Study of Opioid Use After Lumbar and Cervical Spine Surgery
| Status: | Completed |
|---|---|
| Conditions: | Back Pain, Orthopedic, Psychiatric, Gastrointestinal, Pain |
| Therapuetic Areas: | Gastroenterology, Musculoskeletal, Psychiatry / Psychology, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 10/28/2018 |
| Start Date: | August 2015 |
| End Date: | June 1, 2018 |
The Effect of a Brief Pre-operative Pain Medication Educational Video on Post-operative Prescriptoin Opioid Medication Use in Patients Undergoing Spine Surgery. A Randomized Controlled Trial
The purpose of this project is to assess the impact of an educational video on the use of
prescription opioid medication during a 6-month period following spine surgery. Subjects will
be recruited from the pool of patients coming in for the pre-operative appointment prior to
spine surgery. Patients that consent and enroll will be randomized to receive either a brief
educational video at this appointment or usual care. Patients will be followed after surgery
weekly for the first month, and then again at 6 months to determine their prescription opioid
medication utilization patterns. Prescription data will also be pulled from electronic
medical records.
prescription opioid medication during a 6-month period following spine surgery. Subjects will
be recruited from the pool of patients coming in for the pre-operative appointment prior to
spine surgery. Patients that consent and enroll will be randomized to receive either a brief
educational video at this appointment or usual care. Patients will be followed after surgery
weekly for the first month, and then again at 6 months to determine their prescription opioid
medication utilization patterns. Prescription data will also be pulled from electronic
medical records.
After consenting, meeting inclusion criteria, and enrollment, all participants will complete
several standard self-report questionnaires related to medical history, social demographic,
and psychosocial variables that are related to low back pain, and often used in clinics that
manage patients with low back pain. They will then be randomized to either receive the
education, or only usual care (which is the typical information the surgeon provides the
patient verbally during the pre-operative appointment). All patients will receive the usual
care education from their surgeon.
Education Group:
The educational video is a whiteboard style patient-centric video. The content of the
education focus on providing a historical perspective for opioid prescription from the time
when the risk of dependence was highly underestimated. The video discusses the current
evidence for the effect of opioid medications in non-cancer on-acute pain. It also discusses
some of the dangers of long-term opioid usage.
All Subjects:
All subjects will receive the usual care education that is typically given by their surgeon.
That will be left up to the discretion of each surgeon.
All patients will proceed with the surgical procedure as planned. Each week during the
1-month period after the surgery, patients will be contacted, and then again at 6 months to
ask history of prescription opioid utilization.
several standard self-report questionnaires related to medical history, social demographic,
and psychosocial variables that are related to low back pain, and often used in clinics that
manage patients with low back pain. They will then be randomized to either receive the
education, or only usual care (which is the typical information the surgeon provides the
patient verbally during the pre-operative appointment). All patients will receive the usual
care education from their surgeon.
Education Group:
The educational video is a whiteboard style patient-centric video. The content of the
education focus on providing a historical perspective for opioid prescription from the time
when the risk of dependence was highly underestimated. The video discusses the current
evidence for the effect of opioid medications in non-cancer on-acute pain. It also discusses
some of the dangers of long-term opioid usage.
All Subjects:
All subjects will receive the usual care education that is typically given by their surgeon.
That will be left up to the discretion of each surgeon.
All patients will proceed with the surgical procedure as planned. Each week during the
1-month period after the surgery, patients will be contacted, and then again at 6 months to
ask history of prescription opioid utilization.
Inclusion Criteria:
1. Currently scheduled for a pre-operative appointment with an orthopaedic spine surgeon
or neurosurgeon specifically for a lumbar surgery.
2. Surgery is taking place for a condition that has been ongoing for 6 months or longer
(chronic)
3. Between the age of 18 - 65 years
4. Read and speak English well enough to understand the education, provide informed
consent and follow study instructions
Exclusion Criteria:
a. Known aversion or allergy that would prevent the patient from taking any opioid based
pain medication
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