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(JAMA Network) An ultrarestrictive opioid prescribing strategy was associated with a reduction in the number of pills dispensed in a study of patients having surgery for gynecologic cancer, without changes in postoperative pain scores, complications or increases in prescription refill requests. Under the protocol, patients having ambulatory or minimally invasive surgery weren't prescribed opioids at discharge unless they required more than five doses of oral or intravenous opioids while in the h...
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