Status:

COMPLETED

Impact of Counseling and Education on Opioid Consumption After ACL Reconstruction

Lead Sponsor:

University of Maryland, Baltimore

Conditions:

Pain, Postoperative

Opioid Use

Eligibility:

All Genders

14+ years

Phase:

NA

Brief Summary

Research question: Does an opioid limiting pain management counseling and education program result in decreased opioid consumption and improved pain control compared to traditional pain management pro...

Detailed Description

Prescription narcotic pain medications (opioids) were responsible for roughly 17,000 deaths in 2016 in the United States. Orthopedic surgeons were responsible for prescribing the third highest percent...

Eligibility Criteria

Inclusion

  • Men and women aged 14 years and older
  • All patients scheduled to undergo an ACLR with or without concomitant procedures such as arthroscopic cartilage procedures, meniscus repair or meniscectomy, and/or lateral extraarticular tenodesis (anterolateral ligament reconstruction)
  • Willing to participate in a perioperative pain management education and counseling program
  • Willing to track pain levels and opioid consumption through surveys administered via text
  • Willing to receive a perioperative regional nerve block
  • Language skills and cognitive ability required to participate in the study
  • Provision of informed consent

Exclusion

  • Revision ACLR
  • Concomitant open cartilage procedures or additional knee ligament repair or reconstruction
  • Concomitant injury that would also influence pain management
  • History of heroin use or opioid abuse requiring treatment
  • If any previous ipsilateral knee surgery except for knee arthroscopy
  • Preoperative Kellgren-Lawrence grade 3 and 4 on weightbearing radiographs
  • An allergy to any of the study medications
  • Previously enrolled in the CARE trial
  • Anticipated problems with the patient returning for follow-up or accurate completion of survey
  • If patient cannot reliably receive texts and use internet to complete surveys

Key Trial Info

Start Date :

May 12 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 29 2025

Estimated Enrollment :

121 Patients enrolled

Trial Details

Trial ID

NCT04885231

Start Date

May 12 2021

End Date

April 29 2025

Last Update

May 2 2025

Active Locations (1)

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1

University of Maryland Rehabilitation and Orthopaedic Institute

Baltimore, Maryland, United States, 21207