Optimal Management of Pain in Hospitalized Patients - Opioid Tolerant Populations.



Status:Recruiting
Conditions:Chronic Pain, Chronic Pain, Post-Surgical Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - Any
Updated:6/27/2018
Start Date:January 2016
End Date:November 2025
Contact:Padma Gulur, MD
Email:padma.gulur@duke.edu
Phone:(919) 681-4660

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Pain Management Options for Opioid Tolerant Patients: a Randomized Controlled Trial

Pain is a symptom that drives hospital admissions, and pain management is required by most
patients during their hospital stay. Further, the use of medications such as opioids can lead
to upward-spiraling doses, especially among chronic pain patients whose resource utilization
rates are high. Many initiatives aim to reduce the costs of these "high-resource utilizing"
patients. One exciting aspect of improving the management of pain is that this may help
prevent patients from ever becoming high-cost in the first place. The purpose of this study
is to examine the impacts of an early and sustained intervention pathway, in comparison to
the current standard of care, for the treatment of pain in opioid tolerant patients. It is
hypothesized that patients randomized to the intervention pathway, in comparison to the
control, will lead to decreased costs of care, a reduction in opioid usage within 3 and 6
months, and decrease in hospital readmission rates.


Inclusion Criteria:

- Adult patients (18 years and older)

- Known opioid tolerant (as determined per FDA criteria)

- Agree to sign the informed consent and HIPAA forms

Exclusion Criteria:

- Patients under the age of 18 years

- No known opioid tolerance

- Do not agree to sign the informed consent and HIPAA forms
We found this trial at
2
sites
2301 Erwin Rd
Durham, North Carolina 27710
919-684-8111
Principal Investigator: Padma Gulur, MD
Phone: 919-681-4660
Duke Univ Med Ctr As a world-class academic and health care system, Duke Medicine strives...
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101 The City Drive South
Orange, California 92868
714-456-7890
Principal Investigator: Padma Gulur, MD
Phone: 617-633-9191
University of California, Irvine Medical Center We are UC Irvine Health. We are a devoted...
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Orange, CA
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