Trial Outcomes & Findings for A Randomized-controlled Trial of Post-operative Opiate Quantities After Urogynecologic Surgery (NCT NCT03319277)

NCT ID: NCT03319277

Last Updated: 2019-10-31

Results Overview

Patient satisfaction was easured by the way they answered the following question: "Overall, how satisfied are you with your pain medication at home since your surgery?" Their answers were recorded via a rated scale with five options: "Very Satisfied", "Somewhat Satisfied", "Neutral", "Somewhat Satisfied", and "Very Unsatisfied" which goes from most favorable to least favorable, respectively. Patients who answered either "Very Satisfied" or "Somewhat Satisfied" were defined a priori to have adequate satisfaction.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

118 participants

Primary outcome timeframe

6-weeks after surgery

Results posted on

2019-10-31

Participant Flow

Participant milestones

Participant milestones
Measure
Routine Opiate Prescription
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the standard amount of post-discharge opiate medications - 28 tablets of oxycodone 5mg. Routine opiate prescription: The comparator group will receive 28 tablets of oxycodone 5mg at time of discharge.
Decreased Opiate Prescription
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the decreased amount of post-discharge opiate medications - 5 tablets of oxycodone 5mg with a paper prescription for an additional 10 tablets of oxycodone 5mg as a backup for uncontrolled pain. Decreased opiate prescription: The experimental group will receive 5 tablets of oxycodone 5mg at time of discharge with a paper backup prescription for an additional 10 tablets.
Overall Study
STARTED
59
59
Overall Study
COMPLETED
59
59
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Randomized-controlled Trial of Post-operative Opiate Quantities After Urogynecologic Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Routine Opiate Prescription
n=59 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the standard amount of post-discharge opiate medications - 28 tablets of oxycodone 5mg. Routine opiate prescription: The comparator group will receive 28 tablets of oxycodone 5mg at time of discharge.
Decreased Opiate Prescription
n=59 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the decreased amount of post-discharge opiate medications - 5 tablets of oxycodone 5mg with a paper prescription for an additional 10 tablets of oxycodone 5mg as a backup for uncontrolled pain. Decreased opiate prescription: The experimental group will receive 5 tablets of oxycodone 5mg at time of discharge with a paper backup prescription for an additional 10 tablets.
Total
n=118 Participants
Total of all reporting groups
Age, Continuous
61 years
STANDARD_DEVIATION 11.6 • n=5 Participants
63 years
STANDARD_DEVIATION 9.0 • n=7 Participants
62 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
59 Participants
n=5 Participants
59 Participants
n=7 Participants
118 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
50 Participants
n=5 Participants
56 Participants
n=7 Participants
106 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
59 Participants
n=5 Participants
59 Participants
n=7 Participants
118 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6-weeks after surgery

Population: Two patients in the decreased opiate prescription group did not complete the follow-up survey.

Patient satisfaction was easured by the way they answered the following question: "Overall, how satisfied are you with your pain medication at home since your surgery?" Their answers were recorded via a rated scale with five options: "Very Satisfied", "Somewhat Satisfied", "Neutral", "Somewhat Satisfied", and "Very Unsatisfied" which goes from most favorable to least favorable, respectively. Patients who answered either "Very Satisfied" or "Somewhat Satisfied" were defined a priori to have adequate satisfaction.

Outcome measures

Outcome measures
Measure
Routine Opiate Prescription
n=59 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the standard amount of post-discharge opiate medications - 28 tablets of oxycodone 5mg. Routine opiate prescription: The comparator group will receive 28 tablets of oxycodone 5mg at time of discharge.
Decreased Opiate Prescription
n=57 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the decreased amount of post-discharge opiate medications - 5 tablets of oxycodone 5mg with a paper prescription for an additional 10 tablets of oxycodone 5mg as a backup for uncontrolled pain. Decreased opiate prescription: The experimental group will receive 5 tablets of oxycodone 5mg at time of discharge with a paper backup prescription for an additional 10 tablets.
Number of Patients Reporting Adequate Satisfaction
55 Participants
53 Participants

SECONDARY outcome

Timeframe: 6-weeks after surgery

Total number of prescribed tablets used by patients

Outcome measures

Outcome measures
Measure
Routine Opiate Prescription
n=59 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the standard amount of post-discharge opiate medications - 28 tablets of oxycodone 5mg. Routine opiate prescription: The comparator group will receive 28 tablets of oxycodone 5mg at time of discharge.
Decreased Opiate Prescription
n=59 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the decreased amount of post-discharge opiate medications - 5 tablets of oxycodone 5mg with a paper prescription for an additional 10 tablets of oxycodone 5mg as a backup for uncontrolled pain. Decreased opiate prescription: The experimental group will receive 5 tablets of oxycodone 5mg at time of discharge with a paper backup prescription for an additional 10 tablets.
Number of Opiate Tablets Used by Patients
3 number of tablets
Interval 0.0 to 14.0
1 number of tablets
Interval 0.0 to 3.0

SECONDARY outcome

Timeframe: 6-weeks after surgery

Patient answered "yes" to the following question: "Would you be willing to destroy any remaining opiate pain medication?"

Outcome measures

Outcome measures
Measure
Routine Opiate Prescription
n=53 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the standard amount of post-discharge opiate medications - 28 tablets of oxycodone 5mg. Routine opiate prescription: The comparator group will receive 28 tablets of oxycodone 5mg at time of discharge.
Decreased Opiate Prescription
n=53 Participants
This arm will receive the standard post-discharge prescriptions of ibuprofen, docusate, acetaminophen, and polyethylene glycol. In addition, they will receive the decreased amount of post-discharge opiate medications - 5 tablets of oxycodone 5mg with a paper prescription for an additional 10 tablets of oxycodone 5mg as a backup for uncontrolled pain. Decreased opiate prescription: The experimental group will receive 5 tablets of oxycodone 5mg at time of discharge with a paper backup prescription for an additional 10 tablets.
Number of Patients Willing to Destroy Excess Remaining Opioid Tablets
51 Participants
50 Participants

Adverse Events

Routine Opiate Prescription

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Decreased Opiate Prescription

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Emily RW Davidson, M.D.

Cleveland Clinic

Phone: 812-272-2380

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place