The editor emphasizes two critical points in reducing opioid prescribing – the creation
of a urologist-patient link as well as the collaboration of urologists, emergency
providers and patients. By taking ownership of stone patients, urologists have the
opportunity to play a powerful role in directing stone management. We often are consulted
on patients with urolithiasis who have already presented with multiple trips to the
emergency department (ED) and were previously discharged with narcotic prescriptions
with or without nonsteroidal anti-inflammatory drugs or medical expulsive therapy
(tamsulosin). Improved partnership with our ED colleagues will promote education on
stone management and establish the urologist-patient link with an aim to minimize
opioid prescribing.
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References
- Persistent opioid use among patients with urolithiasis: a population based study.Eur Urol Focus. 2020; 6: 745-751
- Enhanced recovery after surgery protocol for patients undergoing ureteroscopy: prospective evaluation of an opioid-free protocol.J. Endourol. 2020; 34: 647-653
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© 2020 Published by Elsevier Inc.
