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Decreasing Unused Opioids in the Home Post Supracondylar Fracture Repair

16. desember 2021 oppdatert av: Conor McDonnell, The Hospital for Sick Children

Over the past two decades, the misuse of prescription opioids has significantly increased. A recent systematic review reported as much as 67% to 92% of opioids dispensed on discharge post-surgery go unused. This culture of overprescribing is consistently observed across surgical specialties. Less frequently observed is the potential for opioid use and misuse in children and adolescents post-surgery. The research to date in this area has been poorly performed with heterogenous data collection, analysis and reporting, as well as large loss of patients to follow-up.

The investigators' previous prospective observational deception study identified three areas of concern:

There is a culture of postoperative opioid over-prescribing at discharge as demonstrated by heterogenous opioid dosing and duration of treatments across practitioners for single procedures
This overprescribing is in excess of patients' home-requirements and results in significant quantities of leftover opioids
There is a culture of inappropriate storage and lack of safe disposal of prescribed opioids in the community

Studieoversikt

Status

Fullført

Forhold

Smertebehandling

Detaljert beskrivelse

This study focuses on addressing and minimizing pediatric surgical over-prescribing. It aims to reduce the amount of opioids prescribed by focusing prescribers and families on regular use of simple non-opioid analgesics, as well as decreasing the amount of opioids prescribed and dispensed.

Studietype

Observasjonsmessig

Registrering (Faktiske)

175

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

Canada
- Ontario
  - Toronto, Ontario, Canada, M5G 1X8
    - The Hospital for Sick Children

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

1 sekund til 18 år (Barn, Voksen)

Tar imot friske frivillige

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Any child (0-18 years) who has undergone a supracondylar fracture repair at The Hospital for Sick Children.

Beskrivelse

Inclusion Criteria:

Patients with supracondylar fractures undergoing surgical wire placement or pinning that return to fracture clinic at three weeks for removal of pins/wires.
Patients discharged on the weekday.
Families filling a prescription for opioids at Shoppers Drug Mart at SickKids Hospital.
Parent has strong command of the English language (i.e., no interpreter required).

Exclusion Criteria:

Patients with a history of chronic pain.
Patient used opioid medication within the previous 6 months.
Patients who are discharged on the weekend (as participant emails will need to be entered into redcap the day of recruitment, for data collection to commence the next morning).

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
Pain medication use questionnaire Tidsramme: 3 days following discharge from hospital	Recording of how many pain meds were used at home	3 days following discharge from hospital

Sekundære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
Amount of opioid returned Tidsramme: 3 weeks following discharge (aligns with pin/wire removal at fracture clinic)	Recording of how much opioid was returned to the hospital	3 weeks following discharge (aligns with pin/wire removal at fracture clinic)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

The Hospital for Sick Children

Etterforskere

Hovedetterforsker: Conor Mc Donnell, Staff Anesthesiologist

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. oktober 2019

Primær fullføring (Faktiske)

30. september 2020

Studiet fullført (Faktiske)

30. september 2020

Datoer for studieregistrering

Først innsendt

14. august 2019

Først innsendt som oppfylte QC-kriteriene