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

Completed

• Conditions: Narcotic Use; Postoperative Pain; Opioid Use; Analgesic Drug Dependence; Narcotic Abuse; Orthopedic Disorder; Opioid Abuse, Uncomplicated; Opioids; Harmful Use
• Interventions: Other: Questionnaire

• Registration Number: NCT03422211
• Lead Sponsor: St. Louis University

Brief 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.

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)

Study Timeline

• Study Start: 2017-11-16
• Study First Submitted: 2018-01-30
• Study First Submitted QC: 2018-01-30
• Study First Posted: 2018-02-05
• Primary Completion: 2018-11-02
• Study Completion: 2018-11-02
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-22
• Last Update Posted: 2021-09-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 223

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Sports orthopaedic surgery	Questionnaire	Patients that recently underwent orthopaedic sports surgery performed by two separate surgeons

Primary Outcome Measures

Name	Time	Method
Number of narcotic analgesics consumed	2 months	Quantify narcotic analgesics

Trial Locations

Locations (3)

Cardinal Glennon; 🇺🇸 Saint Louis, Missouri, United States

Anheuser Busch Institute; 🇺🇸 Saint Louis, Missouri, United States

SSM Health St. Mary's Hospital - St. Louis; 🇺🇸 Saint Louis, Missouri, United States