{"id":7989,"date":"2019-09-04T00:00:00","date_gmt":"2019-09-04T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/canadian-and-u-s-surgical-patients-filled-opioid-prescriptions-at-a-rate-nearly-seven-times-higher-than-swedish-patients-study\/"},"modified":"2023-06-14T18:20:08","modified_gmt":"2023-06-14T22:20:08","slug":"canadian-and-u-s-surgical-patients-filled-opioid-prescriptions-at-a-rate-nearly-seven-times-higher-than-swedish-patients-study","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/canadian-and-u-s-surgical-patients-filled-opioid-prescriptions-at-a-rate-nearly-seven-times-higher-than-swedish-patients-study\/","title":{"rendered":"Canadian and U.S. surgical patients filled opioid prescriptions at a rate nearly seven times higher than Swedish patients: study"},"content":{"rendered":"

A new study published today in JAMA Network Open<\/em> found that patients in Canada and the U.S. who underwent one of four low-risk surgical procedures filled opioid prescriptions within a week after discharge at a rate that was nearly seven times higher than patients in Sweden.<\/p>\n

\nThe study – which focused on adults who underwent gallbladder removal, appendix removal, meniscus repair and breast lump removal – is the first of its kind to systematically evaluate the differences in the use of opioids after surgery for patients receiving similar procedures in different countries.<\/p>\n

\nAbout 76 per cent of the U.S. patients and nearly 79 per cent of the Canadian patients filled a prescription for opioids after their surgery versus just 11 per cent of Swedish patients.<\/p>\n

\nResearchers found that patients in the United States received significantly higher doses of opioids compared to patients treated in Canada and Sweden. The findings were consistent for each of the four surgical procedures assessed.<\/p>\n

\n“There is clear variability in the use of opioids after surgery in different countries,” says Dr. Karim Ladha, a clinician-scientist at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital and co-author of the study. “Opioids are routinely prescribed for postoperative pain management in many countries, however the findings suggest the potential to reevaluate prescribing practices internationally.”<\/p>\n

\nThe study examined the frequency, amount and type of opioids dispensed after surgery and points to differences in practitioners’ approaches to opioid prescribing, public attitudes regarding the role of opioids in treating pain, and broader structural factors related to drug marketing and regulation.<\/p>\n

\n“We found that certain types of opioids, such as codeine and tramadol, were prescribed more often in Canada. While prescribers may view these so-called weak opioids as safer alternatives, there is still the potential for misuse and life-threatening adverse effects,” says Dr. Hannah Wunsch<\/a>, staff physician, department of critical care medicine at Sunnybrook Health Sciences Centre, a co-author of the study and adjunct scientist with the not-for-profit research institute ICES<\/strong>, where the Canadian data were analyzed.<\/p>\n

\nExcessive postoperative opioid prescribing has been associated with increased risks of drug diversion, new long-term opioid use, and the development of opioid use disorder. In 2018, nearly 4,500 opioid-related deaths occurred in Canada.<\/p>\n


\nAbout St. Michael's Hospital<\/strong>
\nSt. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in more than 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare
\nEducation Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael’s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>\n


\nAbout Unity Health Toronto<\/strong>
\nUnity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in worldclass research and education. For more information, visit www.unityhealth.to<\/a>.<\/p>\n


\nAbout Sunnybrook Health Sciences Centre<\/strong>
\nSunnybrook Health Sciences Centre is inventing the future of healthcare for the 1.3 million patients the hospital cares for each year through the dedication of its more than 10,000 staff and volunteers. An internationally recognized leader in research and education and a full affiliation with the University of Toronto distinguishes Sunnybrook as one of Canada’s premier academic health sciences centres. Sunnybrook specializes in caring for high-risk pregnancies, critically-ill newborns and adults, offering specialized rehabilitation and treating and preventing cancer, cardiovascular disease, neurological and psychiatric disorders, orthopaedic and arthritic conditions and traumatic injuries. The hospital also has a unique and national leading program for the care of Canada’s war veterans. For more information about
\nhow Sunnybrook is inventing the future of healthcare, visit www.sunnybrook.ca<\/a>.<\/p>\n

About ICES<\/p>\n

ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: @ICESOntario<\/a><\/span><\/em><\/p>\n

Media contacts<\/h2>\n

\nJennifer Stranges, Communications Advisor, strangesj@smh.ca<\/a>; 416-864-5369
\nSybil Millar, Communications Advisor, sybil.millar@sunnybrook.ca<\/a>; 416-480-4040
\nDeborah Creatura, Media Advisor, deborah.creatura@ices.on.ca<\/a>; 416-480-4780<\/p>\n","protected":false},"excerpt":{"rendered":"

