TY - JOUR
T1 - Pain Control in Breast Surgery
T2 - Survey of Current Practice and Recommendations for Optimizing Management—American Society of Breast Surgeons Opioid/Pain Control Workgroup
AU - the American Society of Breast Surgeons: Patient Safety & Quality Committee, Research Committee
AU - Rao, Roshni
AU - Jackson, Rubie Sue
AU - Rosen, Barry
AU - Brenin, David
AU - Cornett, Wendy
AU - Fayanju, Oluwadamilola M.
AU - Chen, Steven L.
AU - Golesorkhi, Negar
AU - Ludwig, Kandice
AU - Ma, Ayemoethu
AU - Mautner, Starr Koslow
AU - Sowden, Michelle
AU - Wilke, Lee
AU - Wexelman, Barbara
AU - Blair, Sarah
AU - Gary, Monique
AU - Grobmyer, Stephen
AU - Hwang, E. Shelley
AU - James, Ted
AU - Kapoor, Nimmi S.
AU - Lewis, Jaime
AU - Lizarraga, Ingrid
AU - Miller, Megan
AU - Neuman, Heather
AU - Showalter, Shayna
AU - Smith, Linda
AU - Froman, Joshua
N1 - Funding Information:
The authors thank Sharon Grutman for her fantastic efforts on this project and the executive board of the American Society of Breast Surgeons for supporting this work group. Dr. Fayanju is supported by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) under Award Number 1KL2TR002554 (PI: Svetkey) and the Duke Cancer Institute through NIH Grant P30CA014236 (PI: Kastan).
Funding Information:
The authors thank Sharon Grutman for her fantastic efforts on this project and the executive board of the American Society of Breast Surgeons for supporting this work group. Dr. Fayanju is supported by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) under Award Number 1KL2TR002554 (PI: Svetkey) and the Duke Cancer Institute through NIH Grant P30CA014236 (PI: Kastan).
Publisher Copyright:
© 2020, Society of Surgical Oncology.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - Introduction: The opioid epidemic in the United States is a public health crisis. Breast surgeons are obligated to provide good pain control for their patients after surgery but also must minimize administration of narcotics to prevent a surgical episode of care from becoming a patient’s gateway into opioid dependence. Methods: A survey to ascertain pain management practice patterns after breast surgery was performed. A review of currently available literature that was specific to breast surgery was performed to create recommendations regarding pain management strategies. Results: A total of 609 surgeons completed the survey and demonstrated significant variations in pain management practices, specifically within regards to utilization of regional anesthesia (e.g., nerve blocks), and quantity of prescribed narcotics. There is excellent data to guide the use of local and regional anesthesia. There are, however, fewer studies to guide narcotic recommendations; thus, these recommendations were guided by prevailing practice patterns. Conclusions: Pain management practices after breast surgery have significant variation and represent an opportunity to improve patient safety and quality of care. Multimodality approaches in conjunction with standardized quantities of narcotics are recommended.
AB - Introduction: The opioid epidemic in the United States is a public health crisis. Breast surgeons are obligated to provide good pain control for their patients after surgery but also must minimize administration of narcotics to prevent a surgical episode of care from becoming a patient’s gateway into opioid dependence. Methods: A survey to ascertain pain management practice patterns after breast surgery was performed. A review of currently available literature that was specific to breast surgery was performed to create recommendations regarding pain management strategies. Results: A total of 609 surgeons completed the survey and demonstrated significant variations in pain management practices, specifically within regards to utilization of regional anesthesia (e.g., nerve blocks), and quantity of prescribed narcotics. There is excellent data to guide the use of local and regional anesthesia. There are, however, fewer studies to guide narcotic recommendations; thus, these recommendations were guided by prevailing practice patterns. Conclusions: Pain management practices after breast surgery have significant variation and represent an opportunity to improve patient safety and quality of care. Multimodality approaches in conjunction with standardized quantities of narcotics are recommended.
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U2 - 10.1245/s10434-020-08197-z
DO - 10.1245/s10434-020-08197-z
M3 - Article
C2 - 31965373
AN - SCOPUS:85078125158
SN - 1068-9265
VL - 27
SP - 985
EP - 990
JO - Annals of surgical oncology
JF - Annals of surgical oncology
IS - 4
ER -