Opioid Use After Urogynecologic Procedures: Using a Predictive Calculator

David Sheyn110 enrolled

Overview

The purpose of this study is to determine if the investigators can precisely predict how much pain medication the subjects will need after surgery using a special calculator that was developed for this purpose.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

110

Conditions

Post Operative Pain Opioid Use Prolapse Genital

Interventions

Opioid calculatorOTHER

Our research group previously created an Opioid calculator that can be used to predict the number of opioids needed post-operatively based on patient health history and characteristics.

Standard opioid prescriptionOTHER

Patients will receive prescription for post-operative opioids based on what the attending surgeon usually provides.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 89 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18-89 * Able to provide informed consent * Patients undergoing any of below urogynecologic procedures Included urogynecologic procedures: 1. Sacrocolpopexy - robotic or laparoscopic 1. With or without hysterectomy 2. With or without salpingo-oophorectomy 3. With or without anterior colporrhaphy 4. With or without posterior colporrhaphy/perineorrhaphy 5. With or without midurethral sling 2. Sacrospinous ligament fixation 1. With or without hysterectomy 2. With or without salpingo-oophorectomy 3. With or without anterior colporrhaphy 4. With or without posterior colporrhaphy/perineorrhaphy 5. With or without midurethral sling 3. Uterosacral ligament suspension - robotic, laparoscopic, or vaginal 1. With or without hysterectomy 2. With or without salpingo-oophorectomy 3. With or without anterior colporrhaphy 4. With or without posterior colporrhaphy/perineorrhaphy 5. With or without midurethral sling 4. Colpocleisis 1. Lefort colpocleisis 2. Complete colpectomy with colpocleisis 5. Isolated anterior and/or posterior colporrhaphy Exclusion Criteria: * Non-English speakers * pre-operative diagnosis of cancer * scheduled for any concurrent non-urogynecologic procedure (ex: abdominoplasty) * \<18 years or \>89 years of age * unable to provide informed consent

Locations (1)

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Outcomes

Primary Outcomes

Change in pain scores measured by team-created pain questionnaires

Pain questionnaire is a 2 question survey that ask patients to rate pain on scale of 0 (no pain) to 10 (worst pain) immediately post-op and current. Baseline will be calculated by asking patient's expected post-op pain score.

Time frame: baseline, 1 week post-op, 2 weeks post-op

Secondary Outcomes

Change in satisfaction scores measured by team-created questionnaire

Questionnaire is a 1 question survey that ask patients to rate their satisfaction with their pain control on scale of 0 (totally unsatisfied) to 10 (totally satisfied) immediately post-op and current.

Time frame: 1 week post-op, 2 weeks post-op

Change in number of opioid tablets remaining measured by team-created questionnaire

Patients will be asked the number of tablets remaining from their opioid prescriptions.

Time frame: 1 week post-op, 2 weeks post-op

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.