Rates of filled opioid prescriptions for incisional ocular surgery increasing
The rates of filled opioid prescriptions for all types of incisional ocular surgery increased over time, according to a study.
Researchers evaluated the rates of filled opioid prescriptions, from 1 day before incisional ocular surgery to 7 days after surgery, in patients who underwent procedures from January 2000 to December 2016. Incisional eye surgery was defined as any surgical code with a scleral or corneal incision.
The study cohort included patients from the Clinformatics Data Mart Database (Optum), a large national U.S. insurers administrative medical claims database. A total of 2,407,962 incisional ocular surgeries performed on patients 18 years of age or older were included in the analysis. Of these procedures, 45,776 were associated with filling an opioid prescription.
The lowest rate occurred in the 2000-2001 cohort year, with 671 prescriptions filled. The highest rate occurred in 2014, with 5,559 prescriptions filled. Cataract surgeries had the highest number of opioid prescriptions written at 19,494, but it had the lowest rate of prescriptions filled per surgery at 0.95%.
The overall opioid prescription fill rate was 1.9%, but if cataract surgeries were excluded, the rate increased to 7.57%. Strabismus surgeries had the highest fill rate of any procedure, with 19.52% of prescriptions filled.
Researchers found the years with the highest odds of filling a prescription were 2014, 2015 and 2016 compared with 2000 and 2001 (P < .001). – by Robert Linnehan
Disclosures: Kolomeyer reports no relevant financial disclosures. Please see the study for all other authors’ relevant financial disclosures.