Can Simplified and More Detailed Instructions Affect Post-Operative Narcotic Consumption

Withdrawn before enrolling · Phase 4

Conditions studied: Opioid Use, Opioid Dependence, Knee Pain Chronic, Knee Osteoarthritis

In brief

This project intends to investigate whether (1) a patient-maintained opioid diary provides an accurate measure of opioid consumption (morphine equivalents), (2) improved patient educational materials decrease narcotic consumption, and (3) using a pain management counselor provides additional benefits in decreasing narcotic consumption when used in conjunction with improved educational materials. Furthermore, the investigators would like to investigate the effect of the patient-maintained diaries, the improved educational materials, and the pain management counselor on pain levels, nausea, sleep quality, and patient satisfaction. All patients undergoing orthopedic surgery at Brigham and Women's Faulkner Hospital and choose to participate will be assigned to a treatment group based on which arm of the study is being tested at the time; (the treatment arms are sequential). Members of Group 1 (control group) will receive the current standardized institutional discharge care for orthopedic surgery and an added tracking diary. Members of Group 2 (experimental group 1) will receive more detailed educational materials regarding postoperative pain management - including instructions to how to taper their narcotic usage - as well as a tracking diary. Members of Group 3 (experimental group 2) will receive not only the educational materials of Group 2, but also weekly phone calls from a clinical patient educator to remind them of proper use of the diary and narcotic tapering.

Key facts

Study ID

NCT03534102

Run by

Brigham and Women's Hospital

People needed

0

Starts

2022-06-06

Expected to finish

2024-09-01

Last updated by the study team

2023-02-27

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• At least 18 years of age
• Date of surgery between 3 weeks and 8 weeks away
• Undergoing total hip or total knee replacement [including simultaneous bilateral]
• Eligible based on our standard Faulkner Hospital pre-op assessment

You may not qualify if…

• If female, pregnant
• Undergoing partial joint replacement

Where it is running

• Brigham and Women's Faulkner Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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