Tracking Opioid Refills After Surgery - Scorecard - MDSpire

Tracking Opioid Refills After Surgery

Researchers evaluated perioperative and postdischarge factors associated with opioid refill prescriptions during the first 90 days after inpatient otolaryngology–head and neck surgery.

  • By

  • Kathryn Wighton

  • February 6, 2026

  • 4 min

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Clinical Scorecard: Tracking Opioid Refills After Surgery

At a Glance

CategoryDetail
ConditionPostoperative opioid management
Key MechanismsMismatch between discharge opioid daily doses and inpatient opioid use increases refill risk.
Target PopulationAdult patients undergoing inpatient otolaryngology–head and neck surgery.
Care SettingAcademic medical center

Key Highlights

  • 25.3% of patients received an opioid refill within 30 days of discharge.
  • Discharge opioid underprescription and overprescription both associated with higher refill risk.
  • Preoperative opioid, benzodiazepine, and cannabis use linked to increased refill rates.
  • Higher postoperative pain scores correlated with refills within 30 days.
  • Receipt of a prior refill was the strongest predictor of subsequent refills.

Guideline-Based Recommendations

Diagnosis

  • Assess discharge opioid prescribing patterns as matched, overprescribed, or underprescribed.

Management

  • Align discharge opioid prescriptions with inpatient opioid consumption to reduce refills.

Monitoring & Follow-up

  • Track opioid refill rates at 1-30, 31-60, and 61-90 days postdischarge.

Risks

  • Consider preoperative medication use and postoperative pain scores as risk factors for refills.

Patient & Prescribing Data

Adult patients with a postoperative stay of at least 24 hours.

Standardize discharge opioid doses to oral morphine equivalents based on inpatient use.

Clinical Best Practices

  • Evaluate and adjust discharge opioid prescriptions based on individual patient needs.
  • Monitor patients with a history of opioid use closely for refill needs.
  • Educate patients on the importance of adhering to prescribed opioid regimens.

References

Original Source(s)

Tracking Opioid Refills After Surgery

  • by Kathryn Wighton

  • February 6, 2026

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