Inguinal Hernia, Opioid Use, Ventral Hernia
Conditions
Brief summary
The effect of pain agreements to reduce opioid misuse is an accepted practice in many settings, but it has never been applied to the acute care setting. Pain agreements are considered the standard of care for chronic pain management reliant on opioid prescribing, and they are a mandated component of care in many states. Therefore, the adjunct of safe opioid use agreements into acute pain management offers a logical extension of current practices from chronic pain management. This study will test the use of agreements to improve safe opioid use to prevent misuse and opioid-related harm.
Interventions
OTHEROpioid Use Agreement
This was previously developed specifically for surgical patients using a modified Delphi method with a group of experts (including surgeons, nurses, advanced practices providers, quality improvement experts, and patients).
Sponsors
Northwestern University
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients (at least 18 years of age), of any gender, who speak English or Spanish, undergoing general surgery procedures with a high likelihood of receiving an opioid prescription (bariatric, inguinal hernia, or ventral hernia), who have their preoperative appointment at UT Physicians Health Center at Memorial Hermann Sugar Land Medical Plaza, Lyndon Baines Johnson, and Bellaire
Exclusion criteria
Patients with a known allergy or contra-indication to opioids, pregnancy, signification cognitive impairment, history of opioid misuse/abuse, chronic opioid use, readmission before the follow up appointment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient self-reported disposal of prescription opioids | 25-40 days after surgery | Patient self-reported disposal of prescription opioids |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioid pills leftover | 25-40 days after surgery | Number of opioid pills left over if opioid prescription was filled |
| Opioid pills used | 25-40 days after surgery | Number of opioid pill used if opioid prescription was filled |
| Storage method | 25-40 days after surgery | If opioid prescription was filled, how the opioid pills were stored |
| Disposal method | 25-40 days after surgery | If opioid prescription was filled, how the opioid pills were disposed |
| Other pain management strategies | 25-40 days after surgery | Other pain management strategies that were used |
Countries
United States
Outcome results
None listed