Clinical trial NCT04498559: Patient Knowledge on Pain Management and Safe Opioid Use
Official title: Evaluating Patient Knowledge of Pain Management and Safe Opioid Use Before Surgery
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Opioid Use
Lead sponsor: Hospital for Special Surgery, New York
Sponsor class: OTHER
First posted: 2020-08-04
Enrollment: 128
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients undergoing primary total hip replacement surgery.

Brief summary: The purpose of this study is to examine what patients currently know about opioids, including their role in pain management, side effects, risks of abuse, and proper storage and disposal. It is critical for patients to be properly informed about opioid usage in treating postoperative pain, but current gaps in patient knowledge are not well understood.

This study will help identify knowledge deficiencies and guide future patient education. Additionally, this study will examine possible patient factors that may be associated with these gaps. Evaluation of patient knowledge will be assessed through interviews conducted before patients' day of surgery.

Detailed description: Opioids are frequently prescribed to treat pain after surgery, and while these medications may be effective analgesics they are also susceptible to misuse and addiction. There are growing concerns that prescription opioids contribute to the existing opioid supply and become potential sources for abuse1,2. In fact, opioids are often abused by those using medications not prescribed to them but obtained from friends or relatives3,4.

Many patients who undergo surgery are not given adequate information about opioids and strategies for postoperative pain management. Studies find that inadequate knowledge and inability to recall postoperative pain regimens result in poor compliance5. Many patients are also unaware of how to properly store and dispose of prescription opioids1,6 and this predisposes them to opioid misuse and improper saving and sharing of pills6.

Little is known, however, about the specific gaps in knowledge and what patient demographics may be associated with lack of understanding. As an initial step toward addressing these issues, this study seeks to identify deficiencies in patient understanding of opioids and pain management.

Eligibility criteria: Inclusion Criteria:

* Age range between 18 and 80 years old
* Undergoing primary total hip replacement surgery
* English speaking

Exclusion Criteria:

* Medical background (profession that involves the prescribing, dispensing, handling, or administering of opioids)
* History of chronic opioid use (continuous opioid use for 3 or more months)
* Opioid use within the past 3 months
* Non-English speakers

Primary outcomes:
measure: Patient's knowledge about opioids based on a qualitative assessment
timeFrame: Prior to surgery
Secondary outcomes:
measure: Age
timeFrame: Prior to surgery
measure: Sex
timeFrame: Prior to surgery
measure: Race
timeFrame: Prior to surgery
measure: Ethnicity
timeFrame: Prior to surgery
measure: Previous surgeries
timeFrame: Prior to surgery
measure: Previous opioid usage
timeFrame: Prior to surgery
measure: Education level
timeFrame: Prior to surgery
measure: Occupation
timeFrame: Prior to surgery
measure: Alcohol and tobacco use
timeFrame: Prior to surgery
Other outcomes:
Locations:
city: New York
country: United States
facility: Hospital for Special Surgery
state: New York
Study officials:
affiliation: Hospital for Special Surgery, New York
name: Bradley H Lee, MD
role: PRINCIPAL_INVESTIGATOR
References: