No Opioids PrescrIptions On Discharge After Surgery

  • STATUS
    Recruiting
  • participants needed
    350
  • sponsor
    Albany Medical College
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Updated on 19 February 2024
See if I qualify
cancer
opioid
radical cystectomy
postoperative pain
cancer surgery
analgesia
analgesics
major surgery
prostatectomy
nephrectomy
robotic surgery
urologic surgery
ureterectomy
nephron
partial nephrectomy

Summary

Opioid analgesics are routinely prescribed for these patients for post-operative pain control. Even a short exposure to opioids in opioid-nave patients following minor or major surgery has been associated with de novo habitual or persistent use of opioids in 5-30% of patients. The goal of the study to eliminate the use of outpatient opioids prescriptions after major urologic surgery.

Description

Nearly 200 million opioid prescriptions are dispensed per year in the United States. Opioid prescriptions given by medical providers are a major contributor to the opioid abuse epidemic. Nearly 40% of opioid overdose-related deaths occur due to prescribed opioids. Among patients diagnosed with opiate dependence, 80% had received an opioid prescription prior to their abuse diagnosis and 51% had a family member who had an opioid prescription, Thus, opioids prescriptions, which are often in excess of the need by the patient, are a major contributor to this public health crisis.

The investigators devised a prospective intervention study to eliminate or significantly reduced the use of opioids prescribed after major urologic surgery for use at home.

Details
Condition Surgery, Surgical aspects, Surgery, Pain, Pain, Postoperative pain, Opioid Use, Prescription Drug Abuse and Dependency
Age 18years - 100years
Treatment No opioids at discharge
Clinical Study IdentifierNCT04469868
SponsorAlbany Medical College
Last Modified on19 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

All patients undergoing major urologic cancer surgery, either open or laparoscopic, will be included in the study
This will include all open or laparoscopic or robotic surgery including radical prostatectomy, radical cystectomy, radical nephrectomy, partial nephrectomy, nephron-ureterectomy, and similar procedures

Exclusion Criteria

Those with allergy or intolerance to NSAIDS may be excluded
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cancer
opioid
radical cystectomy
postoperative pain
cancer surgery
analgesia
analgesics
major surgery
prostatectomy
nephrectomy
robotic surgery
urologic surgery
ureterectomy
nephron
partial nephrectomy

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