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A Prospective Assessment of Opioid Utilization Post-operatively in Sports Orthopaedic Surgeries

NCT03422211 — Completed, 223 participants, St. Louis University

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RegistryNCT03422211, acronym Opioids
StatusCompleted
Study typeObservational
Enrollment223 (Actual)
SponsorSt. Louis University (Other)
ConditionsNarcotic Use, Postoperative Pain, Narcotic Abuse, Opioid Use, Opioid Abuse, Uncomplicated, Opioids; Harmful Use, Analgesic Drug Dependence, Orthopedic Disorder
InterventionsQuestionnaire (Other)
Datesstart 2017-11-16, primary completion 2018-11-02, completion 2018-11-02, first posted 2018-02-05, last updated 2021-09-24
Locations3 sites in United States

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-Summary

There was a study titled "A prospective evaluation of opioid utilization after upper extremity surgical procedures: Identifying consumption patterns and determining prescribing guidelines" by Dr. Matzon and team from Thomas Jefferson University that came up with a simple set of opioid guidelines post-surgically. These guidelines are helping to guide surgeon's prescribing patterns and ideally limit the number of prescribed pain medicines. We plan to identify typical narcotic analgesic usage post sports orthopaedic surgery. We hope to identify the number of narcotic pain pills to prescribe to patients undergoing orthopaedic sports surgery in the future.

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+Detailed description

1, Consent patients undergoing sports orthopaedic surgery in clinic or in pre-operative holding area and also administer first questionnaire, opioid risk tool, and pain catastrophizing scale(research) 2. Sports orthopaedic surgery (standard of care) 3. Post-op pain control regimen (standard of care) 4. Call or email patient with questionnaire every day for a week followed by weekly for 7 more weeks. The children's questionnaire will be child specific and the parent will assist the child. Will also use a picture of Wong-Baker Faces to help children identify where their pain scale is which will be given to the patient the same day that the consent is obtained to use at home(research). Questionnaire should take less than 5 minutes and will include questions about how well their pain is controlled, how many analgesic medications they have taken, and if they have tried anything else for pain. (Research) 5. Patient will continue to go to post-operative appointments as scheduled. (standard of care) 6. Will store the data from the phone calls on the secured T drive. (Research)

+Arms and interventions

ArmTypeInterventionsDescription
Sports orthopaedic surgeryOther: QuestionnairePatients that recently underwent orthopaedic sports surgery performed by two separate surgeons
  • Questionnaire (Other): Will ask patients questions in regards to how many narcotics they have taken and what their pain level has been.

+Outcome measures

Primary outcomes

  • Number of narcotic analgesics consumed [2 months]: Quantify narcotic analgesics

+Eligibility

Sex: All, ages: 10 Years to 100 Years

Inclusion Criteria:

* analgesics prescribed to patient

Patients that have undergone orthopaedic sports surgeries that Dr. Kaar and Dr. Kim performed with some of the examples being:

Acromioplasty Rotator cuff repair Labral repair Proximal humerus repair versus arthroplasty Elbow instability repair Elbow arthroplasty Hip arthroscopy Hip cam lesion repair Knee arthroscopy Knee ligament repair Knee meniscus repair Achilles tendon repair Cartilage preserving procedures

Exclusion Criteria:

mental retardation inmates non-english speaking pregnant on-call trauma cases

+Locations (3)

FacilityCityCountryStatus
Cardinal GlennonSt Louis, MissouriUnited States
Anheuser Busch InstituteSt Louis, MissouriUnited States
SSM Health St. Mary's Hospital - St. LouisSt Louis, MissouriUnited States

+Publications

  • Results publication: Kim N, Matzon JL, Abboudi J, Jones C, Kirkpatrick W, Leinberry CF, Liss FE, Lutsky KF, Wang ML, Maltenfort M, Ilyas AM. A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines. J Bone Joint Surg Am. 2016 Oct 19;98(20):e89. doi: 10.2106/JBJS.15.00614. PMID 27869630

+Investigators

My Notes