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临床试验/NCT04976387
NCT04976387已完成3 期

Assessing Perceived Quality of Care With Differing Pain Management Protocols After Outpatient Otolaryngology Procedures

Loma Linda University1 个研究点 分布在 1 个国家目标入组 160 人开始时间: 2021年7月2日最近更新:
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试验速览

阶段
3 期
状态
已完成
入组人数
160
试验地点
1
主要终点
Patient satisfaction with post operative pain control

研究概览

简要总结

To understand how patients perceive the quality of care they receive when given different post-operative analgesic medications. Specifically the investigators want to assess whether patients who receive non-opioid analgesia following surgery endorse appropriate quality and satisfaction with their care compared to those who receive opioid medication.

详细描述

It is routine practice to give analgesic medication after any surgical procedure to provide adequate pain control for patients. However with the increase in abuse of opioid prescription medications, physicians have given a new emphasis to different pain regimens that aim to limit the use of opioid medications. The investigator's previous clinical trial demonstrated that for patients undergoing outpatient otolaryngology procedures, not only does Ibuprofen provide equally effective analgesia compared to opioid medication but it can also decrease overall opioid requirement.

In the current proposed study, the investigators wish to build on previous work. The investigators hypothesize that with the addition of Acetaminophen to Ibuprofen, patients undergoing outpatient otolaryngology procedures may not require opioid analgesia at all. While numerous studies corroborate these results, there is little information about patients' satisfaction with their care in light of a shifting emphasis on decreasing opioid prescription. The primary goal of the current study is to better understand patients' perception of care and level of satisfaction when given opioid versus non-opioid postoperative analgesia. If there is conflicting data with regards to patients reporting adequate pain control but poor satisfaction, then perhaps further public health intervention may be necessary to provide additional patient education to help re-establish appropriate and safe patient expectations for postsurgical analgesia.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

盲法说明

Researchers will not be blinded during the process of recruitment of patients due to necessity of prescribing specific medications. Researchers will be blinded during outcome assessment and data analysis.

入排标准

年龄范围
18 Years 至 89 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients between the ages of 18 and 89 years of age
  • Patients undergoing the following outpatient procedures:
  • total or partial thyroidectomy
  • parathyroidectomy
  • parotidectomy
  • submandibular gland excision
  • neck mass excision
  • facial mass excision
  • MOHS defect repair
  • excision of cutaneous lesions
  • Other surgeries may qualify and will be assessed on a case by case basis.

排除标准

  • Patients under 18 years old or older than 89 years old
  • Those allergic to Hydrocodone, Acetaminophen, or NSAIDS
  • Patients who are pregnant
  • Patients with chronic medical conditions including hepatic/renal disease that precludes their ability to utilize the study medications.

结局指标

主要结局

Patient satisfaction with post operative pain control

时间窗: First clinic visit after surgery (7 days)

Patients will be surveyed if they were satisfied with their pain regimen and efficacy of pain control on a scale of 1-5. With 1 being very unsatisfied and 5 being very satisfied.

次要结局

  • Efficacy of analgesic regimen and patient attitudes toward treatment they received(First clinic visit after surgery (7 days))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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