The use of outpatient opioid medication for acute renal colic and ureteral stents: Insights from a multi-institutional patient survey
AIMS: To investigate the main reasons for use of opioids during acute episodes of renal colic and for ureteral stent symptoms post-operatively.
MATERIAL AND METHODS: A survey assessing the impact of decreased quality of life and use of opioid pain medication was distributed to patients with a history of ureteral stent at seven academic centers between July 2016 and June 2018.
RESULTS: A total of 365 surveys were completed. Opioid use for stone (63.9%) and stent-related pain (39.0%) was common among respondents. When assessing whether patients used more opioids for stone or stent-related pain, 47.7% reported using more for stone pain while 15.0% reported using more for stent pain. 22.6% of patients required opioids for stent-related pain and not stone pain. Increasing patient age was found to be negatively associated with using opioids for stent-related pain (OR: 0.4, 95% CI: 0.3 - 0.6). Increasing age was also found to be negatively associated with opioid use for stone pain (OR: 0.6, 95% CI: 0.4 - 0.8). Patients with a greater number of prior stones had 3.2 times the odds of using opioids for stone pain, in our adjusted model (95% CI: 2.1 - 4.7).
CONCLUSION: Patients with more prior stone episodes are more likely to have used opioids for their most recent episode. Although ureteral stents have been shown to be associated with a decreased quality of life, we showed that the use of opioids for stent-related pain is less than that for stone pain. Younger patients are less likely to tolerate a stent without opioid analgesics.
Vollstedt A, Rezaee ME, Monga M, Zampini A, Krambeck AE, Shah O, Sur RL, Chew BH, Eisner B, Pais V. The use of outpatient opioid medication for acute renal colic and ureteral stents: Insights from a multi-institutional patient survey . Clin Nephrol. 2020 Jun;93(6):269-274. doi: 10.5414/CN109991. PMID: 32271145.