- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04058938
Pain in Breast Surgery Intervention
September 25, 2020 updated by: Katie Egan, University of Kansas Medical Center
A Randomized Control Trial of Patient Education on Pain Control in Breast Surgery
This study will be a randomized control trial providing an educational component to study participants and a pre-operative and post-operative survey with a goal to show an improvement in pain control, decrease in narcotic use, and increase in patient knowledge in the study group.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The use of opioid pain medications in surgical patients is contributing to an epidemic of opioid pain medication use.
It is known that the quality of pain control after surgery is a large factor of the patient's perception of their experience.
However, little research has been done to improve pain control in plastic surgery patients.
To the investigators knowledge, no study has yet looked at education of breast surgery patients to improve pain experience.
The study goal is to survey breast surgery patients in the Plastic Surgery department before and after surgery to evaluate the participants experience with pain and pain medications.
Half of the participants in the study will be randomized to receive an information sheet about pain control at the participants pre-operative appointment.
Study Type
Interventional
Enrollment (Actual)
100
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Kansas
-
Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Female patients presenting for the first stage of breast reconstruction using tissue expanders
- Patients 18 years of age and older
Exclusion Criteria:
- Male patients
- Patients under age 18
- Patients who have had previous breast reconstruction or tissue expansion
- Patients who are not able to read English will be excluded from this study as the study materials will be in written English
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Control
The control group received standard of care, including standard patient counseling from the surgical teams.
|
Standard patient counseling
|
Experimental: Intervention
In conjunction with oncologic psychology and plastic surgery, an instrument was developed to be provided as a single-paged paper handout to the intervention group.
The instrument included information about expectations for pain control, information about the pain scale, and examples of opioid and adjunct medications which may be used as part of a multi-modal approach to pain control during the perioperative period.
|
The handout was single-paged (front and back), and was titled Pain After Surgery: What to Expect.
The handout starts with information on rating pain and expectations for control of pain, not complete absence of pain, after surgery.
Mutli-modal approach to pain control is then discussed, including pharmacologic and non-pharmacologic methods that may be used for pain control by the perioperative team and postoperatively.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Opioid consumption
Time Frame: 1-2 weeks
|
Opioid consumption will be calculated from patient report of remaining narcotics at the postoperative appointment and the total opioid amount prescribed, from the medical record.
|
1-2 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain control: survey
Time Frame: 1-2 weeks
|
Patient report of subjective and objective pain control after surgery will be collected on a postoperative survey.
Objective pain control will be scored by asking patients to circle a pain score on a scale of 0 to 10.
This is a continuous scale used to score pain with 0 being no pain and 10 being the worst pain.
Subjective pain will be rated by asking participants to state yes or no for control of pain and state yes or no if pain interfered with walking, sleeping, and activities of daily living.
|
1-2 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient knowledge of pain control
Time Frame: 1-2 weeks.
|
Patient reported knowledge of pain control will be collected on the preoperative and postoperative survey.
Patients will be asked to circle yes or no to feeling like the participant had enough information about pain control and about surgery.
|
1-2 weeks.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Richard Korentager, MD, University of Kansas Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 1, 2018
Primary Completion (Actual)
May 1, 2019
Study Completion (Actual)
March 1, 2020
Study Registration Dates
First Submitted
August 14, 2019
First Submitted That Met QC Criteria
August 15, 2019
First Posted (Actual)
August 16, 2019
Study Record Updates
Last Update Posted (Actual)
September 28, 2020
Last Update Submitted That Met QC Criteria
September 25, 2020
Last Verified
September 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 00141330
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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