Opioid Reduction Toolkit Reduces Opioids Prescribed and Consumed

Study Overview
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Brief Summary
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Investigators studied a baseline population of patients receiving pancreatectomies at their institution and determined how many opioid pills each patient was prescribed and how many they took. Based on this data they created a toolkit to provide to prescribers to give patients a modified number of pills. The amount prescribed and consumed was measured after intervention.

Detailed Description
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A single academic surgical department reviewed opioid treatment patterns for patients undergoing common procedures, including open pancreatectomy, and an opioid reduction toolkit using the data collected was created. Providers were educated on the use of the toolkit and it was implemented as a standard of practice. Data were collected on pancreatectomy patients via telephone interview (performed at 2 weeks post-op) and by reviewing the state prescription drug monitoring program. Outcome variables included morphine milliequivalents (MME) of pills prescribed, MME of pills consumed, number of patients aware of proper unused pill disposal, number of patients requesting refills, and pain scores. Categorical and continuous outcomes were compared within and between groups.

Official Title
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Successful Implementation of an Opioid Reduction Toolkit in Pancreatectomy Patients Significantly Decreases Number of Opioids Prescribed and Consumed

Conditions
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Opioid Abuse, Opioid Misuse, Pain

Intervention / Treatment
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* Drug: Oxycodone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age > 18 Being scheduled for an outpatient elective pancreatectomy Exclusion Criteria: Urgent/emergent status Concomitant procedure being performed at time of pancreatectomy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Control group, measurement, intervention group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Normal Standard Practices of Prescribing | |
| Experimental: Intervention<br>Providers prescribed a base of 15 narcotic pills | Drug: Oxycodone<br>* Providers had to prescribe 15 oxycodone pills to each patient discharge<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of opioid pills reported being taken by the patient | Patients will be interviewed fourteen days after procedure and asked how many opioid pills they have taken since being discharged form the hospitals | 14 days | 
| Number of opioid pills being prescribed | Discharge paperwork and prescription information will be searched to determine the number of opioid pills were provided to the patient at discharge | 14 days |