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Letter to the Editor- Opioid-free Ureteroscopy: Are Academic Urologists Lagging Behind Private Practice?

Published:October 21, 2022DOI:https://doi.org/10.1016/j.urology.2022.10.004
      We read the recent article by Jones et al published in Urology with great interest.

      Cameron A. Jones, Kelly R. Pekala, Kody M. Armann, et al. Opioid-free ureteroscopy: are academic urologists lagging behind private practice? https://doi.org/10.1016/j.urology.2022.06.021

      In their single-institution retrospective chart review of all ureteroscopies, they concluded that there was a significant difference in opioid prescribing between private and academic practitioners, whilst demonstrating a trend toward zero post-ureteroscopy opioids. They stated that private practice surgeons prescribed fewer oral morphine equivalents (OMEs) initially and achieved a median of zero OMEs earlier than academic surgeons. They noted that median OMEs decreased from 60 to 0 in the private setting and remained at a median zero through the duration of the study.
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      References

      1. Cameron A. Jones, Kelly R. Pekala, Kody M. Armann, et al. Opioid-free ureteroscopy: are academic urologists lagging behind private practice? https://doi.org/10.1016/j.urology.2022.06.021

        • Wilhelm K.
        • Frankenschmidt A.
        • Miernik A.
        Analgesia-free flexible ureteroscopic treatment and laser lithotripsy for removal of a large urinary stone: a case report.
        J Med Case Reports. 2015; 9: 225https://doi.org/10.1186/s13256-015-0699-0