Principal Investigator: Lyen Huang
Keywords: Pain Medication , Pain Control Department: General Surgery Faculty
IRB Number: 00104701
Specialty: Surgery, General
Sub Specialties:
Recruitment Status: Recruiting

Contact Information

Sean Stokes

Brief Summary

The purpose of the study is to implement and study an educational and systematic intervention to standardize prescription practices after surgical procedures while identifying the effects on patient satisfaction as well as investigate patient preferences for opioid disposal.

Our hypotheses include:

1. Implementation of the intervention will result in decreased numbers of pain tablets prescribed after the procedures of interest.

2. Patient satisfaction with pain control will not change as a result of this intervention.

3. Patient refill requests will not increase as a result of this intervention.

4. Patient's will dispose of opioids if provided effective means and education.


Detailed Description

Over the last 10 years, the national opioid epidemic has been of growing interest in both the mainstream media and peer-reviewed medical literature.(1, 2) It has been demonstrated that persistent opioid abuse increases even after minor surgical procedures.(3) There is also an association with non-medical opioid use practices with heroin abuse. (4) To curb the growing opioid problem in the United States, surgeons are required to tailor prescribing practices to patient need in an effort to decrease excess opioids prescribed. Recent investigations have shown that, even within a single institution, opioid prescribing practices may vary widely and tend to be far in excess of patient need. (5) The same authors investigated the effectiveness of instituting an educational intervention to decrease prescriptions after 5 general surgery procedures.(6) This work is promising that standardizing prescribing practices may result in curbing excessive tablets after general surgery procedures. However, patient pain requirement and satisfaction with pain control after these surgeries remains unclear. The goal of this study is to demonstrate that educational and systematic interventions to standardize opioid prescribing practices will result in 1.) decreased overall opioid prescriptions after surgical procedures and 2.) this will result in no change in patient pain control satisfaction.1.Lillemoe KD. Annals of Surgery Looks at The Opioid Crisis. Ann Surg. 2017;265(4):692.2.Murthy VH. Ending the Opioid Epidemic - A Call to Action. N Engl J Med. 2016;375(25):2413-5.3.Brummett CM, Waljee JF, Goesling J, Moser S, Lin P, Englesbe MJ, et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017;152(6):e170504.4.Compton WM, Jones CM, Baldwin GT. Relationship between Nonmedical Prescription-Opioid Use and Heroin Use. N Engl J Med. 2016;374(2):154-63.5.Hill MV, McMahon ML, Stucke RS, Barth RJ, Jr. Wide Variation and Excessive Dosage of Opioid Prescriptions for Common General Surgical Procedures. Ann Surg. 2017;265(4):709-14.6.Hill MV, Stucke RS, McMahon ML, Beeman JL, Barth RJ, Jr. An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations. Ann Surg. 2017.7.Wunsch H, Wijeysundera DN, Passarella MA, Neuman MD. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7.8.Prevention. CfDCa. Wide-ranging Online Data for Epidemiologic Research (WONDER), Multiple-Cause-of-Death file, 2000-2014. [Available from: /AADR_drug_poisoning_involving_OA_Heroin_US_2000-2014.pdf.

Inclusion Criteria

Inclusion criteria:
- 18 years of age or older
- Underwent surgery of interest

Exclusion Criteria

- Complications due to the index surgery
- Prisoner/ward of the state