Reducing Opioid Prescription After Kidney Stone Removal Surgery

Active, not recruiting

• Conditions: Kidney Stone

• Registration Number: NCT05353478
• Lead Sponsor: Mayo Clinic

Brief Summary

The purpose of this study is to implement and assess a standard way of prescribing opioid pain medication following PCNL (a kidney stone removal surgery) to ensure patients are being discharged with an appropriate quantity of pain management medication.

Detailed Description

Participants in this study will have their opioid pain medication prescription at discharge following PCNL (Percutaneous Nephrolithotomy, a kidney stone removal surgery) determined by an algorithm in addition to physician judgement. The goal of the algorithm is help physicians refine pain medication prescribing patterns for patients who have undergone PCNL in order to discharge patients with an appropriate quantity of pain management medication. The effectiveness of the algorithm will be assessed through participant surveys. Participants will complete a brief online survey on Days 3, 7, and 14 following hospital discharge and another phone-based survey 26-30 days after hospital discharge.

Study Timeline

• Study First Submitted: 2022-04-25
• Study First Submitted QC: 2022-04-25
• Study First Posted: 2022-04-29
• Study Start: 2022-06-06
• Primary Completion: 2024-08-14
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-19
• Last Update Posted: 2024-12-24
• Study Completion: 2025-02

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Patients undergoing percutaneous nephrolithotomy at Mayo Clinic Rochester.

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Exclusion Criteria

• Unable or unwilling to provide informed consent.
• Patients who require Intensive Care Unit admission after surgery.
• Patients who have Clavien grade III or greater postoperative complications requiring additional intervention < 30 days after index procedure.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Unused opioid prescriptions	30 days	Number of unused opioids following recovery from percutaneous nephrolithotomy

Secondary Outcome Measures

Name	Time	Method
Opioid prescription refills	30 days	Number of opioid prescription refills following recovery from percutaneous nephrolithotomy
Unfilled opioid prescriptions	30 days	Number of unfilled opioid prescriptions following recovery from percutaneous nephrolithotomy

Trial Locations

Locations (1)

Mayo Clinic Rochester; 🇺🇸 Rochester, Minnesota, United States