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Effect of an Opioid Disposal Pouch Versus Usual Care on Post Discharge Disposal of Unused Medication

Not Applicable
Completed
Conditions
Drug Prescriptions
Interventions
Other: Disposal pouch
Registration Number
NCT04553588
Lead Sponsor
The Cleveland Clinic
Brief Summary

The purpose of the study is to determine if opioid disposal bags/pouches are an effective method for disposing of unused opioid medications postoperatively

Detailed Description

Opioids are dispensed regularly to manage postoperative pain in patients undergoing surgery in hospitals and same day surgery centers. There has been a rise in the number of opioid misuse and overdoses nationally, with Ohio ranked first in the nation for drug overdose deaths in 2014 and Cuyahoga County leading the state with 666 overdose deaths in 2016(ref) As health care providers, it is our responsibility to respond to this epidemic. One measure to address this is to reduce the number of unused prescription opioids that remain in patients' possession when they no longer need them. (ref) Doing so will maximize safety by decreasing the availability of unused opioids. The purpose of this study is to determine if a product that deactivates opioids will be used as designed after oral opioid medication is no longer needed. The design of this study is a quality initiative project using a randomized control design. The setting is a surgery center in a suburban hospital in Cuyahoga County. The population is all adult surgery center patients that are prescribed opioids postoperatively who are discharged the same day. In addition to usual care, a medication disposal bag with instructions on how to use will be given to the patient prior to discharge. The patient will be called 30-45 days post discharge. The data will be collected on a case report form that will include information about disposal and information obtained from the patients medical record.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
313
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Opioid Disposal PouchDisposal pouchan opioid disposal pouch to inactivate and dispose of unused opioid medication within the first 30 days after surgery
Primary Outcome Measures
NameTimeMethod
Rate of Disposal of Unused Opioid Medication30 days postoperatively

rate of patient reported unused oral opioid medication disposal between groups

Secondary Outcome Measures
NameTimeMethod
Odds of disposal pouch use after adjusting for group assignment30 days postoperatively

Odds of disposal pouch use after adjusting for group assignment (usual care versus disposal pouch group)

Odds of disposal pouch use after adjusting for surgical procedure type30 days postoperatively

Odds of disposal pouch use after adjusting for surgical procedure type

Odds of disposal pouch use after adjusting for pain level on the worst day of postoperative pain30 days postoperatively

Odds of disposal pouch use after adjusting for pain level on the worst day of postoperative pain

Odds of disposal pouch use after adjusting for preoperative opioid use30 days postoperatively

Odds of disposal pouch use after adjusting for preoperative opioid use

Odds of disposal pouch use after adjusting for race30 days postoperatively

Odds of disposal pouch use after adjusting for race

Odds of disposal pouch use after adjusting for gender30 days postoperatively

Odds of disposal pouch use after adjusting for gender

Odds of disposal pouch use after adjusting for insurance type30 days

Odds of disposal pouch use after adjusting for insurance type

Trial Locations

Locations (1)

Cleveland Clinic Health System

🇺🇸

Cleveland, Ohio, United States

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