Given the nationwide epidemic of opioid use and abuse (in part due to over prescription), this study aims at addressing the need for opioid prescription after laparoscopic hysterectomy.
Currently, there is a nationwide epidemic of opioid abuse and overdose deaths. One source of excess opioids is overprescribing in the postoperative period. Given the increasing opioid abuse and over-prescription post-operatively, an effort must be made to determine whether non-opioid multimodal medications are adequate in treating postoperative pain after laparoscopic hysterectomy and would not increase the need for additional prescriptions or unscheduled patient contacts. This study aims to find the optimal prescriptions for pain after laparoscopic hysterectomy in an attempt to eliminate opioid use.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
120
No opioid prescription after laparoscopic hysterectomy
Standard prescription
Standard prescription
Johns Hopkins Hospital
Baltimore, Maryland, United States
Pain score on post-operative day one
Numeric pain score on post-operative day one: patient reported pain using the Likert pain scale from 0 to 10
Time frame: 1 day
Pain score on post-operative day seven
Numeric pain score on post-operative day seven: patient reported pain using the Likert pain scale from 0 to 10
Time frame: 7 days
Satisfaction of pain control on postoperative day one
Overall satisfaction of pain control on postoperative day one (binary question - Yes/No)
Time frame: 1 day
Satisfaction of pain control on postoperative day seven
Overall satisfaction of pain control on postoperative day seven (binary question - Yes/No)
Time frame: 7 days
Mobility on postoperative day one
Satisfaction with mobility on postoperative day one (binary question - Yes/No)
Time frame: 1 day
Mobility on postoperative day seven
Satisfaction with mobility on postoperative day seven (binary question - Yes/No)
Time frame: 7 days
Total opioid consumption on postoperative day one
Total narcotic consumption by postoperative day one (in morphine milligram equivalent)
Time frame: 1 day
Total opioid consumption on postoperative day seven
Total narcotic consumption by postoperative day seven (in morphine milligram equivalent)
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Time frame: 7 days
Opioid related side effects on postoperative day one
Presence of opioid related side effects such as nausea, vomiting, constipation, dizziness, abdominal distention, and itchiness on postoperative day one (binary question - Yes/No)
Time frame: 1 day
Opioid related side effects on postoperative day seven
Presence of opioid related side effects such as nausea, vomiting, constipation, dizziness, abdominal distention, and itchiness on postoperative day seven (binary question - Yes/No)
Time frame: 7 days
Unplanned calls/visits
Unplanned visits to the emergency room or clinic and unexpected patient initiated phone call related to pain control postoperatively (binary question - Yes/No)
Time frame: 7 days