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Creating a Framework for Minimizing Opioid Consumption after Office Based Surgery.
Curr Pain Headache Rep
March 2025
Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
Purpose Of Review: Herein we review recent trends in opioid prescribing, the rise in office-based surgeries, and propose a framework to minimize opioid consumption following such procedures.
Recent Findings: Outpatient surgical procedures are increasing year over year in the United States. This observed increase is expected to continue due to the financial incentives to perform outpatient procedures.
Trends, Outcomes, and Costs of Surgical Excisional Biopsy for Fibroadenoma of the Breast.
World J Surg
March 2025
Johns Hopkins University, Baltimore, Maryland, USA.
Background: De-escalating the management of fibroadenoma of the breast has been encouraged, but it is not known whether this has been successful. A better understanding of the costs and benefits of surgical excisional biopsy is essential for managing individual patients and health systems.
Methods: Prospectively maintained data sources from the Johns Hopkins regional health system were used to capture trends in the rate of diagnosis and excision of fibroadenoma of the breast.
Office-Based Anesthesia: An Update on Current Trends and Practice.
Anesth Analg
March 2025
Department of Anesthesiology, Harvard Medical School, Massachusetts Eye and Ear, Massachusetts General Brigham, Boston, Massachusetts.
Patient and clinician experiences with the implementation of telemedicine and related adaptations in office-based buprenorphine treatment during the COVID-19 pandemic: a qualitative study.
Addict Sci Clin Pract
March 2025
Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, 72 East Concord St, Boston, MA, 02118, USA.
Background: Deaths from opioid overdose have increased dramatically in the past decade. For individuals with opioid use disorder (OUD), agonist medications such as methadone and buprenorphine reduce opioid-related morbidity and mortality. Historically, the provision of buprenorphine treatment in office-based settings has relied on frequent in-person contact, likely influencing patients' access to and retention in care.
View Article and Find Full Text PDFLidocaine solution vs. lidocaine gel instillation for pain management during intravesical botulinum injections.
Can Urol Assoc J
February 2025
Division of Urology, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.
Introduction: Most Canadian urologists use lidocaine solution prior to botulinium toxin (BoNT) administration; however, this requires additional time. The aim was to compare pain scores in patients undergoing office-based BoNT using lidocaine instillation and lidocaine gel vs lidocaine gel alone.
Methods: All patients undergoing office based intradetrusor BoNT between March 1 and September 1, 2022, were included.
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