Opioid Counseling Following Orthopaedic Surgery

Rothman Institute Orthopaedics237 enrolled

Overview

Postoperative pain management and opioid consumption following outpatient orthopaedic surgery may be influenced by a number of variables including knowledge of safe opioid use. A prospective randomized study is designed to understand the effect of preoperative opioid counseling on postoperative opioid consumption and the typical opioid consumption patterns following common outpatient orthopaedic surgeries. The hypothesis was that patients who received preoperative opioid counseling will consume less postoperative opioid medication and experience greater satisfaction with pain management.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

237

Conditions

Orthopedic Disorder

Interventions

Preoperative opioid counselingOTHER

preoperative counseling consists of education with a brief multi-media presentation in the preoperative area on the day of surgery using a handheld tablet. The message of the preoperative counseling consisted of: 1) Background on the opioid epidemic including basic facts and consequences, 2) Description of risk factors for opioid abuse and how to consume opioids safely, 3) Information on the specific opioid the patient was prescribed and the anticipated amount and duration of use postoperatively, 4) Encouraging the use of non-opioid therapy prior to taking the prescribed opioids or quickly transitioning to non-opioid medications postoperatively, and 5) Contact information and instructions to call if the patient experienced any adverse events and/or if additional pain medication is needed.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing shoulder, elbow, wrist, knee, foot, and/or ankle surgery Exclusion Criteria: * male of female less than 18 years old * patients schedule to undergo inpatient procedures * patients undergoing surgeries distal to the wrist * patients undergoing surgeries under local anesthesia only

Locations (1)

Rothman Institute

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Number of pills consumed

Patients asked to keep daily diary which includes number of pills consumed during the post-operative period

Time frame: Up to 6 weeks

Secondary Outcomes

Morphine equivalents (MEQ)

MEQs is a standardized method of comparing different types of pain medication with a gold-standard. All pain medication can be converted to MEQs

Time frame: Up to 6 weeks

Visual Analog Scale (pain) Pain

Pain as reported by patients on a daily basis via diaries

Time frame: Up to 6 weeks

Patient satisfaction with pain management: 5 point Likert Scale

Satisfaction with pain management as reported daily by patients using a 5 point Likert Scale

Time frame: Up to 6 weeks

Data from ClinicalTrials.gov

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