Standardized Perioperative Patient Education Decreases Opioid Use after Hand Surgery: A Randomized Controlled Trial
| Autor: | Claire Isabelle Verret, Duretti T. Fufa, Lauren E. Wessel, Hayley A. Sacks, Jeffrey G. Stepan, Kanupriya Kumar |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty 030230 surgery Drug Prescriptions Perioperative Care law.invention Education Distance Young Adult 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Internal medicine medicine Humans Pain Management Orthopedic Procedures Postoperative Period Aged Aged 80 and over Pain Postoperative business.industry Hand surgery Perioperative Evidence-based medicine Middle Aged Hand Analgesics Opioid Treatment Outcome Ambulatory Surgical Procedures Opioid Patient Satisfaction 030220 oncology & carcinogenesis Pill Practice Guidelines as Topic Ambulatory Female Surgery business Patient education medicine.drug |
| Zdroj: | Plastic & Reconstructive Surgery. 147:409-418 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000007574 |
| Popis: | BACKGROUND Despite the growing hand surgery literature on postoperative opioid use, there is little research focused on patient-centered interventions. The purpose of this randomized controlled trial was to create a standardized patient education program regarding postoperative pain management after hand surgery and to determine whether that education program would decrease postoperative opioid use. METHODS Patients scheduled to undergo ambulatory hand surgery were recruited and randomized to standardized pain management education or standard of care. All patients received a webinar with instructions for study participation, whereas the education group received an additional 10 minutes of education on postoperative pain management. All patients completed a postoperative daily log documenting opioid consumption. The total number of opioid pills consumed was compared between groups. The authors constructed a linear regression model to determine risk factors for postoperative opioid use after surgery. RESULTS A total of 267 patients were enrolled in the study. One hundred ninety-one patients completed the study (standardized education, n = 93; control group, n = 97). Patients in the standardized education group were more likely to take no opioid medication (42 percent versus 25 percent; p = 0.01) and took significantly fewer opioid pills (median, two) than those in the control group (median, five) (p < 0.001). Standardized education predicted decreased postoperative opioid pill consumption, whereas higher number of pills prescribed and a history of psychiatric illness were risk factors for increasing opioid use. CONCLUSION Perioperative patient education and limitation of postoperative opioid prescription sizes reduced postoperative opioid use following ambulatory hand surgery. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, II. |
| Databáze: | OpenAIRE |
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