Clinical trial NCT03422211: A Prospective Assessment of Opioid Utilization Post-operatively in Sports Orthopaedic Surgeries
Official title: A Prospective Assessment of Opioid Utilization Post-operatively in Sports Orthopaedic Surgeries
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Narcotic Use
Postoperative Pain
Narcotic Abuse
Opioid Use
Opioid Abuse, Uncomplicated
Opioids; Harmful Use
Analgesic Drug Dependence
Orthopedic Disorder
Lead sponsor: St. Louis University
Sponsor class: OTHER
First posted: 2018-02-05
Enrollment: 223
Sex: ALL
Minimum age (years): 10
Maximum age (years): 100
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Have undergone an orthopaedic sports surgery

Brief summary: There was a study titled "A prospective evaluation of opioid utilization after upper extremity surgical procedures: Identifying consumption patterns and determining prescribing guidelines" by Dr. Matzon and team from Thomas Jefferson University that came up with a simple set of opioid guidelines post-surgically. These guidelines are helping to guide surgeon's prescribing patterns and ideally limit the number of prescribed pain medicines. We plan to identify typical narcotic analgesic usage post sports orthopaedic surgery. We hope to identify the number of narcotic pain pills to prescribe to patients undergoing orthopaedic sports surgery in the future.

Detailed description: 1, Consent patients undergoing sports orthopaedic surgery in clinic or in pre-operative holding area and also administer first questionnaire, opioid risk tool, and pain catastrophizing scale(research) 2. Sports orthopaedic surgery (standard of care) 3. Post-op pain control regimen (standard of care) 4. Call or email patient with questionnaire every day for a week followed by weekly for 7 more weeks. The children's questionnaire will be child specific and the parent will assist the child. Will also use a picture of Wong-Baker Faces to help children identify where their pain scale is which will be given to the patient the same day that the consent is obtained to use at home(research). Questionnaire should take less than 5 minutes and will include questions about how well their pain is controlled, how many analgesic medications they have taken, and if they have tried anything else for pain. (Research) 5. Patient will continue to go to post-operative appointments as scheduled. (standard of care) 6. Will store the data from the phone calls on the secured T drive. (Research)

Eligibility criteria: Inclusion Criteria:

* analgesics prescribed to patient

Patients that have undergone orthopaedic sports surgeries that Dr. Kaar and Dr. Kim performed with some of the examples being:

Acromioplasty Rotator cuff repair Labral repair Proximal humerus repair versus arthroplasty Elbow instability repair Elbow arthroplasty Hip arthroscopy Hip cam lesion repair Knee arthroscopy Knee ligament repair Knee meniscus repair Achilles tendon repair Cartilage preserving procedures

Exclusion Criteria:

mental retardation inmates non-english speaking pregnant on-call trauma cases

Primary outcomes:
measure: Number of narcotic analgesics consumed
timeFrame: 2 months
Secondary outcomes:
Other outcomes:
Locations:
city: Saint Louis
country: United States
facility: Cardinal Glennon
state: Missouri
city: Saint Louis
country: United States
facility: Anheuser Busch Institute
state: Missouri
city: Saint Louis
country: United States
facility: SSM Health St. Mary's Hospital - St. Louis
state: Missouri
Study officials:
affiliation: St. Louis University
name: John M Capelle, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kim N, Matzon JL, Abboudi J, Jones C, Kirkpatrick W, Leinberry CF, Liss FE, Lutsky KF, Wang ML, Maltenfort M, Ilyas AM. A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines. J Bone Joint Surg Am. 2016 Oct 19;98(20):e89. doi: 10.2106/JBJS.15.00614.