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FEBRUARY 23, 2023

Advanced Practice Clinicians May Be Overprescribing Perioperative Opioids

Advanced practice clinicians (APCs)—nurse practitioners and physician assistants—prescribe perioperative opiates at higher doses than the physicians they work with, according to data from a cross-sectional retrospective study.

In the study, APCs wrote 19% of perioperative opioid prescriptions which were, on average, 40 morphine milligram equivalents (MMEs) higher when compared with prescriptions written by surgeons in a perioperative setting (adjusted difference; 95% CI, 31.3-48.7