Trial Outcomes & Findings for Efficiency And Quality In Post-Surgical Pain Therapy After Discharge (NCT NCT05221866)

NCT ID: NCT05221866

Last Updated: 2025-07-01

Results Overview

Opioids reported as taken will be recorded by type of opioid, units, and total amount taken within the first 28 days after hospital discharge. To account for different opioid potencies, the cumulative dose of opioids will be expressed in milligram morphine equivalents (MME).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

711 participants

Primary outcome timeframe

Baseline (discharge), weekly for four weeks

Results posted on

2025-07-01

Participant Flow

Participants were recruited from May 2, 2022 to December 10, 2023. Participants were enrolled in the hospital setting.

Participant milestones

Participant milestones
Measure
UControlPain App With Only Data Collection
UControlPain App with only data collection function. No provider-facing tool.
UControlPain Educational App
UControlPain app with education components. No provider-facing tool.
UControlPain App and Provider Facing Tool
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Overall Study
STARTED
179
179
176
177
Overall Study
COMPLETED
152
148
155
151
Overall Study
NOT COMPLETED
27
31
21
26

Reasons for withdrawal

Reasons for withdrawal
Measure
UControlPain App With Only Data Collection
UControlPain App with only data collection function. No provider-facing tool.
UControlPain Educational App
UControlPain app with education components. No provider-facing tool.
UControlPain App and Provider Facing Tool
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Overall Study
Withdrawal by Subject
5
7
6
4
Overall Study
Physician Decision
3
2
1
4
Overall Study
Lost to Follow-up
12
17
14
14
Overall Study
Discharge plan revised; app compatibility issue or chronic opioid use discovered post-enrollment.
7
5
0
4

Baseline Characteristics

Efficiency And Quality In Post-Surgical Pain Therapy After Discharge

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
UControlPain App With Only Data Collection Function
n=179 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain Educational App Only
n=179 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=176 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=177 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Total
n=711 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
154 Participants
n=5 Participants
145 Participants
n=7 Participants
146 Participants
n=5 Participants
150 Participants
n=4 Participants
595 Participants
n=21 Participants
Age, Categorical
>=65 years
25 Participants
n=5 Participants
34 Participants
n=7 Participants
30 Participants
n=5 Participants
27 Participants
n=4 Participants
116 Participants
n=21 Participants
Sex: Female, Male
Female
114 Participants
n=5 Participants
108 Participants
n=7 Participants
110 Participants
n=5 Participants
123 Participants
n=4 Participants
455 Participants
n=21 Participants
Sex: Female, Male
Male
65 Participants
n=5 Participants
71 Participants
n=7 Participants
66 Participants
n=5 Participants
54 Participants
n=4 Participants
256 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
12 Participants
n=4 Participants
36 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
170 Participants
n=5 Participants
171 Participants
n=7 Participants
167 Participants
n=5 Participants
165 Participants
n=4 Participants
673 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=5 Participants
11 Participants
n=7 Participants
20 Participants
n=5 Participants
13 Participants
n=4 Participants
59 Participants
n=21 Participants
Race (NIH/OMB)
White
154 Participants
n=5 Participants
155 Participants
n=7 Participants
145 Participants
n=5 Participants
151 Participants
n=4 Participants
605 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
8 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
10 Participants
n=4 Participants
29 Participants
n=21 Participants
Region of Enrollment
United States
179 participants
n=5 Participants
179 participants
n=7 Participants
176 participants
n=5 Participants
177 participants
n=4 Participants
711 participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline (discharge), weekly for four weeks

Population: Participants who completed at least one week of surveys were included in the analysis.

Opioids reported as taken will be recorded by type of opioid, units, and total amount taken within the first 28 days after hospital discharge. To account for different opioid potencies, the cumulative dose of opioids will be expressed in milligram morphine equivalents (MME).

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Cumulative Weekly Opioid Intake After Discharge
30 Morphine milligram equivalents
Interval 0.0 to 105.0
30 Morphine milligram equivalents
Interval 0.0 to 76.9
20 Morphine milligram equivalents
Interval 0.0 to 90.0
10 Morphine milligram equivalents
Interval 0.0 to 81.8

SECONDARY outcome

Timeframe: Weekly for four weeks after discharge

Population: Subjects who completed at least one week of surveys were included in the analysis.

The Patient-Reported Outcomes Measurement Information System (PROMIS) was used to measure pain intensity, with higher scores indicating more intense pain. The PROMIS was assessed four times after discharge, once per week for 28 days, and averaged. On the PROMIS 4-item scale pain intensity scores, higher scores indicate higher pain intensity. All PROMIS scores are analyzed as standardized T-scores \[mean=50, standard deviation (SD) =10\].

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Pain Assessment-Pain Intensity
52.5 T-score
Standard Deviation 9.89
51.24 T-score
Standard Deviation 9.37
52.51 T-score
Standard Deviation 9.48
51.29 T-score
Standard Deviation 9.06

SECONDARY outcome

Timeframe: Weekly for four weeks after discharge

Population: Subjects who completed at least one week of surveys were included in the analysis.

