Shared Decision-Making Tool for Opioid Prescribing After Ambulatory Hand Surgery in Veterans

Shared Decision-Making Tool for Opioid Prescribing After Ambulatory Orthopedic Surgery in Veterans - A Randomized Controlled Clinical Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04625231

Enrollment

Registered

2020-11-12

Start date

2018-11-09

Completion date

2022-05-30

Last updated

2022-08-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Opioid Use, Surgery

Keywords

orthopedics, hand surgery, opioid use, counseling, education

Brief summary

The purpose of this study is to determine if an educational patient-centered presentation reduced the amount of opioid pills requested and utilized by patients compared to standard of care group.

Interventions

BEHAVIORALEducational Shared-Decision Making Tool

Patients received a short video presentation on pain management, use of over the counter medication, side effects of opioids and over-the-counter medications and ability to choose the amount of opioid pills up to the standard care amount.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

TRIPLE (Subject, Caregiver, Investigator)

Masking description

Both patients and investigators were blinded to group assignment until an envelope was opened after the patient consented.

Eligibility

Sex/Gender

ALL

Age

18 Years to 89 Years

Healthy volunteers

Inclusion criteria

* 1\. Inclusion Criteria: * a. 18-89 years of age * b. Patient at the Orthopedic Department at the Veterans Health Administration * c. Indicated for upper extremity surgeries: E.g., Carpal Tunnel Release, Trigger Finger Release, Cubital Tunnel Release, Ganglion Cyst Excision * 2\.

Exclusion criteria

* a. History of opioid use disorder * b. Had any recent surgery within four weeks of upper extremity procedure * c. Taking opioids prior to surgery * d. Returning to an institutionalized setting * e. Pregnancy * f. Unable to communicate in the English language * g. Allergy to any medication recommended for post-operative analgesia

Design outcomes

Primary

Measure	Time frame
Number of Opioid Pills Dispensed	1 day (Once after surgery)
Number of Opioid Pills Consumed	4 weeks

Secondary

Measure	Time frame	Description
Patient-Reported Outcomes Measurement Information System Pain Interference Score	Once a week for 4 weeks after surgery	Lower scores are better
Patient-Reported Outcomes Measurement Information System Pain Intensity Score	Once a week for 4 weeks after surgery	Lower scores are better

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026