Status:
COMPLETED
Patient-Directed Postoperative Opioid Prescribing for Gynecologic Surgery
Lead Sponsor:
Mayo Clinic
Conditions:
Gynecology
Surgery
Eligibility:
FEMALE
18+ years
Phase:
PHASE2
PHASE3
Brief Summary
We would like to evaluate and optimize opioid prescribing after minimally invasive hysterectomy. Currently, our standard prescribing is 150 oral morphine equivalents. However, recent studies show that...
Detailed Description
There is an emphasis in patient centered care in medicine and part of this effort has evaluated the success of shared decision making in the care of the patient. Currently, there is strong research an...
Eligibility Criteria
Inclusion
- Inclusion criteria
- Female patients \>18 years old
- Ability to provide informed consent
- Planned minimally invasive hysterectomy with the Department of Gynecology o Concomitant minimally invasive surgeries performed by Gynecology will be allowed
- Exclusion criteria
- Non-English speaking
- Combined surgical cases with other surgical departments
- Planned laparotomy
- Surgery planned to last \>4 hours
- Postoperative hospitalization planned for \>7 days
- Planned use of oral opioids other than oxycodone postoperatively
- Pre-existing chronic pain conditions including: chronic pelvic pain, migraines, temporomandibular joint dysfunction syndrome, fibromyalgia, and interstitial cystitis
- Preoperative diagnosis of pelvic pain
- Chronic preoperative opioid use
- History of or current diagnosis of narcotic or alcohol dependence
- o Screening question asked at preoperative appointment: Have you or are you currently dependent on narcotic medications or alcohol?
- Desire for more opioids than standard therapy
- Postoperative decision of surgeon to prescribed more than standard therapy
- Allergy or contraindication to taking opioids, ibuprofen, or acetaminophen
Exclusion
Key Trial Info
Start Date :
January 15 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
April 15 2020
Estimated Enrollment :
65 Patients enrolled
Trial Details
Trial ID
NCT03805386
Start Date
January 15 2019
End Date
April 15 2020
Last Update
February 21 2021
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
Mayo Clinic in Arizona
Scottsdale, Arizona, United States, 85259