Opioid Consumption in Cystectomy Patients
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | January 17, 2018 |
| End Date: | December 31, 2019 |
| Contact: | January Kim |
| Email: | january.kim@osumc.edu |
| Phone: | 614-293-3559 |
Opioid Consumption After Hospital Discharge in Cystectomy Patients
At the Ohio State University, and across the country, surgical patients admitted to the
hospital are over-prescribed a significant amount of opioid medications upon discharge to
home. Recent studies reveal that a large percentage of patients prescribed opioid medications
after surgery have approximately half of the prescribed medication left over. This study aims
to evaluate reported opioid use after surgery in patients undergoing cystectomy in order to
better approach the issue with current opioid use and abuse trends while still providing
adequate medical care and pain management to patients.
hospital are over-prescribed a significant amount of opioid medications upon discharge to
home. Recent studies reveal that a large percentage of patients prescribed opioid medications
after surgery have approximately half of the prescribed medication left over. This study aims
to evaluate reported opioid use after surgery in patients undergoing cystectomy in order to
better approach the issue with current opioid use and abuse trends while still providing
adequate medical care and pain management to patients.
Previous studies show that 67% of patients prescribed opioid medications in urologic
procedures and surgeries had leftover opioid medications with a mean use of about half the
medications prescribed. A similar study in thoracic surgery patients reported similar results
with 71% of patients admitting to taking half or less of their prescribed opioid medications.
Recent advancements in cystectomy protocol have already shown promise with reducing hospital
length of stay from eight to four days, including the simultaneous reduction of opioid
analgesics for pain management, with 4.9 mg morphine equivalents per day when using enhanced
recovery techniques compared to 20.67 mg in traditional care. Results of the current
prospective study could further support these results and include low to no risk assessments
and follow-up phone calls. This study is observational and involves consenting adult patients
undergoing cystectomy to pre-operative assessments including the Self Administered
Gerocognitive Exam (SAGE) questionnaire, a cognitive test to identify mild-moderate cognitive
impairment, and collection of demographic data and medical history. Phone call follow-ups
include assessments of post-discharge pain and opioid consumption, and completing verbally an
adapted Activities of Daily Living questionnaire. No additional risks have been identified by
participating in this study. Participants may not directly benefit from participating in this
trial, but the data collected could provide valuable insight into the discrepancy between
required opioid pain medications and opioid pain medication prescription for adequate pain
management. This insight could then be applied to reevaluate post-discharge pain management
procedures and standards of care, therefore curbing opioid use and abuse trends
procedures and surgeries had leftover opioid medications with a mean use of about half the
medications prescribed. A similar study in thoracic surgery patients reported similar results
with 71% of patients admitting to taking half or less of their prescribed opioid medications.
Recent advancements in cystectomy protocol have already shown promise with reducing hospital
length of stay from eight to four days, including the simultaneous reduction of opioid
analgesics for pain management, with 4.9 mg morphine equivalents per day when using enhanced
recovery techniques compared to 20.67 mg in traditional care. Results of the current
prospective study could further support these results and include low to no risk assessments
and follow-up phone calls. This study is observational and involves consenting adult patients
undergoing cystectomy to pre-operative assessments including the Self Administered
Gerocognitive Exam (SAGE) questionnaire, a cognitive test to identify mild-moderate cognitive
impairment, and collection of demographic data and medical history. Phone call follow-ups
include assessments of post-discharge pain and opioid consumption, and completing verbally an
adapted Activities of Daily Living questionnaire. No additional risks have been identified by
participating in this study. Participants may not directly benefit from participating in this
trial, but the data collected could provide valuable insight into the discrepancy between
required opioid pain medications and opioid pain medication prescription for adequate pain
management. This insight could then be applied to reevaluate post-discharge pain management
procedures and standards of care, therefore curbing opioid use and abuse trends
Inclusion Criteria:
- patients undergoing cystectomy
- Capable and willing to consent
- Participants literate in English language
Exclusion Criteria:
- History of drug and/or alcohol abuse/dependency
- Ketamine use during hospitalization
- Illiteracy
- Presence of a clinically diagnosed major psychiatric condition such as bipolar
disorder, uncontrolled major depression, schizophrenia
- Any condition that the principle investigator may disqualify the patient
We found this trial at
1
site
410 W 10th Ave
Columbus, Ohio 43210
Columbus, Ohio 43210
(614) 293-8652
Phone: 614-293-0775
The Ohio State University, Wexner Medical Center Located in Columbus, The Ohio State University Wexner...
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