ISRCTN10868989
Completed
Not Applicable
A randomised controlled trial of patient-directed self-management of pain (PaDSMaP) compared to treatment as usual following total knee replacement.
orfolk and Norwich University Hospital NHS Trust (UK)0 sites144 target enrollmentMarch 22, 2012
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- orfolk and Norwich University Hospital NHS Trust (UK)
- Enrollment
- 144
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
2012 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/23126312 2018 results in: http://www.ncbi.nlm.nih.gov/pubmed/29743064
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. All adult patients (e.g. aged over 18\) undergoing a primary total knee replacement operation
- •2\. Must meet the Norfolk and Norwich University Hospital NHS Foundation Trust self\-management of pain criteria
- •3\. Are expected to require standard step 1\-3 oral analgesics post\-operatively (WHO 2009\)
- •4\. Post\-operatively, patients must be awake and breathing independently, able to answer questions and follow commands to continue in the protocol
- •5\. Are English speaking and literate (we expect patient participants to be able to read the information sheet and fill in a number of self\-assessments)
- •6\. Patients may have received regional blocks or epidural analgesia, and will start PaDSMaP or TAU as soon as they begin oral analgesia
Exclusion Criteria
- •1\. Expected to require intensive care
- •2\. Known or suspected to be opioid tolerant or dependent
- •3\. Regular users of any modified release opiate preparation for \> two weeks prior to total knee replacement
- •4\. Recent history of drug or alcohol abuse
- •5\. Patients who lack competence to consent by reason or dementia or any other reason
- •6\. Any patient who does not self\-administer at home
Outcomes
Primary Outcomes
Not specified
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