After almost twenty years as a doctor, constantly reading, it never ceases to amaze me how much I still don't know. One of the highlights of my job is working with great residents who also teach me. This week was no exception. Here are two things I learned from our residents this week.
In opioid naïve patients 13-21 years of age, persistent opioid use was found in 4.8% of the post-surgical group vs 0.1% of those in the non-surgical group. Procedures associated with the highest risk of persistent opioid use were cholecystectomy and colectomy. Independent risk factors included older age, female sex, diagnoses of substance use disorder and chronic pain.