Effect of Multidisciplinary Transitional Pain Service on Health Care Use and Costs Following Orthopedic Surgery.
Minkyoung Yoo, Michael J Buys, Richard E Nelson...
https://pubmed.ncbi.nlm.nih.gov/38812900Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID06223503
Reducing Chronic Opioid Use Among Veterans Undergoing Community Care Surgery Using a Transitional Pain Service
Led by VA Office of Research and Development · Updated on 2026-05-06
400
Participants Needed
1
Research Sites
17 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating a new approach called the Transitional Pain Service (TPS) to reduce chronic opioid use among Veterans undergoing orthopedic surgery through the VA Community Care Program. This study aims to determine if a telehealth version of TPS can safely manage pain and opioid use for Veterans receiving surgery outside VA Medical Centers. The study includes comparing opioid prescription patterns from non-VA providers to those from VA providers and understanding patient experiences with telehealth TPS. The TPS approach involves personalized pain management and nurse care coordination before, during, and for at least six months after surgery. Veterans at risk for chronic opioid use receive tailored plans that include education, non-drug therapies, and coordinated care transitions. Participants are randomly assigned to either telehealth TPS plus standard postoperative care or standard postoperative care alone. The study also involves interviews to identify factors that help or hinder opioid tapering after surgery. Participants will be monitored through telehealth visits and data collection on opioid use and pain outcomes for 90 days after surgery. Assessments include opioid dosage, pain intensity, pain interference, and care coordination measures. Researchers will also track opioid refills, tablets used, and timing of last opioid use. Follow-up includes visits with primary care providers to ensure continuity of care and evaluate the effectiveness of the telehealth program in reducing chronic opioid use.
CONDITIONS
Brief Title
VA Transitional Pain Service Study
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Veterans referred to the VA Community Care Program for orthopedic surgery from any VA medical center in VISN-19
- At least 18 years old
- Not on chronic opioids at the time of surgery
- Have a VA primary care provider
- Veterans who received the Transitional Pain Service and their referring VA Primary Care Providers for Aim 2
You will not qualify if you...
- Scheduled for surgery types other than orthopedic procedures
- On chronic opioid therapy before surgery
- Receiving hospice or end-of-life care
- Cognitively impaired or unable to complete follow-up visits
- Not randomized to the TPS Telehealth intervention for Aim 2
- Primary Care Providers who do not primarily work at the VA
- Veterans with major perioperative complications or extended hospital stay
- Discharged to a care facility or with scheduled readmissions within 90 days
- Veterans not randomized to the TPS Telehealth intervention for Aim 3
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or telehealth)
Transitional Pain Service
Duration - At least 6 months
Participants receive comprehensive pain management and care coordination before, during, and for at least 6 months after orthopedic surgery to reduce chronic opioid use and improve recovery.
Regular telehealth visits before surgery and during the 6 months after surgery
Standard Postoperative Follow-Up Care
Duration - Up to 90 days after surgery
Participants receive standard follow-up care after orthopedic surgery including visits with their primary care provider and assessments of pain and opioid use.
Visits including primary care provider visit within 30 days and follow-up assessments at 7, 30, 60, and 90 days after surgery
Trial Site Locations
Total: 1 location
1
VA Salt Lake City Health Care System, Salt Lake City, UT
Salt Lake City, Utah, United States, 84148-0001
Actively Recruiting
Loading map...
Research Team
B
Benjamin S Brooke, MD PhD
J
Julie L Hales
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Postsurgical opioid prescribing among veterans using community care for orthopedic surgery at non-VA hospitals compared to a VA hospital with a transitional pain service: a retrospective cohort study.
Michael Jacob Buys, Zachary Anderson, Kimberlee Bayless...
https://pubmed.ncbi.nlm.nih.gov/38677883Large endograft diameter is associated with poor outcomes following thoracic endovascular aortic aneurysm repair in Medicare beneficiaries.
Dean J Arnaoutakis, Trung Nguyen, Xinyan Zheng...
https://pubmed.ncbi.nlm.nih.gov/40581193Opioid tapering after surgery and its association with patient-reported outcomes and behavioral changes: a mixed-methods analysis.
Benjamin Sands Brooke, Kimberlee Bayless, Zachary Anderson...
https://pubmed.ncbi.nlm.nih.gov/37865394