Opioid Use in Shoulder Arthroplasty Patients: A Stratification and Algorithm

Study Overview
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Brief Summary
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The investigators aim to better understand opioid use in patients undergoing elective shoulder surgery. The investigators will prospectively determine actual postoperative opioid use, while evaluating whether implementation of an educational session with pain contract would help minimize opioid use.

Detailed Description
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The investigators aim to better understand opioid use in patients undergoing elective shoulder surgery. As part of a multi-part investigation, The investigators intend to prospectively determine actual postoperative opioid use, while evaluating whether implementation of an educational session with pain contract would help minimize opioid use. Through use of a teaching session and pain contract, it is hypothesized opioid use would decrease. The investigators hypothesize the use of a pain contract and thorough discussion regarding proper opioid use and side-effects, will decrease the amount of postoperative opioid use.

Official Title
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Opioid Use in Shoulder Arthroplasty Patients: A Stratification and Algorithm

Conditions
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Opioid Use

Intervention / Treatment
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* Behavioral: opioid education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older with capacity to consent presenting to UC Davis Medical Center Department of Orthopedic Surgery and planning to undergo elective shoulder surgery Exclusion Criteria: unable to consent prisoners children pregnant women

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: education<br>The teaching arm would consist of a standardized dialogue the surgeon will complete with the patient in order to familiarize the patient with the risks of over-prescribing opioid medication and set patient expectations regarding the clinic's opioid prescribing pattern protocol, in an effort to minimize the number of opioid pills prescribed or refills required, the amount actually used, and the untoward side effects of opioid use (e.g. respiratory depression, nausea, sedation, restriction from driving, and access to and use by those the medication was not intended). | Behavioral: opioid education<br>* see arm/group descriptions<br>|
| No Intervention: no education<br>Standard preoperative care without dedicated teaching regarding opioid use and risks | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Opioid use | Total opioid use | 6 months after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of refills | Necessary refills related to surgical pain | 6 months after surgery |