Presentation Authors: John Myrga*, Michelle Yu, Jathin Bandari, Liam Macleod, Bruce Jacobs, Benjamin Davies, Pittsburgh, PA
Introduction: Prescription Drug Monitoring Programs (PDMPs) have been introduced nationwide as a tool to combat opioid overprescribing. Since 2017, urologists in Pennsylvania must query the PDMP by law prior to any prescriptions for postoperative opioids. We aim to assess if a required PDMP query reduced opioid prescriptions in a postoperative urologic oncology population at our institution.
Methods: The PDMP query requirement was initiated on January 1st, 2017. After this date, providers were required to search the database prior to prescribing opioids. With institutional review board approval, we identified patients who either underwent a prostatectomy or nephrectomy from July 1st, 2016 to June 30th, 2017 to obtain 6 months of data before and after query requirement. Patient demographics, pre-op opioid use, and opioid prescribing habits were obtained from the electronic medical record. Prescriptions were converted into a 5mg oxycodone-equivalent Prescribing habits were dichotomized to pre- and post-PDMP query and analyzed using Chi-square and Mann-Whitney U tests with SPSS (Version 25).
Results: We identified 582 patients (293 prior to required PDMP query and 289 post-PDMP query). There were no differences in sex (p= 0.44), preoperative opioid use (p=0.62), case type (p=0.74), or age (p=0.99). There were significantly more median pills prescribed before (33) than after (27) the required PDMP query (p < 0.001) (Figure).
Conclusions: The introduction of a required PDMP query was associated with an immediate 30% decrease from December 2016 to January 2017 in opioids prescribed at our institution. A required PDMP query is an effective tool in reducing overprescribing of postoperative opioids in a population of urology patients.