Preoperative Education

Not Applicable

Completed

• Conditions: Postoperative Pain
• Interventions: Other: Video on analgesic education; Other: Video on general perioperative education

• Registration Number: NCT04970069
• Lead Sponsor: The Cleveland Clinic

Brief Summary

The investigators will evaluate the effect of preoperative education on postoperative opioid.

Detailed Description

The investigators propose a randomized trial to be performed at the Cleveland Clinic. Patients will be assigned to: 1) an educational video focused on postoperative analgesia modalities, opioids, and realistic pain expectations (analgesic education); or, 2) an educational video focused on other aspects of the perioperative experience.

Study Timeline

• Study First Submitted: 2021-07-16
• Study First Submitted QC: 2021-07-16
• Study First Posted: 2021-07-21
• Study Start: 2021-07-25
• Primary Completion: 2023-09-15
• Study Completion: 2023-09-15
• Results First Submitted: 2024-06-07
• Status Verified: 2024-07
• Results First Submitted QC: 2024-07-09
• Last Update Submitted: 2024-07-09
• Results First Posted: 2024-07-25
• Last Update Posted: 2024-07-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1057

Inclusion Criteria

• Modified informed consent
• Adults ≥18 years
• American Society of Anaesthesiologists physical status 1-4
• Scheduled for hip arthroplasty, laparoscopy assisted colorectal surgery
• Personal visit the PACE clinic
• Anticipated overnight postoperative hospitalization
• Reasonable English fluency

Exclusion Criteria

• Opioid use for more than 30 consecutive days within three preoperative months, at a daily dose of 15 mg or more of morphine or equivalent
• Regional block or epidural analgesia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Analgesic education	Video on analgesic education	-
General perioperative education	Video on general perioperative education	-

Primary Outcome Measures

Name	Time	Method
Opioid Consumption	72 hours after surgery	Opioid consumption (morphine milligrams equivalent) during the initial 72 hours after surgery.

Secondary Outcome Measures

Name	Time	Method
Time-weighted Average Pain Scores	72 hours after surgery, or until discharge, whichever was earlier	Time-weighted average of pain scores obtained from electronic medical records. Pain scores were measured using the numeric rating scale ranging from 0-10, with 0 indicating the lowest pain (better) and 10 the highest pain (worse). Pain scores were recorded approximately every 15 minutes in the post-anesthesia care unit and then every 4 hours in the ward.
Satisfaction With Post Operative Pain Management	3 days after surgery	Patient satisfaction measured using Likert scale 0-10 with 0 meaning not satisfied and 10 meaning completely satisfied.

Trial Locations

Locations (1)

Cleveland Clinic; 🇺🇸 Cleveland, Ohio, United States