Effect of Preoperative Counseling on Postoperative Opioid Use Following Knee Arthroscopy.

NCT04083209 | Completed

• 1 other identifier: 1001
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

Our study looks to evaluate the effect of brief preoperative counseling on opioid use following knee arthroscopy. We aim to quantify the effect we have as providers in changing patient behavior postoperatively in terms of the type and amount of pain medication that is utilized.

Conditions

Opioid Use; Opioid-use Disorder

Outcome Measures

Primary Outcomes (1)

• Quantity of opioid pain medication used

  Patients will be tracked for the amount of opioid pain medication that is used during their postoperative course using a pill log.

  2 weeks

Secondary Outcomes (1)

• VAS pain scores

  2 weeks

Study Arms (2)

Counseling group

EXPERIMENTAL

Patients randomized into the "counseling group" will be given a 1-2 minute presentation over the risks of opioid pain medications during their preoperative visit.

Behavioral: Opioid counseling

Control group

NO INTERVENTION

The control group will undergo the standard preoperative evaluation by the senior author without any additional formal opioid counseling.

Interventions

Opioid counseling BEHAVIORAL

The formal opioid counseling will involve reading the recommendations for postoperative opioid use established by the Pennsylvania Orthopedic Society.

Counseling group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients aged 18-60, undergoing knee arthroscopic meniscectomy surgery

You may not qualify if:

• Non-english speaking, prisoners, those who cannot provide consent on their own, previous history of chronic opioid use, prior history of surgery on the ipsilateral knee, and those undergoing additional surgical procedures on the same knee at the time of the surgery

Sponsors & Collaborators

• Indiana University: lead

Study Sites (1)

IU Methodist Hospital

Indianapolis, Indiana, 46202, United States

Location

Related Publications (3)

• Tepolt FA, Bido J, Burgess S, Micheli LJ, Kocher MS. Opioid Overprescription After Knee Arthroscopy and Related Surgery in Adolescents and Young Adults. Arthroscopy. 2018 Dec;34(12):3236-3243. doi: 10.1016/j.arthro.2018.07.021. Epub 2018 Nov 2.

  PMID: 30396797 RESULT

• Rozet I, Nishio I, Robbertze R, Rotter D, Chansky H, Hernandez AV. Prolonged opioid use after knee arthroscopy in military veterans. Anesth Analg. 2014 Aug;119(2):454-459. doi: 10.1213/ANE.0000000000000292.

  PMID: 24977636 RESULT

• Alter TH, Ilyas AM. A Prospective Randomized Study Analyzing Preoperative Opioid Counseling in Pain Management After Carpal Tunnel Release Surgery. J Hand Surg Am. 2017 Oct;42(10):810-815. doi: 10.1016/j.jhsa.2017.07.003. Epub 2017 Sep 8.

  PMID: 28890331 RESULT

MeSH Terms

Conditions

Opioid-Related Disorders

Condition Hierarchy (Ancestors)

Narcotic-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Mitch Beckert, MD

  Indiana University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Assistant Clinical Professor

Model Details: Patients will be randomized into a treatment and control group.

Study Record Dates

• First Submitted: September 6, 2019
• First Posted: September 10, 2019
• Study Start: October 15, 2019
• Primary Completion: June 26, 2020
• Study Completion: June 26, 2020
• Last Updated: May 14, 2021

Record last verified: 2021-05

Locations

US (1)