Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy

Keith J. Kowalczyk, Aaron C. Weinburg, Xiangmei Gu, Hua Yin Yu, Stuart R. Lipsitz, Stephen Williams, Jim C. Hu

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: Studies comparing pain after minimally invasive vs retropubic and perineal radical prostatectomy are conflicting. We characterized population based outpatient narcotic prescribing patterns after minimally invasive, retropubic and perineal radical prostatectomy. Materials and Methods: We evaluated outpatient prescription data after minimally invasive, retropubic and perineal radical prostatectomy from 2003 to 2006 using MarketScan®. Baseline and postoperative narcotic prescriptions were identified using the National Drug Code. Total prescribed narcotic strength in morphine sulfate equivalents, the number of prescriptions filled and costs were compared. We performed multivariate analysis adjusted for surgical approach, age, comorbidity, baseline narcotic use, health plan and geographic region. Results: We identified 2,206 minimally invasive, 8,037 retropubic and 463 perineal radical prostatectomies with no differences in baseline narcotic prescription use. Perineal and retropubic operations were associated with greater total morphine sulfate equivalent use than the minimally invasive operation. Perineal prostatectomy was associated with more narcotic refills than minimally invasive and retropubic prostatectomy (42.3% vs 20.2% and 28.9%, respectively, p

Original languageEnglish (US)
Pages (from-to)1843-1848
Number of pages6
JournalJournal of Urology
Volume186
Issue number5
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Narcotics
Prostatectomy
Outpatients
Prescriptions
Morphine
Comorbidity
Multivariate Analysis
Costs and Cost Analysis
Pain
Health
Pharmaceutical Preparations
Population

Keywords

  • narcotics
  • pain
  • postoperative
  • prostate
  • prostatectomy
  • robotics

ASJC Scopus subject areas

  • Urology

Cite this

Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy. / Kowalczyk, Keith J.; Weinburg, Aaron C.; Gu, Xiangmei; Yu, Hua Yin; Lipsitz, Stuart R.; Williams, Stephen; Hu, Jim C.

In: Journal of Urology, Vol. 186, No. 5, 11.2011, p. 1843-1848.

Research output: Contribution to journalArticle

Kowalczyk, Keith J. ; Weinburg, Aaron C. ; Gu, Xiangmei ; Yu, Hua Yin ; Lipsitz, Stuart R. ; Williams, Stephen ; Hu, Jim C. / Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy. In: Journal of Urology. 2011 ; Vol. 186, No. 5. pp. 1843-1848.
@article{60d0e382694f450a968b989395e737e0,
title = "Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy",
abstract = "Purpose: Studies comparing pain after minimally invasive vs retropubic and perineal radical prostatectomy are conflicting. We characterized population based outpatient narcotic prescribing patterns after minimally invasive, retropubic and perineal radical prostatectomy. Materials and Methods: We evaluated outpatient prescription data after minimally invasive, retropubic and perineal radical prostatectomy from 2003 to 2006 using MarketScan{\circledR}. Baseline and postoperative narcotic prescriptions were identified using the National Drug Code. Total prescribed narcotic strength in morphine sulfate equivalents, the number of prescriptions filled and costs were compared. We performed multivariate analysis adjusted for surgical approach, age, comorbidity, baseline narcotic use, health plan and geographic region. Results: We identified 2,206 minimally invasive, 8,037 retropubic and 463 perineal radical prostatectomies with no differences in baseline narcotic prescription use. Perineal and retropubic operations were associated with greater total morphine sulfate equivalent use than the minimally invasive operation. Perineal prostatectomy was associated with more narcotic refills than minimally invasive and retropubic prostatectomy (42.3{\%} vs 20.2{\%} and 28.9{\%}, respectively, p",
keywords = "narcotics, pain, postoperative, prostate, prostatectomy, robotics",
author = "Kowalczyk, {Keith J.} and Weinburg, {Aaron C.} and Xiangmei Gu and Yu, {Hua Yin} and Lipsitz, {Stuart R.} and Stephen Williams and Hu, {Jim C.}",
year = "2011",
month = "11",
doi = "10.1016/j.juro.2011.07.009",
language = "English (US)",
volume = "186",
pages = "1843--1848",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy

AU - Kowalczyk, Keith J.

AU - Weinburg, Aaron C.

AU - Gu, Xiangmei

AU - Yu, Hua Yin

AU - Lipsitz, Stuart R.

AU - Williams, Stephen

AU - Hu, Jim C.

PY - 2011/11

Y1 - 2011/11

N2 - Purpose: Studies comparing pain after minimally invasive vs retropubic and perineal radical prostatectomy are conflicting. We characterized population based outpatient narcotic prescribing patterns after minimally invasive, retropubic and perineal radical prostatectomy. Materials and Methods: We evaluated outpatient prescription data after minimally invasive, retropubic and perineal radical prostatectomy from 2003 to 2006 using MarketScan®. Baseline and postoperative narcotic prescriptions were identified using the National Drug Code. Total prescribed narcotic strength in morphine sulfate equivalents, the number of prescriptions filled and costs were compared. We performed multivariate analysis adjusted for surgical approach, age, comorbidity, baseline narcotic use, health plan and geographic region. Results: We identified 2,206 minimally invasive, 8,037 retropubic and 463 perineal radical prostatectomies with no differences in baseline narcotic prescription use. Perineal and retropubic operations were associated with greater total morphine sulfate equivalent use than the minimally invasive operation. Perineal prostatectomy was associated with more narcotic refills than minimally invasive and retropubic prostatectomy (42.3% vs 20.2% and 28.9%, respectively, p

AB - Purpose: Studies comparing pain after minimally invasive vs retropubic and perineal radical prostatectomy are conflicting. We characterized population based outpatient narcotic prescribing patterns after minimally invasive, retropubic and perineal radical prostatectomy. Materials and Methods: We evaluated outpatient prescription data after minimally invasive, retropubic and perineal radical prostatectomy from 2003 to 2006 using MarketScan®. Baseline and postoperative narcotic prescriptions were identified using the National Drug Code. Total prescribed narcotic strength in morphine sulfate equivalents, the number of prescriptions filled and costs were compared. We performed multivariate analysis adjusted for surgical approach, age, comorbidity, baseline narcotic use, health plan and geographic region. Results: We identified 2,206 minimally invasive, 8,037 retropubic and 463 perineal radical prostatectomies with no differences in baseline narcotic prescription use. Perineal and retropubic operations were associated with greater total morphine sulfate equivalent use than the minimally invasive operation. Perineal prostatectomy was associated with more narcotic refills than minimally invasive and retropubic prostatectomy (42.3% vs 20.2% and 28.9%, respectively, p

KW - narcotics

KW - pain

KW - postoperative

KW - prostate

KW - prostatectomy

KW - robotics

UR - http://www.scopus.com/inward/record.url?scp=80053948492&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053948492&partnerID=8YFLogxK

U2 - 10.1016/j.juro.2011.07.009

DO - 10.1016/j.juro.2011.07.009

M3 - Article

VL - 186

SP - 1843

EP - 1848

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 5

ER -