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Auteur Brandon M. Brooks
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Ajouter le résultat dans votre panier Affiner la rechercheAmerican Podiatric Surgeons’ Postoperative Multimodal Analgesic-Prescribing Practice: A 2019–2020 National Survey / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 04 (Juillet 2023)
Titre : American Podiatric Surgeons’ Postoperative Multimodal Analgesic-Prescribing Practice: A 2019–2020 National Survey Type de document : article de périodique Auteurs : Brandon M. Brooks ; Reed W. R. Bratches ; Ashley M. Nettles ; Adam E. Fleischer ; Bradley M. Brooks ; Rachel H. Albright Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Analgésiques
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Ordonnances médicamenteuses
[Thésaurus Mesh]Période postopératoire
[Thésaurus Mesh]PodologieRésumé : Background: Surgery is a common setting for opioid-naive patients to first be exposed to opioids. Understanding the multimodal analgesic-prescribing habits of podiatric surgeons in the United States may be helpful to refining prescribing protocols. The purpose of this benchmark study was to identify whether certain demographic characteristics of podiatric surgeons were associated with their postoperative multimodal analgesic-prescribing practices.
Methods: We administered a scenario-based, voluntary, anonymous, online questionnaire that consisted of patient scenarios with a unique podiatric surgery followed by a demographics section. We developed multiple logistic regression models to identify associations between prescriber characteristics and the odds of supplementing with a nonsteroidal anti-inflammatory drug, regional nerve block, and anticonvulsant agent for each scenario. We developed multiple linear regression models to identify the association of multimodal analgesic-prescribing habits and the opioid dosage units prescribed at the time of surgery.
Results: Eight hundred sixty podiatric surgeons completed the survey. Years in practice was a statistically significant variable in multiple scenarios. Compared with those in practice for more than 15 years, podiatric surgeons in practice 5 years or less had increased odds of reporting supplementation with an anticonvulsant agent in scenarios 1 (odds ratio [OR], 2.4; 95% confidence interval [CI], 1.11–5.18; P = .03), 3 (OR, 2.97; 95% CI, 1.55–5.68; P = .001), 4 (OR, 2.54; 95% CI, 1.56–4.12; P < .001), and 5 (OR, 2.07; 95% CI, 1.29–3.32; P = .003).
Conclusions: Podiatric surgeons with fewer years in practice had increased odds of supplementing with an anticonvulsant. Approximately one-third of podiatric surgeons reported using some form of a nonopioid analgesic and an opioid in every scenario. The use of multimodal analgesics was associated with a reduction in the number of opioid dosage units prescribed at the time of surgery and may be a reasonable adjunct to current protocols.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Opioid-Prescribing Approaches—One-Size-Fits-All versus Patient-Centric and Procedure-Focused—Among Podiatric Physicians: A Cross-Sectional Study / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 04 (Juillet 2023)
Titre : Opioid-Prescribing Approaches—One-Size-Fits-All versus Patient-Centric and Procedure-Focused—Among Podiatric Physicians: A Cross-Sectional Study Type de document : article de périodique Auteurs : Brandon M. Brooks ; Reed W. R. Bratches ; Kristina B. Wolff ; Mickey D. Stapp ; Kyle W. Bruce ; Dyane E. Tower Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Ordonnances médicamenteuses
[Thésaurus Mesh]Période postopératoire
[Thésaurus Mesh]PodologieMots-clés : approche universelle approche centrée sur le patient Résumé : Background: More than half of opioid misusers last obtained opioids from a friend or relative, a problematic reflection of the commonly known opioid reservoir maintained by variable prescription rates and, notably, excessive postoperative prescription. We examined the postoperative opioid-prescribing approaches among podiatric physicians.
Methods: We administered a scenario-based, anonymous, online questionnaire via an online survey platform. The questionnaire consisted of five patient–foot surgery scenarios aimed at discerning opioid-prescribing approaches. Respondents were asked how many opioid “pills” (dosage units) that they would prescribe at the time of surgery. We divided respondents into two opioid-prescribing approach groups: one-size-fits-all (prescribed the same dosage units regardless of the scenario) and patient-centric and procedure-focused (prescribed varied amounts of opioid dosage units based on the patient’s opioid history and the procedure provided in each scenario). We used the Mann-Whitney U test to determine the difference between the opioid dosage units prescribed at the time of surgery by the two groups.
