Kenneth R Allison, Karen Vu-Nguyen, Bessie Ng, Nour Schoueri-Mychasiw, John J M Dwyer, Heather Manson, Erin Hobin, Steve Manske, Jennifer Robertson
Evaluation of Daily Physical Activity (DPA) policy implementation in Ontario: surveys of elementary school administrators and teachers
BMC public health
quantify unused opioids among adult pediatric patients discharged emergency department ed ambulatory care settings prescription acute pain searched medline embase cinhal psycinfo cochrane library gray literature inception april 29 2021 included observational studies patient acutely painful condition received prescription opioid discharge outpatient care setting unused opioids quantified two reviewers screened records eligibility extracted data conducted quality assessment possible pooled data otherwise described results studies narratively total unused prescriptions synthesized using weighted average random effects models used heterogeneity measured i2 statistic primary outcome quantity unused opioid medication available receiving prescription acute pain secondary outcomes proportion patients unused opioids following prescription proportion patients using opioids morphine equivalents unused opioids factors associated leftover opioids systematic review metaanalysis 9 studies emergency ambulatory care settings 596 prescribed opioids remained unused pediatric patients 693 prescriptions remaining compared 546 among adult patients highest proportion unused opioids found following dental extractions 826 50 opioids remain unused following prescriptions acute pain responsible prescribing must accompanied education safer use storage disposal