A Prospective Assessment of Opioid Utilization Post-operatively in Sports Orthopaedic Surgeries



Status:Active, not recruiting
Conditions:Post-Surgical Pain, Psychiatric, Gastrointestinal
Therapuetic Areas:Gastroenterology, Musculoskeletal, Psychiatry / Psychology
Healthy:No
Age Range:10 - 100
Updated:11/17/2018
Start Date:November 16, 2017
End Date:November 30, 2019

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There was a study titled "A prospective evaluation of opioid utilization after upper
extremity surgical procedures: Identifying consumption patterns and determining prescribing
guidelines" by Dr. Matzon and team from Thomas Jefferson University that came up with a
simple set of opioid guidelines post-surgically. These guidelines are helping to guide
surgeon's prescribing patterns and ideally limit the number of prescribed pain medicines. We
plan to identify typical narcotic analgesic usage post sports orthopaedic surgery. We hope to
identify the number of narcotic pain pills to prescribe to patients undergoing orthopaedic
sports surgery in the future.

1, Consent patients undergoing sports orthopaedic surgery in clinic or in pre-operative
holding area and also administer first questionnaire, opioid risk tool, and pain
catastrophizing scale(research) 2. Sports orthopaedic surgery (standard of care) 3. Post-op
pain control regimen (standard of care) 4. Call or email patient with questionnaire every day
for a week followed by weekly for 7 more weeks. The children's questionnaire will be child
specific and the parent will assist the child. Will also use a picture of Wong-Baker Faces to
help children identify where their pain scale is which will be given to the patient the same
day that the consent is obtained to use at home(research). Questionnaire should take less
than 5 minutes and will include questions about how well their pain is controlled, how many
analgesic medications they have taken, and if they have tried anything else for pain.
(Research) 5. Patient will continue to go to post-operative appointments as scheduled.
(standard of care) 6. Will store the data from the phone calls on the secured T drive.
(Research)

Inclusion Criteria:

- analgesics prescribed to patient

Patients that have undergone orthopaedic sports surgeries that Dr. Kaar and Dr. Kim
performed with some of the examples being:

Acromioplasty Rotator cuff repair Labral repair Proximal humerus repair versus arthroplasty
Elbow instability repair Elbow arthroplasty Hip arthroscopy Hip cam lesion repair Knee
arthroscopy Knee ligament repair Knee meniscus repair Achilles tendon repair Cartilage
preserving procedures

Exclusion Criteria:

mental retardation inmates non-english speaking pregnant on-call trauma cases
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Saint Louis, Missouri 63110
Phone: 314-577-8000
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1465 South Grand Boulevard
Saint Louis, Missouri 63104
Phone: 314-577-8000
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6420 Clayton Road
Saint Louis, Missouri 63117
Phone: 314-256-3850
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