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Precision Pain Management for Major Abdominal Surgery in Colorectal Surgery

Not Applicable
Terminated
Conditions
Colorectal Cancer
Diverticular Disease
Crohn Disease
Ulcerative Colitis
Registration Number
NCT03455751
Lead Sponsor
The Cleveland Clinic
Brief Summary

The primary objectives of this study are to evaluate the potential for preoperative pharmacogenomics (PGx) testing to positively influence postoperative opioid use through visual analog scale (VAS) guided administration of narcotic equivalent and lower pain scores as measured by OBAS in patients undergoing major abdominal surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Subject capable of giving consent
  • Age 18-80
  • Scheduled for open colorectal resection at Cleveland Clinic main campus (with preoperative appointment scheduled at least five days before date of surgery)
Exclusion Criteria
  • Patient does not speak English
  • Patient with substance-use disorder (including alcohol)
  • Patient diagnosed with major depression
  • Patient currently taking opioids
  • Previous long-term opioid use (> 3 months)
  • Previous opioid use with a dose of >100 milligram morphine equivalent (MME)
  • Patient has pain-related disorder (e.g. fibromyalgia, sympathetic dystrophy, etc.)
  • Documented allergy to pain medication

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Post-operative opioid usePost-op day 1

Post-operative opioid use through visual analog scale guided administration of narcotic equivalent

Overall Benefit of Analgesia Score (OBAS)Post-op day 1
Secondary Outcome Measures
NameTimeMethod
Length of stay30 days
Readmission rate30 days
Functional status4 weeks and 3 months

Assessed through Duke Activity Status Index (DASI)

Trial Locations

Locations (1)

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic
🇺🇸Cleveland, Ohio, United States

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