Toward Zero Prescribed Opioids for Outpatient General Surgery Procedures: a Prospective Cohort Trial
Overview
- Phase
- Phase 4
- Intervention
- Oxycodone
- Conditions
- Opioid Misuse and Addiction
- Sponsor
- Thomas Jefferson University
- Enrollment
- 129
- Locations
- 1
- Primary Endpoint
- Morphine Milligram Equivalents Taken by Participants
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Investigators have created an opioid reduction "package" which includes patient education, non-narcotic pain control instructions, and limited (or no) opioid pain prescriptions provided at discharge in an attempt to reduce the number of opioid consumption after outpatient general surgery.
Detailed Description
Between November 2019 and July 2021, patients undergoing elective inguinal hernia repair (IHR) or cholecystectomy were enrolled in the study. Patients were divided into three cohorts: Control, opioid sparing (OS), or zero-opioid (ZO). Control patients did not have any intervention; OS patients had an opioid reduction intervention protocol applied (patient education and perioperative multimodal analgesia) and were provided an opioid prescription at discharge; the ZO had the same protocol, however patients were not provided opioid prescriptions at discharge. Two weeks after discharge patients were interviewed to record opioid consumption, pain scores, and level of satisfaction since discharge.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Opioid naïve patients
- •Age \> 18
- •Being scheduled for an outpatient elective inguinal hernia repair or cholecystectomy
Exclusion Criteria
- •Urgent/emergent status
- •Previous cholecystostomy tube placement
Arms & Interventions
Opioid Sparing
Providers required to prescribe 10 narcotic pills only
Intervention: Oxycodone
Zero Opioid
No narcotic prescription is provided to patient at discharge
Intervention: Zero Opioid Protocol
Outcomes
Primary Outcomes
Morphine Milligram Equivalents Taken by Participants
Time Frame: 14 days
Patients will be interviewed fourteen days after procedure and asked how many opioid pills they have taken since being discharged form the hospitals
Secondary Outcomes
- Satisfaction Scores Ranging From 1 - 10(14 days)