The Patient-Reported Outcomes Measurement Information System (PROMIS) was used to measure pain interference, with higher scores indicating more intense pain. The PROMIS was assessed four times after discharge, once per week for 28 days, and averaged. On the PROMIS 4-item scale pain interference scores, higher scores indicate higher pain interference. All PROMIS scores are analyzed as standardized T-scores \[mean=50, standard deviation (SD) =10\].

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Pain Assessment-Pain Interference
55.28 T-score
Standard Deviation 9.79
54.17 T-score
Standard Deviation 9.95
55.13 T-score
Standard Deviation 9.34
53.43 T-score
Standard Deviation 9.62

SECONDARY outcome

Timeframe: Baseline (discharge)

Population: Subjects who completed at least one week of surveys were included in the analysis.

Opioids prescribed on the day of discharge will be recorded by type of opioid, unit dispensed, and total amount dispensed. To account for different opioid potencies, the cumulative dose of opioids will be expressed in milligram morphine equivalents (MME).

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Opioid Prescription Amount in Morphine Milligram Equivalents on Day of Discharge
90 Morphine milligram equivalents
Interval 60.0 to 150.0
77.5 Morphine milligram equivalents
Interval 60.0 to 157.5
75.0 Morphine milligram equivalents
Interval 56.2 to 150.0
75.0 Morphine milligram equivalents
Interval 40.0 to 150.0

SECONDARY outcome

Timeframe: Baseline (discharge) +1 day until day 28, up to 27 days total

Population: Subjects who completed at least one week of surveys were included in the data analysis.

Discovered by medical record review. This measure will account for opioids prescribed to patients because they run out prematurely. We will calculate opioid prescriptions from "day of discharge +1" until 28 days after discharge.

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Number of Participants With Opioids Prescribed From "Day of Discharge + 1" Until 28 Days After Discharge
23 Participants
21 Participants
31 Participants
25 Participants

SECONDARY outcome

Timeframe: Baseline (discharge), weekly for four weeks

Population: Participants who answered they had opioids left over were included in this analysis.

Number of participants who reported their disposal of any leftover opioids is recorded. This is reported on the weekly surveys done in 28 days post-discharge.

Outcome measures

Outcome measures
Measure
UControlPain Educational App
n=148 Participants
UControl Pain App with education components only. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 Participants
UControlPain App with only data collection function. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 Participants
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 Participants
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Number of Participants Who Disposed of Opioids
3 Participants
2 Participants
3 Participants
6 Participants

Adverse Events

UControl Pain App Educational App

Serious events: 11 serious events
Other events: 2 other events
Deaths: 0 deaths

UControlPain App With Only Data Collection

Serious events: 12 serious events
Other events: 1 other events
Deaths: 1 deaths

UControlPain App and Provider Facing Tool

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

UControlPain App With Only Data Collection and Provider Facing Tool

Serious events: 11 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
UControl Pain App Educational App
n=148 participants at risk
UControl Pain App with education components. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 participants at risk
Control UControl Pain App with data collection only. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 participants at risk
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 participants at risk
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Surgical and medical procedures
Re-hospitalization (any reason)
7.4%
11/148 • Number of events 11 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
7.9%
12/152 • Number of events 12 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
5.2%
8/155 • Number of events 8 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
7.3%
11/151 • Number of events 11 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events

Other adverse events

Other adverse events
Measure
UControl Pain App Educational App
n=148 participants at risk
UControl Pain App with education components. No provider-facing tool.
UControlPain App With Only Data Collection
n=152 participants at risk
Control UControl Pain App with data collection only. No provider-facing tool.
UControlPain App and Provider Facing Tool
n=155 participants at risk
UControlPain app with education components and provider-facing prescription intervention. Participants who were randomized to the intervention arm (UControlPain App) once half the subjects were enrolled (February 13, 2023).
UControlPain App With Only Data Collection and Provider Facing Tool
n=151 participants at risk
UControlPain App with only data collection function and Provider-facing prescription intervention. Participants who were randomized to the control arm (UControlPain App with only data collection), once half the subjects were enrolled (February 13, 2023).
Musculoskeletal and connective tissue disorders
Requiring greater than 2 additional opioid prescriptions within 2 weeks of discharge
1.4%
2/148 • Number of events 2 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
0.66%
1/152 • Number of events 1 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
0.00%
0/155 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events
0.00%
0/151 • Adverse event data was collected from Discharge to Day 28.
1. All-Cause Mortality: all anticipated and unanticipated deaths due to any cause. 2. Serious Adverse Events: all anticipated and unanticipated serious adverse events, including only inpatient hospitalization 3. Other (Not Including Serious) Adverse Events: A table of anticipated and unanticipated events

Additional Information

Karsten Bartels

University of Nebraska Medical Center

Phone: 402-559-4081

Results disclosure agreements

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