Anticipated Versus Actual Patient and Caregiver Burden Following Ambulatory Orthopedic Surgery

NCT02550886 | Terminated

• 1 other identifier: 2014-395
• Study Type: observational
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

In 2011, 38.6 million hospital stays occurred in the United States at a cost of $387.2 billion. 47.9 percent involved hospitalizations during which surgical procedures were performed. Orthopedic procedures constituted the most frequently performed and most costly of operating room procedures. As the healthcare climate in the United States continues to change, there is a trend towards providing effective care in a fiscally conservative manner. Central to this strategy is the shift towards increasing ambulatory surgical procedures from surgeries requiring post-operative admission for patients. While savings to hospitals and third-party payers are implied, there may be an unrecognized increase in financial, physical, and psychosocial post-operative costs to patients undergoing ambulatory surgery and to their caregivers. Rawal et al., and McGarth and colleagues have found that patients undergoing orthopedic procedures had moderate to severe post-operative pain. We propose to present a survey to patients and their caregivers before surgery and at multiple timepoints post-operatively to acquire information on the impacts of ambulatory orthopedic surgery. In addition to assessing post-operative pain, this study serves to examine various other possible burdens to patients that have not been previously evaluated in this patient population. REFERENCES McGarth B, Elgendy H, Chung F, Kamming D, Curti B, King S. Thirty percent of patients have a moderate to severe pain 24 hr after ambulatory surgery: a survey of 5,703 patients. Can J Anesth. 2004; 51:886-891. Rawal N, Hylander J, Nydahl P, Olofsson I, Gupta A. Survey of postoperative analgesia following ambulatory surgery. Acta Anesthesiol Scand. 1997; 41:1017-1022.

Conditions

Stress, Psychological; Pain

Keywords

Work Burden; Ambulatory Orthopedic Surgery; Anesthesiology; Perioperative Care

Outcome Measures

Primary Outcomes (1)

• Time taken off from work--specifically, the number of extra days taken off from work by patients and their caregivers after surgery

  Patients and caregivers will be considered able to return to their baseline level of work once they can fulfill all responsibilities at their current occupation with no restrictions.

  Holding area before surgery, post-operative day 1 (POD 1), POD 7, biweekly thereafter until patient returns to baseline level of work, and two weeks after patient returns to baseline level of work

Secondary Outcomes (2)

• Expected Burden of Recovery

  Holding area before surgery, post-operative day 1 (POD 1), POD 7, biweekly thereafter until patient returns to baseline level of work, and two weeks after patient returns to baseline level of work

• Excess (Actual Beyond Expected) Burden of Recovery

  Holding area before surgery, post-operative day 1 (POD 1), POD 7, biweekly thereafter until patient returns to baseline level of work, and two weeks after patient returns to baseline level of work

Study Arms (1)

Patient/Caregiver Dyad

Other: Survey

Interventions

Survey OTHER

Patients and their caregivers will be asked to complete surveys about their expected and actual time taken off from work. They will also answer questions about the patient's recovery, as well as the patient/caregiver relationship.

Patient/Caregiver Dyad

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients undergoing outpatient arthroscopic knee debridement or meniscectomy surgery at Hospital for Special Surgery

You may qualify if:

• Patients undergoing outpatient arthroscopic knee debridement or meniscectomy surgery
• Age 18-85
• Primary caregiver available during preoperative period who is employed full-time or part-time
• English speaking
• Patients who are employed full-time or part-time

You may not qualify if:

• Patients on disability or worker's compensation
• Patients undergoing concurrent procedures
• Patients who are self-employed
• Caregivers who are self-employed
• Surgeons: Dr. Altchek, Dr. Warren, Dr. O'Brien

Sponsors & Collaborators

• Hospital for Special Surgery, New York: lead

Study Sites (1)

Hospital for Special Surgery (HSS)

New York, New York, 10021, United States

Location

Related Publications (2)

• McGrath B, Elgendy H, Chung F, Kamming D, Curti B, King S. Thirty percent of patients have moderate to severe pain 24 hr after ambulatory surgery: a survey of 5,703 patients. Can J Anaesth. 2004 Nov;51(9):886-91. doi: 10.1007/BF03018885.

  PMID: 15525613 BACKGROUND

• Rawal N, Hylander J, Nydahl PA, Olofsson I, Gupta A. Survey of postoperative analgesia following ambulatory surgery. Acta Anaesthesiol Scand. 1997 Sep;41(8):1017-22. doi: 10.1111/j.1399-6576.1997.tb04829.x.

  PMID: 9311400 BACKGROUND

MeSH Terms

Conditions

Stress, Psychological; Pain

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Kanupriya Kumar, MD

  Hospital for Special Surgery, New York

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 31, 2015
• First Posted: September 16, 2015
• Study Start: December 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 10, 2016
• Last Updated: April 1, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)