Wagner, Zachary and Kirkegaard, Allison and Mariano, Louis T and Doctor, Jason N and Yan, Xiaowei and Persell, Stephen D and Goldstein, Noah J and Fox, Craig R and Brummett, Chad M and Romanelli, Robert J and Bouskill, Kathryn and Martinez, Meghan and Zanocco, Kyle and Meeker, Daniella and Mudiganti, Satish and Waljee, Jennifer and Watkins, Katherine E (2024) Peer comparison or guideline-based feedback and postsurgery opioid prescriptions: a randomized clinical trial. JAMA Health Forum, 5, (3), e240077. 10.1001/jamahealthforum.2024.0077.
External website: https://jamanetwork.com/journals/jama-health-forum...
Importance: Excess opioid prescribing after surgery can result in prolonged use and diversion. Email feedback based on social norms may reduce the number of pills prescribed.
Question: Can email feedback on opioid prescribing informed by social norms reduce guideline-discordant postoperative opioid prescribing?
Findings: In this 3-arm cluster-randomized clinical trial that included 640 surgeons, 2 forms of social norm-based email feedback sent to surgeons with postoperative opioid prescriptions above guideline-recommended amounts significantly reduced guideline-discordant prescribing.
Meaning: Email feedback based on social norms is an effective and light-touch intervention for increasing guideline-concordant opioid prescribing after surgery.
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