Prospective Study of No Opioids PrescrIptions On Discharge After Surgery (NOPIOiDS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 350
- 试验地点
- 2
- 主要终点
- Opioids prescribing at hospital discharge
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 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
- 否
入选标准
- •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.
排除标准
- •Those with allergy or intolerance to NSAIDS may be excluded.
结局指标
主要结局
Opioids prescribing at hospital discharge
时间窗: 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
时间窗: 30 days
The electronic medical records and pharmacy records will be monitored to identify if any additional opioids prescriptions were provided by any provider
次要结局
- Contact with healthcare facilities(30 days)
- Post-operative pain after discharge(7 days)
- Satisfaction score during home recovery(7 days)
研究者
Badar M. Mian
Professor of Surgery
Albany Medical College