A Study of Stratification and Algorithm in Opioid Use in Shoulder Arthroplasty Patients

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Age: 18 years or older
Gender:
Any
Healthy Volunteers: No
Keywords: opioid use, narcotic use, shoulder surgery, pain management
Type: Behavioral study
Target:
200 Participants
Investigator:
Description
We aim to better understand opioid use in patients having elective shoulder surgery.

We plan to use a teaching session and pain contract to decrease opioid use after surgery. We hope to create a method for physicians to efficiently manage pain after surgery without causing opioid dependency.

Elective shoulder surgery is on the rise, along with increased use of TSA in elderly patients. The need for determining optimal management without overprescribing narcotics has become very important.

Decreased opioid use would mean decreased chance of having unwanted side effects of too much opioids.

This inlcudes:
- respiratory depression
- nausea
- sedation
- driving restrictions
- use by unintended individuals
This study requires

During your pre-operative appointment, a member of our team will explain the proper use of post-operative narcotics. You will learn how to safely wean off of them. You will be able to ask any questions that you may have. You will be asked to sign a pain contract stating that you will use post-operative narcotics responsibly.

During your post-operative appointments, we will ask you how much of the narcotics you have used. We will also ask which other medications you are currently taking.

There will not be any difference in the amount or type of pain medications that we normally would prescribe to you as the standard of care. This information is being collected only to better educate us on how to manage pain in the future. We hope that the teaching session will allow you to have a better understanding of how narcotics work. We also hope to teach why it is important to wean narcotic use accordingly.

During your pre-operative and post-operative visits you will interact with your surgeon and their staff as you normally would. This research will be completed once you have returned to your baseline use of pain medications.

Who can participate

Inclusion criteria:

  • 18 years or older with capacity to consent
  • presenting to UC Davis Medical Center Department of Orthopedic Surgery and planning to undergo elective shoulder surgery

Exclusion criteria:

  • unable to consent
  • prisoners
  • children
  • pregnant women
Benefits and risks of participating
BENEFITS:

We cannot promise any benefits to you as a result of taking part in this research study.


RISKS:

The study doctor will discuss the risks associated with taking part in this research study.
Compensation
You will not be paid to take part in this research study.
Resources
Schedule
Study duration and period
We expect that you will be in this research study for the duration of your post-operative treatment (6-8 weeks).
Recruitment period
From Dec. 20, 2018
Location
UC Davis Medical Center
2315 Stockton Boulevard
Sacramento, CA 95817
Research Topic
Conditions:
  • Opioid Use

Have any questions or want to learn more? Leave your contact details below and the research team will reach out to you.


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