Results: Approximately half of the respondents used a one-size-fits-all postoperative opioid-prescribing approach. Podiatric physicians who used a patient-centric and procedure-focused approach reported prescribing significantly fewer opioid dosage units in scenarios 1 (partial toe amputation; –9.1; P = .0087) and 2 (incision and drainage with partial fifth-ray resection; –12.3; P = .0024), which represented minor procedures with opioid-naive patients.
Conclusions: Podiatric physicians who used a one-size-fits-all opioid-prescribing approach prescribed more postoperative opioid dosage units regardless of the scenario. Given that the patient population requiring foot surgery is diverse and may have multiple comorbidities, the management of postoperative pain, likewise, should be diverse and nuanced. The patient-centric and procedure-focused approach is suited to limit excess prescribing while defending the physician-patient relationship.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Opioid Problems Within Our Profession: Cognitive Bias in Postoperative Opioid-Prescribing Practice A Novel Effect / Bradley M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Opioid Problems Within Our Profession: Cognitive Bias in Postoperative Opioid-Prescribing Practice A Novel Effect Type de document : article de périodique Auteurs : Bradley M. Brooks ; Chia-Ding Shih ; Reed W. R. Bratches ; Allison S. Arp ; Gerard J. Coughlin ; Kristina B. Wolff ; Brandon M. Brooks Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Podologue
[Thésaurus HELB]:Paramédical:prescription
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Prescription inappropriéeRésumé : Background: Given that excess opioid prescriptions contribute to the US opioid epidemic and there are few national opioid-prescribing guidelines for the management of acute pain, it is pertinent to determine whether prescribers can sufficiently assess their own prescribing practice. We investigated podiatric surgeons’ ability to evaluate whether their own opioid-prescribing practice is less than, near, or above that of an “average” prescriber.
Methods: We administered a scenario-based, voluntary, anonymous, online questionnaire consisting of five surgery-based scenarios commonly performed by podiatric surgeons. Respondents were asked the quantity of opioids they would prescribe at the time of surgery. Respondents were also asked to rate their prescribing practice compared with the average (median) podiatric surgeon. We compared self-reported behavior to self-reported perception (“I prescribe less than average,” “I prescribed about average,” and “I prescribe more than average”). Analysis of variance was used for univariate analysis among the three groups. We used linear regression to adjust for confounders. Data restriction was used to account for restrictive state laws.
Results: One hundred fifteen podiatric surgeons completed the survey in April 2020. Less than half of the time, respondents accurately identified their own category. Consequently, there were no statistically significant differences among podiatric surgeons who reported that they “prescribe less,” “prescribe about average,” and “prescribe more.” Paradoxically, there was a flip in scenario 5: respondents who reported they “prescribe more” actually prescribed the least and respondents who believed they “prescribe less” actually prescribed the most.
