Prescription Default Nudges for Opioid Reduction after Major Surgery (NORMS)

The offering of pre-populated opioid prescriptions to surgeons did not reduce postoperative opioid prescribing overall. However, the subset of surgeons who accepted the defaults prescribed much less opioids. Default nudge interventions may be useful in optimizing opioid prescribing, but stronger versions of defaults and co-interventions are likely needed.

Authors

Joshua M. Liao (ORCID: https://orcid.org/0000-0002-9788-9074)
Paul R. Sutton
David R. Flum (ORCID: https://orcid.org/0000-0002-7288-0436)
Kwun Chuen Gary Chan (ORCID: https://orcid.org/0000-0003-1095-7837)
Irene Zhang (ORCID: https://orcid.org/0000-0002-0417-1515)
Todd Burstain
Saurabh Khandelwal

Institutions

University of Washington (US)
The University of Texas Southwestern Medical Center (US)

Publication Details

Journal: Annals of Surgery
Published: 2025-11-07
DOI: https://doi.org/10.1097/sla.0000000000006977
Primary Topic: Opioid Use Disorder Treatment
Type: article
Field-Weighted Citation Impact: 0.00

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article

Prescription Default Nudges for Opioid Reduction after Major Surgery (NORMS)

Joshua M. Liao, Paul R. Sutton, David R. Flum, Kwun Chuen Gary Chan et al.

Nov 7, 2025

Annals of Surgery

Opioid Use Disorder Treatment

article

Prescription Default Nudges for Opioid Reduction after Major Surgery (NORMS)

Joshua M. Liao, Paul R. Sutton, David R. Flum, Kwun Chuen Gary Chan, Irene Zhang, Todd Burstain, Saurabh Khandelwal

November 7, 2025article en

Abstract

The offering of pre-populated opioid prescriptions to surgeons did not reduce postoperative opioid prescribing overall. However, the subset of surgeons who accepted the defaults prescribed much less opioids. Default nudge interventions may be useful in optimizing opioid prescribing, but stronger versions of defaults and co-interventions are likely needed.

Annals of Surgery

University of Washington (US), The University of Texas Southwestern Medical Center (US)

Openalex Percentile: Top 57%

Opioid Use Disorder Treatment

DOI Source OpenAlex

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Prescription Default Nudges for Opioid Reduction after Major Surgery (NORMS) — Joshua M. Liao, Paul R. Sutton, et al. · Annals of Surgery (2025) | TGRS Research Map | TGRS