operative opioids may contribute significantly to opioid dependence. This systematic review of guidelines evaluates current opioid-prescribing recommendations after breast surgery to identify trends in prescribing. Additionally, it compares recommendations on different non-opioid and non-pharmacological adjuncts. Methods Electronic databases were searched systematically using terms “breast surgery”, “analgesia”, “opioid” and “guidelines”. The grey literature was used to supplement the search. All articles that provided guidance on opioid prescribing in breast surgery were included. Quality of the guidelines were assessed using the AGREE II tool. Recommendations pertaining to opioid prescribing, analgesic adjuncts and non-pharmacological interventions were summarised and reported with descriptive statistics. Result Eight guidelines pertaining to mastectomies, breast conserving surgery and breast reconstructions were included in this review. Although an opioid-sparing approach was unanimous, there were conflicting recommendation

Who reads Opioid prescribing after breast surgery: A systematic review of guidelines?

Author

Kin Yik Chan; Shane Keogh; Nitin Aucharaz; Anne Merrigan; Shona Tormey

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)