A new study published today in JAMA Network Open found that patients in Canada and the U.S. who underwent one of four low-risk surgical procedures filled opioid prescriptions within a week after discharge at a rate that was nearly seven times higher than patients in Sweden. The study – which focused on adults who underwent […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,56,25],"class_list":["post-7989","news_release","type-news_release","status-publish","hentry","topic-health-services-research","topic-pharmacoepidemiology-and-drug-safety","topic-surgery"],"acf":{"infographic":[0],"journal_article":[5548],"research_report":[],"atlas":[],"research_program":[6747],"site":[6733],"ices_scientist":[1128],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"Canadians far more likely to fill prescription for opioids after routine surgery than patients in Sweden, study shows","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.theglobeandmail.com\/canada\/article-canadians-far-more-likely-to-fill-prescription-for-opioids-after\/","iitn_source_link_text":"The Globe and Mail","sitecore_item_id":"510C9276-4291-4412-87D3-E86974262840","sitecore_item_name":"Canadian-and-US-surgical-patients-filled-opioid-prescriptions-at-a-rate-nearly-seven-times-higher","sitecore_field_values":"{\n \"Content\": \"

A new study published today in JAMA Network Open<\/em> found that patients in Canada and the U.S. who underwent one of four low-risk surgical procedures filled opioid prescriptions within a week after discharge at a rate that was nearly seven times higher than patients in Sweden.<\/p>n

nThe study – which focused on adults who underwent gallbladder removal, appendix removal, meniscus repair and breast lump removal – is the first of its kind to systematically evaluate the differences in the use of opioids after surgery for patients receiving similar procedures in different countries.<\/p>n

nAbout 76 per cent of the U.S. patients and nearly 79 per cent of the Canadian patients filled a prescription for opioids after their surgery versus just 11 per cent of Swedish patients.<\/p>n

nResearchers found that patients in the United States received significantly higher doses of opioids compared to patients treated in Canada and Sweden. The findings were consistent for each of the four surgical procedures assessed.<\/p>n

n“There is clear variability in the use of opioids after surgery in different countries,” says Dr. Karim Ladha, a clinician-scientist at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital and co-author of the study. “Opioids are routinely prescribed for postoperative pain management in many countries, however the findings suggest the potential to reevaluate prescribing practices internationally.”<\/p>n

nThe study examined the frequency, amount and type of opioids dispensed after surgery and points to differences in practitioners’ approaches to opioid prescribing, public attitudes regarding the role of opioids in treating pain, and broader structural factors related to drug marketing and regulation.<\/p>n

n“We found that certain types of opioids, such as codeine and tramadol, were prescribed more often in Canada. While prescribers may view these so-called weak opioids as safer alternatives, there is still the potential for misuse and life-threatening adverse effects,” says Dr. Hannah Wunsch<\/a>, staff physician, department of critical care medicine at Sunnybrook Health Sciences Centre, a co-author of the study and adjunct scientist with the not-for-profit research institute ICES<\/strong>, where the Canadian data were analyzed.<\/p>n

nExcessive postoperative opioid prescribing has been associated with increased risks of drug diversion, new long-term opioid use, and the development of opioid use disorder. In 2018, nearly 4,500 opioid-related deaths occurred in Canada.<\/p>n

nAbout St. Michael's Hospital<\/strong>
nSt. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in more than 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare
nEducation Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael’s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>n

nAbout Unity Health Toronto<\/strong>
nUnity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in worldclass research and education. For more information, visit www.unityhealth.to<\/a>.<\/p>n

nAbout Sunnybrook Health Sciences Centre<\/strong>
nSunnybrook Health Sciences Centre is inventing the future of healthcare for the 1.3 million patients the hospital cares for each year through the dedication of its more than 10,000 staff and volunteers. An internationally recognized leader in research and education and a full affiliation with the University of Toronto distinguishes Sunnybrook as one of Canada’s premier academic health sciences centres. Sunnybrook specializes in caring for high-risk pregnancies, critically-ill newborns and adults, offering specialized rehabilitation and treating and preventing cancer, cardiovascular disease, neurological and psychiatric disorders, orthopaedic and arthritic conditions and traumatic injuries. The hospital also has a unique and national leading program for the care of Canada’s war veterans. For more information about
nhow Sunnybrook is inventing the future of healthcare, visit www.sunnybrook.ca<\/a>.<\/p>n

About ICES<\/p>n

ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: @ICESOntario<\/a><\/span><\/em><\/p>n

Media contacts<\/h2>n

nJennifer Stranges, Communications Advisor, strangesj@smh.ca<\/a>; 416-864-5369
nSybil Millar, Communications Advisor, sybil.millar@sunnybrook.ca<\/a>; 416-480-4040
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