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Analgesic educational video does not reduce opioid consumption in hip arthroplasty or abdominal surgeryEducational videos do not reduce opioid use after major surgery

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Key Takeaway
Note that preoperative analgesic educational videos do not significantly reduce opioid consumption in major surgeries.

This randomized trial enrolled 957 adult patients scheduled for hip arthroplasty or laparoscopic-assisted abdominal surgery with an ASA physical status of 1 to 4. The study evaluated the impact of an analgesic educational video compared to a generic video about surgery and hospitalization on postoperative outcomes.

The primary outcome was opioid consumption during the initial 72 postoperative hours. The study found no significant reduction in opioid consumption, with an adjusted ratio of geometric means of 1.01 (95% CI, 0.86-1.18; P = 0.890).

Secondary outcomes included time-weighted average pain scores and patient satisfaction with analgesia. Both measures showed no significant improvement or difference, with adjusted mean differences of -0.1 for both pain scores (95% CI, -0.3 to 0.2; P = 0.617) and patient satisfaction (95% CI, -0.3 to 0.2; P = 0.611).

Safety and tolerability data were not reported. The study indicates that preoperative analgesic education did not result in clinically meaningful reductions in opioid consumption or improvements in pain management outcomes for these surgical procedures.

How this fits prior evidence

How this fits prior evidence: This finding addresses a gap in nonpharmacological interventions for perioperative pain. While prior evidence suggests that opioid-free perioperative regimens are associated with lower pain scores and fewer side effects in hip arthroplasty, this study indicates that specific analgesic educational videos do not reduce opioid consumption in the same population. The results suggest that while opioid-free regimens are effective, educational interventions may not be a sufficient substitute for clinical management strategies.

When patients face major surgery like a hip replacement or abdominal procedure, they often worry about how they will manage pain afterward. Some experts hoped that giving patients specific educational videos about pain management could help them use fewer opioids during the first three days of recovery.

Researchers at the Cleveland Clinic tested this idea with 957 adults. They compared a specialized analgesic education video against a standard video about surgery and hospital stays. The goal was to see if more information would lead to lower opioid use or better pain scores.

Ultimately, the study found no significant difference between the two groups. Patients who watched the specialized video did not use fewer opioids, report lower pain scores, or feel more satisfied with their pain management than those who watched the standard video. While the information was provided, it did not change the clinical outcomes for these patients.

What this means for you:
Educational videos about pain management did not reduce opioid use or improve pain scores after major surgery.

Common questions

Does a special education video help patients use fewer opioids?

No, the study found no significant reduction in opioid consumption during the first 72 hours after surgery. Patients who watched the specific analgesic education video used the same amount of opioids as those who watched a standard video about surgery and hospitalization.

Do these videos improve pain scores for patients?

The study did not find any significant improvement in pain scores for patients who watched the educational video. The results showed no meaningful difference in how patients reported their pain levels compared to those who watched the standard video.

Do patients feel more satisfied with their pain management after watching the video?

There was no significant difference in patient satisfaction regarding their pain management. Patients who watched the specialized education video reported the same level of satisfaction as those who watched the standard video about surgery and hospital stays.

Study Details

Study typeRct
Sample sizen = 1
EvidenceLevel 2
PublishedOct 2026
View Original Abstract ↓
OBJECTIVE: To evaluate the impact of preoperative analgesic education on postoperative opioid consumption, pain scores, and patient satisfaction with analgesia. BACKGROUND: Effective postoperative pain management is crucial for patient recovery and satisfaction, yet opioid use poses risks of tolerance and addiction. Preoperative patient education offers a potential avenue to mitigate opioid reliance and improve pain management outcomes. METHODS: This single-center randomized trial was conducted at the Cleveland Clinic Main Campus between October 2021 and October 2023. Adult patients scheduled for hip arthroplasty or laparoscopic-assisted abdominal surgery with an ASA physical status of 1 to 4 were eligible. Patients with a history of prolonged opioid use, planned regional block or epidural analgesia, or limited English fluency were excluded. Participants were randomized 1:1 to receive either an analgesic educational video or a generic video about surgery and hospitalization. The primary outcome was opioid consumption during the initial 72 postoperative hours. Secondary outcomes included time-weighted average pain scores and patient satisfaction with analgesia. RESULTS: Among 957 analyzed patients, preoperative analgesic education did not significantly reduce opioid consumption (adjusted ratio of geometric means, 1.01; 95% CI, 0.86-1.18; P =0.890) or improve pain scores (adjusted mean difference, -0.1; 95% CI, -0.3 to 0.2; P =0.617). Patient satisfaction scores also did not differ significantly between groups (adjusted mean difference, -0.1; 95% CI, -0.3 to 0.2; P = 0.611). CONCLUSIONS: Preoperative analgesic education did not result in clinically meaningful reductions in opioid consumption or improvements in pain management outcomes. Further research may explore more intensive educational interventions to optimize postoperative pain management strategies.
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