NCT04059055

Decreasing Unused Opioids in the Home Post Supracondylar Fracture Repair

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 175 (actual)
• Sponsor: The Hospital for Sick Children · Academic / