Opioid Use After Urogynecologic Procedures: Using a Predictive Calculator
Primary Purpose
Post Operative Pain, Opioid Use, Prolapse Genital
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Opioid calculator
Standard opioid prescription
Sponsored by
About this trial
This is an interventional treatment trial for Post Operative Pain focused on measuring post operative pain, opioid use, urogynecologic surgery
Eligibility Criteria
Inclusion Criteria:
- Age 18-89
- Able to provide informed consent
- Patients undergoing any of below urogynecologic procedures
Included urogynecologic procedures:
Sacrocolpopexy - robotic or laparoscopic
- With or without hysterectomy
- With or without salpingo-oophorectomy
- With or without anterior colporrhaphy
- With or without posterior colporrhaphy/perineorrhaphy
- With or without midurethral sling
Sacrospinous ligament fixation
- With or without hysterectomy
- With or without salpingo-oophorectomy
- With or without anterior colporrhaphy
- With or without posterior colporrhaphy/perineorrhaphy
- With or without midurethral sling
Uterosacral ligament suspension - robotic, laparoscopic, or vaginal
- With or without hysterectomy
- With or without salpingo-oophorectomy
- With or without anterior colporrhaphy
- With or without posterior colporrhaphy/perineorrhaphy
- With or without midurethral sling
Colpocleisis
- Lefort colpocleisis
- Complete colpectomy with colpocleisis
- Isolated anterior and/or posterior colporrhaphy
Exclusion Criteria:
- Non-English speakers
- pre-operative diagnosis of cancer
- scheduled for any concurrent non-urogynecologic procedure (ex: abdominoplasty)
- <18 years or >89 years of age
- unable to provide informed consent
Sites / Locations
- University Hospitals Cleveland Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Standard Opioid Prescription
Opioid Calculator Prescription
Arm Description
Patients will be given a prescription for opioid pain medication to use for acute postoperative pain as would be typical for the attending surgeon performing the surgery.
Patients will be a given a prescription for opioid pain medication based on the opioid calculator.
Outcomes
Primary Outcome Measures
Change in pain scores measured by team-created pain questionnaires
Pain questionnaire is a 2 question survey that ask patients to rate pain on scale of 0 (no pain) to 10 (worst pain) immediately post-op and current. Baseline will be calculated by asking patient's expected post-op pain score.
Secondary Outcome Measures
Change in satisfaction scores measured by team-created questionnaire
Questionnaire is a 1 question survey that ask patients to rate their satisfaction with their pain control on scale of 0 (totally unsatisfied) to 10 (totally satisfied) immediately post-op and current.
Change in number of opioid tablets remaining measured by team-created questionnaire
Patients will be asked the number of tablets remaining from their opioid prescriptions.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05571072
Brief Title
Opioid Use After Urogynecologic Procedures: Using a Predictive Calculator
Official Title
Opioid Use After Urogynecologic Procedures: Using a Predictive Calculator
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 2, 2023 (Actual)
Primary Completion Date
November 1, 2024 (Anticipated)
Study Completion Date
November 1, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
David Sheyn
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine if the investigators can precisely predict how much pain medication the subjects will need after surgery using a special calculator that was developed for this purpose.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post Operative Pain, Opioid Use, Prolapse Genital
Keywords
post operative pain, opioid use, urogynecologic surgery
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
118 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Standard Opioid Prescription
Arm Type
Active Comparator
Arm Description
Patients will be given a prescription for opioid pain medication to use for acute postoperative pain as would be typical for the attending surgeon performing the surgery.
Arm Title
Opioid Calculator Prescription
Arm Type
Experimental
Arm Description
Patients will be a given a prescription for opioid pain medication based on the opioid calculator.
Intervention Type
Other
Intervention Name(s)
Opioid calculator
Intervention Description
Our research group previously created an Opioid calculator that can be used to predict the number of opioids needed post-operatively based on patient health history and characteristics.
Intervention Type
Other
Intervention Name(s)
Standard opioid prescription
Intervention Description
Patients will receive prescription for post-operative opioids based on what the attending surgeon usually provides.
Primary Outcome Measure Information:
Title
Change in pain scores measured by team-created pain questionnaires
Description
Pain questionnaire is a 2 question survey that ask patients to rate pain on scale of 0 (no pain) to 10 (worst pain) immediately post-op and current. Baseline will be calculated by asking patient's expected post-op pain score.
Time Frame
baseline, 1 week post-op, 2 weeks post-op
Secondary Outcome Measure Information:
Title
Change in satisfaction scores measured by team-created questionnaire
Description
Questionnaire is a 1 question survey that ask patients to rate their satisfaction with their pain control on scale of 0 (totally unsatisfied) to 10 (totally satisfied) immediately post-op and current.
Time Frame
1 week post-op, 2 weeks post-op
Title
Change in number of opioid tablets remaining measured by team-created questionnaire
Description
Patients will be asked the number of tablets remaining from their opioid prescriptions.
Time Frame
1 week post-op, 2 weeks post-op
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
89 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age 18-89
Able to provide informed consent
Patients undergoing any of below urogynecologic procedures
Included urogynecologic procedures:
Sacrocolpopexy - robotic or laparoscopic
With or without hysterectomy
With or without salpingo-oophorectomy
With or without anterior colporrhaphy
With or without posterior colporrhaphy/perineorrhaphy
With or without midurethral sling
Sacrospinous ligament fixation
With or without hysterectomy
With or without salpingo-oophorectomy
With or without anterior colporrhaphy
With or without posterior colporrhaphy/perineorrhaphy
With or without midurethral sling
Uterosacral ligament suspension - robotic, laparoscopic, or vaginal
With or without hysterectomy
With or without salpingo-oophorectomy
With or without anterior colporrhaphy
With or without posterior colporrhaphy/perineorrhaphy
With or without midurethral sling
Colpocleisis
Lefort colpocleisis
Complete colpectomy with colpocleisis
Isolated anterior and/or posterior colporrhaphy
Exclusion Criteria:
Non-English speakers
pre-operative diagnosis of cancer
scheduled for any concurrent non-urogynecologic procedure (ex: abdominoplasty)
<18 years or >89 years of age
unable to provide informed consent
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hope Bauer, MD
Phone
989-464-2537
Email
hope.bauer@uhhospitals.org
First Name & Middle Initial & Last Name or Official Title & Degree
David Sheyn, MD
Email
david.sheyn@uhhospitals.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Sheyn, MD
Organizational Affiliation
University Hospitals Cleveland Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospitals Cleveland Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Sheyn, MD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Opioid Use After Urogynecologic Procedures: Using a Predictive Calculator
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