A Randomized Comparison of Meloxicam to Opioids Following Arthroscopic Labrum Repairs of the Shoulder
试验速览
- 阶段
- 3 期
- 入组人数
- 96
- 试验地点
- 1
- 主要终点
- Total Analgesic use
研究概览
简要总结
The opioid epidemic continues to be a major concern, with orthopedic surgeons being among the top prescribers of opioids. Studies evaluating these practices found that opioids are overprescribed, even for common procedures. Patients undergoing arthroscopic labrum repair of the shoulder were found to have an average of 20 pills left over after surgery. Many strategies have been developed to tackle overprescribing and have found success, including no opioid protocols for carpal tunnel release. The purpose of this study is to examine if meloxicam alone provides similar patient reported outcomes to opioids following arthroscopic labrum repair of the shoulder.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Scheduled for arthroscopic labrum repair of the shoulder
排除标准
- •History of opioid, acetaminophen, NSAID or local anesthetic allergy or intolerance, or contraindications to these medications.
- •Currently on long-term preoperative narcotics
- •Scheduled for revision arthroscopic repairs of the shoulder
- •Unable/unwilling to consent for enrollment
- •Unable to complete postoperative surveys
- •History of chronic pain syndromes (fibromyalgia, chronic diffuse MSK pain, etc)
- •Patients under the age of 18
- •Pregnant or breastfeeding women
- •Scheduled for concurrent procedures
研究组 & 干预措施
Arthroscopic Labral Repair + postoperative Meloxicam
After surgery participants will receive a prescription of 20 pills of 15 mg Meloxicam
干预措施: Meloxicam 15 mg (Drug)
Arthroscopic Labral Repair + postoperative Meloxicam
After surgery participants will receive a prescription of 20 pills of 15 mg Meloxicam
干预措施: Preoperative Interscalene Nerve Block (Procedure)
Arthroscopic Labral Repair + postoperative Meloxicam
After surgery participants will receive a prescription of 20 pills of 15 mg Meloxicam
干预措施: arthroscopic labral repair (Procedure)
Arthroscopic Labral Repair without Meloxicam
After surgery participants will receive a prescription of 20 pills of 5/300 mg vicodin (hydrocodone/acetaminophen)
干预措施: Preoperative Interscalene Nerve Block (Procedure)
Arthroscopic Labral Repair without Meloxicam
After surgery participants will receive a prescription of 20 pills of 5/300 mg vicodin (hydrocodone/acetaminophen)
干预措施: arthroscopic labral repair (Procedure)
结局指标
主要结局
Total Analgesic use
时间窗: 14 days
Participants will be given a survey asking about number of pills taken
Postoperative Pain Control
时间窗: 14 days
Measured by the Numerical Rating Scale (NRS) pain score daily after surgery
次要结局
未报告次要终点