Prospective Study of No Opioids PrescrIptions On Discharge After Surgery (NOPIOiDS)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Opioid Use
- Sponsor
- Albany Medical College
- Enrollment
- 350
- Locations
- 1
- Primary Endpoint
- Opioids prescribing at hospital discharge
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Opioid analgesics are routinely prescribed for these patients for post-operative pain control. Even a short exposure to opioids in opioid-naïve patients following minor or major surgery has been associated with de novo habitual or persistent use of opioids in 5-30% of patients. The goal of the study to eliminate the use of outpatient opioids prescriptions after major urologic surgery.
Detailed Description
Nearly 200 million opioid prescriptions are dispensed per year in the United States. Opioid prescriptions given by medical providers are a major contributor to the opioid abuse epidemic. Nearly 40% of opioid overdose-related deaths occur due to prescribed opioids. Among patients diagnosed with opiate dependence, 80% had received an opioid prescription prior to their abuse diagnosis and 51% had a family member who had an opioid prescription, Thus, opioids prescriptions, which are often in excess of the need by the patient, are a major contributor to this public health crisis. The investigators devised a prospective intervention study to eliminate or significantly reduced the use of opioids prescribed at hospital discharge after major urologic surgery.
Investigators
Badar M. Mian
Professor of Surgery
Albany Medical College
Eligibility Criteria
Inclusion Criteria
- •All patients undergoing major urologic cancer surgery, either open or laparoscopic, will be included in the study.
- •This will include all open or laparoscopic or robotic surgery including radical prostatectomy, radical cystectomy, radical nephrectomy, partial nephrectomy, nephron-ureterectomy, and similar procedures.
Exclusion Criteria
- •Those with allergy or intolerance to NSAIDS may be excluded.
Outcomes
Primary Outcomes
Opioids prescribing at hospital discharge
Time Frame: 30 days
Patients will be discharged with no or few opioids after surgery along with instruction on how to use non-opioid analgesic measures.
All opioids prescriptions within 30 days of surgery
Time Frame: 30 days
The electronic medical records and pharmacy records will be monitored to identify if any additional opioids prescriptions were provided by any provider
Secondary Outcomes
- Contact with healthcare facilities(30 days)
- Post-operative pain after discharge(7 days)
- Satisfaction score during home recovery(7 days)