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Auteur Bradley 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 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 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)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 04 (Juillet 2023)
Titre : The Anesthetic Effects of Lidocaine with Epinephrine in Digital Nerve Blocks: A Systematic Review Type de document : article de périodique Auteurs : Allison S. Arp ; Jasmine K. Multani ; Renata W. Yen ; Bradley M. Brooks ; Brandon M. Brooks ; Brady M. Brooks Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Chirurgie
[Thésaurus Mesh]:E:Épinéphrine:Épinéphrine / effets indésirables
[Thésaurus Mesh]:L:Lidocaïne:Lidocaïne / administration et posologie
[Thésaurus Mesh]Anesthésie et analgésie
[Thésaurus Mesh]Épinéphrine
[Thésaurus Mesh]Podologie
[Thésaurus Mesh]Revue de la littératureMots-clés : blocs nerveux numériques Résumé : There is a long-standing stigma associated with the use of epinephrine in digital nerve blocks (DNBs) over the concern of digital necrosis. We conducted a systematic review to assess the duration of anesthesia, onset of anesthesia, and complications of lidocaine with epinephrine compared with plain lidocaine for DNBs in adults. We searched Medline via Ovid, Cochrane Library, and ClinicalTrials.gov on January 28, 2020. We included randomized controlled trials that examined lidocaine with epinephrine 1:80,000 to 1:1,000,000 (1–12.5 µg/mL) and plain lidocaine for DNBs of fingers or toes in adults. We completed a blinded review of all unique articles, followed by full-text reviews, data extraction, and quality assessment of all eligible trials. Risk of bias was assessed to inform qualitative data analysis. We identified seven studies with a combined 363 adults and 442 DNBs that met the inclusion criteria. All five studies that reported duration of anesthesia established longer duration in the epinephrine-supplemented lidocaine group, with significant increases in three. Two of the three studies that reported the onset of anesthesia demonstrated significant differences. The two studies that reported complications did not have a single case of digital necrosis. In adults, the use of lidocaine with epinephrine 1:80,000 to 1:1,000,000 (1–12.5 µg/mL) for DNB yields a longer duration of anesthetic effect and seems to be as safe as plain lidocaine in healthy adults. Several studies had some concern for bias, and additional studies are warranted. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire The Diabetic Foot–Pain–Depression Cycle / 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 : The Diabetic Foot–Pain–Depression Cycle Type de document : article de périodique Auteurs : Brandon M. Brooks ; Chia-Ding Shih ; Bradley M. Brooks ; Dyane E. Tower ; Tiffany Tran ; Janet E. Simon ; David G. Armstrong Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Antidépresseurs
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Dépression
[Thésaurus Mesh]Douleur
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Membre inférieur
[Thésaurus Mesh]Pied diabétiqueRésumé : Background: More than 86,000 Americans with type 2 diabetes mellitus (T2DM) undergo nontraumatic lower-extremity amputations annually. The opioid-prescribing practice of podiatric surgeons remains understudied. We hypothesized that patients with T2DM who undergo any forefoot amputation while using antidepressant medication will have reduced odds of using opioids beyond 7 days.
Methods: We completed a retrospective cohort study examining patients with T2DM who underwent forefoot amputation (toe, ray, transmetatarsal). Data were restricted to patients with a hemoglobin A1c level less than 8.0% and an ankle-brachial index greater than 0.8. The outcome was use of postoperative opioids beyond 7 days. Patients received an initial opioid prescription of 7 days or less. We developed simple logistic regression models to identify the odds of a patient using opioids beyond 7 days by patient variables: age, race, sex, amputation level, body mass index, antidepressant medication use, and marital status. Variables with P < .1 in the univariate analysis were included in the multiple logistic regression model.
Results: Fifty patients met the inclusion criteria. Antidepressant use and marital status were the only statistically significant variables. Adjusting for marital status, patients with antidepressant use had decreased odds (odds ratio, 0.018; 95% confidence interval, 0.001–0.229; P = .002) of using opioids beyond 7 days after a diabetic forefoot amputation.
Conclusions: Patients with T2DM who used antidepressants had significantly reduced odds of using opioids beyond 1 week after forefoot amputations compared with those without antidepressant use. We proposed an underlying diabetic foot–pain–depression cycle. To break the cycle, podiatric surgeons should screen this population for depression preoperatively and postoperatively and not hesitate to make a mental health referral if warranted. Nontraumatic amputations can be a traumatic experience for patients; psychiatrists and other mental health providers should be members of limb preservation teams.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire