American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Selected Research Findings

From the Journal of American College of Surgeons

Assessing Malnutrition before Major Oncologic Surgery: One Size Does Not Fit All

Surgeons cut opioid prescriptions by 64 percent using a new multipronged program
Press Release (March 2, 2020)

Surgeons in a large health-care system in central Texas implemented a pain management program that reduced longer-term opioid prescriptions by two-thirds, according to Journal of the American College of Surgeons study findings.

Citation: Postoperative Opioid Prescription Reduction Strategy in a Regional Healthcare System. Journal for the American College of Surgeons

More than half of patients in pain management study took no opioids after operations
Press Release (May 31, 2019)

Patients undergoing six operations said postoperative pain was manageable, according to Journal of the American College of Surgeons study findings.

Citation: Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway. Journal of the American College of Surgeons

Reducing Opioid Prescriptions for One Operation Can Have a Spillover Effect to Other Procedures
Press Release (July 26, 2018)

Study results show revised recommendations resulted in about 17 fewer pills being dispensed per patient for four major operations, according to Journal of American College of Surgeons study findings.

Citation: Spillover Effect of Evidence-Based Opioid Prescribing after Surgery. Journal of the American College of Surgeons

Patient Education Brochure Provides Low-Cost Solution to Avoid Diversion of Unused Opioids after Surgery
Press Release (January 11, 2018)

Surgical patients are twice as likely to throw out leftover pain medication when informed of appropriate methods for disposal, according to Journal of American College of Surgeons study findings.

Citation: Empowering Post-Surgical Patients to Improve Opioid Disposal: A Before and After Quality Improvement Study. Journal of the American College of Surgeons.

Postsurgery Prescribing Guideline Could Reduce Opioid Prescriptions by as Much as 40 Percent
Press Release (November 30, 2017)

Opioid use the last day in the hospital should determine how many opioid pills surgical patients take once they go home, according to new Journal of American College of Surgeons study.

Citation: Guideline for Discharge Opioid Prescriptions after Inpatient General Surgical Procedures. Journal of the American College of Surgeons.

From the ACS Clinical Congress 2019

Postoperative opioid prescribing and use drop significantly with no change in patient-reported pain control or satisfaction after state imposes regulations
Press Release (October 29, 2019)

A state-mandated policy restricting opioid prescriptions along with increased public awareness and education about the opioid epidemic preceded drastic reductions in opioid prescribing and use for surgical patients at the University of Vermont Medical Center (UVMMC) without impacting patient satisfaction with their postoperative pain management, according to findings presented at the American College of Surgeons Clinical Congress 2019.

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From the ACS Quality and Safety Conference 2019

Implementation of enhanced recovery pathway for bariatric operations cuts hospital stays by half, opioid use by 95 percent
Press Release (July 22, 2019)

A change in the care protocol of patients undergoing weight-reduction operations exceeded its desired effect by cutting postoperative hospital stays in half, reducing postoperative hospital readmissions by 38 percent, and reducing the amount of opioids the patients were sent home with by 95 percent, according to study results from a large bariatric and metabolic surgery center in Charleston, S.C.

Citation: Can Decreasing Length of Stay and Decreasing Opioid Use During the Inpatient Experience Positively Affect 30-Day Readmission Rates—Yes It Can! American College of Surgeons Quality and Safety Conference 2019.

From the ACS Clinical Congress 2018

A Method of Multimodal Pain Control is Effective for Outpatient Mastectomy and Minimizes the Need for Postoperative Opioid Use
Press Release (October 23, 2018)

A practice-changing pain control protocol developed by a cancer surgeon at the University Medical Center–New Orleans is a safe and effective method to alleviate pain for mastectomy patients, allowing them to be discharged to home the same day of surgery, while also reducing the need for stronger opioids during their recovery.

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Patients who Undergo Major Operations without Opioids Have Shorter Hospital Stays
Press Release (October 22, 2018)

Opioids have been a mainstay of pain control for patients who undergo major operations, but they can become addictive for some patients, and unused pills have been identified as a major source of pills supplying the opioid epidemic.

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From the ACS Clinical Congress 2017

Bariatric Surgical Patients at Risk for Newly Persistent Opioid Use
Press Release (October 23, 2017)

A much higher rate of prolonged postoperative opioid use is identified in bariatric surgical patients compared with general surgical patients.

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