Conclusions: Cognitive bias, in the form of a novel effect, occurs in postoperative opioid-prescribing practice; in the absence of procedure-specific guidelines or an objective standard, podiatric surgeons, more often than not, were unaware of how their own opioid-prescribing practice measured up to that of other podiatric surgeons.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Postoperative Opioid-Prescribing Practice in Foot and Ankle Surgery / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Postoperative Opioid-Prescribing Practice in Foot and Ankle Surgery Type de document : article de périodique Auteurs : Brandon M. Brooks ; Bradley M. Brooks ; Brady M. Brooks ; Adam E. Fleischer ; Robert G. Smith ; Rachel H. Albright Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cheville:Cheville / chirurgie
[Thésaurus Mesh]:P:Pied:Pied / chirurgie
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Ordonnances
[Thésaurus Mesh]Ordonnances médicamenteuses
[Thésaurus Mesh]PodologieRésumé : Background: Approximately 3,900 Americans die every month of opioid overdose. The total economic burden of the opioid epidemic is estimated to be more than $78 billion annually. We sought to determine whether postoperative opioid-prescribing practice variation exists in foot and ankle surgery. Methods: We administered a voluntary, anonymous, online questionnaire consisting of six foot and ankle surgery scenarios followed by a demographics section. The purpose of the demographics section was to gather characteristics of podiatric foot and ankle surgeons. We invited podiatric foot and ankle surgeons practicing in the United States to complete the questionnaire via e-mail from the American Podiatric Medical Association’s membership list. For each scenario, respondents selected the postoperative opioid(s) that they would prescribe at the time of surgery, as well as the dose, frequency, and number of “pills” (dosage units). We developed multiple linear regression models to identify associations between prescriber characteristics and two measures of opioid quantity: dosage units and morphine milligram equivalents. Results: Eight hundred sixty podiatric foot and ankle surgeons completed the survey. The median number of dosage units never exceeded 30 regardless of the foot and ankle surgery. Years in practice correlated with reduction in dosage units at the time of surgery. Compared with the orthopedic community, podiatric foot and ankle surgeons prescribe approximately 25% less dosage units than orthopedic foot and ankle surgeons. Conclusions: Postoperative opioid-prescribing practice variation exists in foot and ankle surgery. Further research is warranted to determine whether additional education is needed for young surgeons. ( Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Postprocedural Opioid-Prescribing Practice in Nail Surgery / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Postprocedural Opioid-Prescribing Practice in Nail Surgery Type de document : article de périodique Auteurs : Brandon M. Brooks ; Qiyang Li ; Adam E. Fleischer ; Natalie A. Anderson ; Aaron Z. Handa ; Chia-Ding Shih Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:O:Ongle incarné:Ongle incarné / chirurgie
[Thésaurus Mesh]:O:Ongle incarné:Ongle incarné / thérapie
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Ongle incarné
[Thésaurus Mesh]Période périopératoireMots-clés : matricectomie chimique Résumé : Background: Ingrown toenails are a common condition requiring outpatient procedures in podiatric medical clinics. To prevent recurrence, chemical matrixectomy is often recommended. Postprocedural pain management is largely based on preferences rather than on a formal guideline. This study aims to explore the postprocedural prescribing behavior among practicing podiatric physicians to foster future guideline and policy development.
Methods: We administered an open, voluntary, anonymous questionnaire via an online survey platform that included a common nail procedure scenario (chemical matrixectomy) and a prescribed demographics section. Podiatric physicians were asked what they would prescribe to manage postprocedural pain. Opioid and nonopioid options were provided. We developed two multiple logistic regression models to identify associations between prescriber characteristics and prescribing opioids after “standard” chemical matrixectomy.
Results: Of the 860 podiatrists who completed the survey, 8.7% opted to prescribe an opioid. Hydrocodone was most commonly chosen. A median of 18 opioid pills were prescribed. No prescriber characteristics were associated with prescribing opioids after chemical matrixectomy scenario. There is a large discrepancy and knowledge gap in the literature on the optimal postprocedural pain management for outpatient procedures, including procedures in specialties such as dentistry and dermatology. The median number of opioids prescribed by podiatrists is higher than that by dentists for management of third molar extraction. In contrast, opioid-prescribing behavior among the 8.7% of respondents is similar to dermatologic management of postprocedural pain in Mohs surgery.
Conclusions: Podiatric physicians cannot assume that their prescribing of opioids does not affect the opioid abuse problem in the United States. The presented study serves to be an initiation for procedure-specific opioid prescription benchmarking to foster future guideline and policy development. After nail procedures, opioids should not be routinely prescribed.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire The Anesthetic Effects of Lidocaine with Epinephrine in Digital Nerve Blocks: A Systematic Review / Allison S. Arp in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
PermalinkThe Diabetic Foot–Pain–Depression Cycle / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
PermalinkThe Opioid Use Agreement in Foot and Ankle Surgery: An Addition to Your Informed Consent / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
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