TY - JOUR
T1 - Patient engagement and prescription opioid use in perioperative pain management
AU - Xie, Anping
AU - Hsu, Yea Jen
AU - Speed, Traci J.
AU - Villanueva, Mariel
AU - Hanna, Irini
AU - Slupek, David A.
AU - Nguyen, Jaclyn
AU - Shechter, Ronen
AU - Hanna, Marie N.
N1 - Funding Information:
Funding: This study was supported by the US Centers for Disease Control and Prevention (Grant No. R01CE003150).
Funding Information:
The authors would like to thank Christine G. Holzmueller, BLA, from the Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, for reviewing and editing the manuscript. This study was presented orally at the 2020 International Symposium on Human Factors and Ergonomics in Health Care, May 20, 2020, Toronto, Canada. This study was supported by the US Centers for Disease Control and Prevention (Grant No. R01CE003150).
Publisher Copyright:
© 2022 Journal of Opioid Management, All Rights Reserved.
PY - 2022/9
Y1 - 2022/9
N2 - Objective: To examine (1) patient perceptions regarding their engagement and the engagement of their families in perioperative pain management, (2) demographic and clinical characteristics associated with perceived patient and family engagement, and (3) the association between perceived patient and family engagement and patient outcomes. Design: A prospective, observational study. Setting: The Personalized Pain Program (PPP) at the Johns Hopkins Hospital in Baltimore, Maryland. Participants: Patients having more than one visit to the PPP. Interventions: n/a. Main outcome measures: Since the inception of the PPP, patients were surveyed prior to each clinic visit to assess their pain severity and interference using the Brief Pain Inventory. Starting August 22, 2018, two additional questions were added to the survey to assess patient perceptions of their engagement and the engagement of their families in perioperative pain management. In addition, electronic medical records were reviewed to collect data on daily opioid consumption during the first and last PPP visits presurgery and post-surgery. Results: The final analysis included 511 survey responses from 155 patients. Perceived engagement of the patient in perioperative pain management improved over time (p < .001) and was significantly associated with reduction in prescription opioid consumption after surgery (coef = 12.7, SE = 5.8, p = .031). Conclusions: Surgical patients and their family members should be actively engaged in perioperative pain management to improve prescription opioid use and the quality and safety of perioperative care.
AB - Objective: To examine (1) patient perceptions regarding their engagement and the engagement of their families in perioperative pain management, (2) demographic and clinical characteristics associated with perceived patient and family engagement, and (3) the association between perceived patient and family engagement and patient outcomes. Design: A prospective, observational study. Setting: The Personalized Pain Program (PPP) at the Johns Hopkins Hospital in Baltimore, Maryland. Participants: Patients having more than one visit to the PPP. Interventions: n/a. Main outcome measures: Since the inception of the PPP, patients were surveyed prior to each clinic visit to assess their pain severity and interference using the Brief Pain Inventory. Starting August 22, 2018, two additional questions were added to the survey to assess patient perceptions of their engagement and the engagement of their families in perioperative pain management. In addition, electronic medical records were reviewed to collect data on daily opioid consumption during the first and last PPP visits presurgery and post-surgery. Results: The final analysis included 511 survey responses from 155 patients. Perceived engagement of the patient in perioperative pain management improved over time (p < .001) and was significantly associated with reduction in prescription opioid consumption after surgery (coef = 12.7, SE = 5.8, p = .031). Conclusions: Surgical patients and their family members should be actively engaged in perioperative pain management to improve prescription opioid use and the quality and safety of perioperative care.
KW - patient and family engagement
KW - perioperative pain management
KW - prescription opioid use
KW - survey
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U2 - 10.5055/JOM.2022.0736
DO - 10.5055/JOM.2022.0736
M3 - Article
C2 - 36226782
AN - SCOPUS:85139792930
SN - 1551-7489
VL - 18
SP - 421
EP - 433
JO - Journal of opioid management
JF - Journal of opioid management
IS - 5
ER -