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Standardized Discharge Prescription for Opioid Use Disorder

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Toronto Western Hospital, Toronto, CanadaOpioid Use DisorderStandardized Prescription - Drug
Eligibility
18+
All Sexes
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Study Summary

This trial will compare two methods of prescribing opioids following surgery to see which results in patients taking fewer unused pills.

Treatment Effectiveness

Effectiveness Progress

1 of 3

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Short acting opioids: Fentanyl, Hydromorphone

Study Objectives

0 Primary · 11 Secondary · Reporting Duration: Six weeks after intervention

One week, Six weeks and Twelve weeks after intervention
Correlation of opioid consumption to pain scores
Incidence of adverse effects of opioid medications experienced by patients
Incidence of disposal practices of prescribed opioids by patients
Patient satisfaction with pain management after discharge (as measured on a 0 to 10 scale, 0 being completely dissatisfied, and 10 being completely satisfied)
The correlation between in-hospital opioid analgesic requirements and post-discharge opioid consumption (all converted to oral morphine equivalents)
The mean number of days patients require post-discharge opioid medications
The proportion of patients that require additional opioid prescription(s), on top of what is given at discharge, during the follow-up period, and 12 weeks
Six weeks after intervention
Impact of Standardized prescription on number of unused opioid medications after hand and forearm surgery
Impact of Standardized prescription on quality of analgesia after hand and forearm surgery
Six weeks and Twelve weeks after intervention compared to pre-intervention
Correlation of opioid consumption to functional limitations post-operatively as measured by the Disabilities of Arm Shoulder and Hand (DASH) score
Twelve weeks after intervention compared to pre-intervention
Correlation of patient anxiety on opioid consumption
Correlation of patient anxiety on pain numerical rating scores (0-10)
Correlation of patient catastrophizing on opioid consumption
Correlation of patient catastrophizing on pain numerical rating scores (0-10)
Correlation of patient depression on opioid consumption
Correlation of patient depression on pain numerical rating scores (0-10)
Correlation of patient's score on the opioid risk tool (ORT) on post-op opioid use
The incidence of neuropathic pain as diagnosed by DN4 score >3/10

Trial Safety

Safety Progress

1 of 3

Similar Trials

1
Patients with sleep apnea having oxygen Saturation >85%
2
Opioid-free Anesthesia
2
Short acting opioids: Fentanyl, Hydromorphone

Trial Design

2 Treatment Groups

Standardized Discharge Prescription
1 of 2
Usual Discharge Prescription
1 of 2

Active Control

292 Total Participants · 2 Treatment Groups

Primary Treatment: Standardized Discharge Prescription · No Placebo Group · N/A

Standardized Discharge Prescription
Drug
ActiveComparator Group · 1 Intervention: Standardized Prescription · Intervention Types: Drug
Usual Discharge PrescriptionNoIntervention Group · 1 Intervention: Usual Discharge Prescription · Intervention Types:

Trial Logistics

Trial Timeline

Screening: ~3 weeks
Treatment: Varies
Reporting: six weeks after intervention

Who is running the clinical trial?

University Health Network, TorontoLead Sponsor
1,386 Previous Clinical Trials
471,687 Total Patients Enrolled
Anuj Bhatia, MD FRCPCPrincipal InvestigatorUHN
3 Previous Clinical Trials
133 Total Patients Enrolled

Eligibility Criteria

Age 18+ · All Participants · 1 Total Inclusion Criteria

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References

Frequently Asked Questions

How many participants have been recruited for this research project?

"Affirmative. According to the clinicaltrials.gov record, this trial is currently seeking participants with 292 required in total from a single site. The study was first posted on March 4th 2019 and edited lastly on November 1st 2022." - Anonymous Online Contributor

Unverified Answer

Are new participants currently being sought for this research project?

"Affirmative. The clinicaltrials.gov site reports that enrollment is ongoing for this trial, which was first advertised on March 4th 2019 and most recently modified on November 1st 2022. A total of 292 patients from one medical centre are needed to participate in the study." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

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