N/A
Completed N=47
A Clinician-Focused Nudging Intervention to Optimize Post-Surgical Prescribing
Opioid Prescribing · Surgical Procedure, Unspecified
Source: ClinicalTrials.gov NCT05299528 ↗
Enrolled (actual)
47
Serious AEs
2.1%
Results posted
Sep 2024
Primary outcomePrimary: Percentage of Surgeons Approached Who Agree to Participate — 47 Participants
Summary
This is a pilot single site randomized controlled trial to assess the feasibility and acceptability of a nudging intervention providing surgeons with procedure-specific feedback regarding patients' postoperative opioid prescription-to-consumption ratio in individuals 18 years of age and older.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Surgeons Approached Who Agree to Participate |
47 | — |
| PRIMARY Percentage of Patients Contacted Who Agree to Participate in Study |
135; 27; 31 | — |
| PRIMARY Surgeon-reported Acceptability of Intervention |
5; 4 | — |
Eligibility Criteria
Inclusion Criteria for Patients:
- Aged greater or equal to 18 years
- Undergoing specified elective general, gynecologic, orthopedic, and neurological surgeries at VUMC during the specified study periods (days 1-60 for the initial patient group; days 105-164 for the follow-up patient group)
- General: laparoscopic or open cholecystectomy, laparoscopic or open appendectomy
- Gynecologic: abdominal hysterectomy, laparoscopic/robotic hysterectomy, vaginal hysterectomy, anterior repair/colporrhaphy, posterior repair/colporrhaphy, tension-free vaginal tape procedure, sacrospinous ligament suspension sacrocolpopexy
- Orthopedic: total knee arthroplasty, total hip arthroplasty, total shoulder arthroplasty, 1- or 2-level spinal laminectomy (without fusion)
- Neurological: 1- or 2-level spinal laminectomy (without fusion)
- Provided postoperative opioid prescription (verified in VUMC electronic medical record (EMR)
- Able to understand study procedures and participate in the pill count and telephone/electronic interview process in English or Spanish
- Able to provide informed consent
Exclusion Criteria for Patients:
- Opioid prescription filled (per VUMC EMR and patient self report) between 3 months and 7 days prior to surgery
- Primary reason for surgery as assessed by chart review is cancer-related
- Surgery is a repeat/revision surgery (e.g., revision total knee arthroplasty)
- Patient has been inpatient for >3 days postoperatively prior to receiving post-discharge prescription
- Vulnerable populations: current pregnancy, prisoners
- Prior participation in the study (e.g., a patient included in the initial patient group will not be recontacted for the follow-up patient group)
Inclusion Criteria for Surgeon Participants
-General, gynecologic, orthopedic, or neurological surgeon at VUMC during the study period performing any of the surgeries listed below
- General: laparoscopic or open cholecystectomy, laparoscopic or open appendectomy
- Gynecologic: abdominal hysterectomy, laparoscopic/robotic hysterectomy, vaginal hysterectomy, anterior repair/colporrhaphy, posterior repair/colporrhaphy, tension- free vaginal tape procedure, sacrospinous ligament suspension sacrocolpopexy
- Orthopedic: total knee arthroplasty, total hip arthroplasty, total shoulder arthroplasty, 1- or 2-level spinal laminectomy (without fusion)
- Neurological: 1- or 2-level spinal laminectomy (without fusion)
Exclusion Criteria for Surgeon Participants - None
Data sourced from ClinicalTrials.gov (NCT05299528). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.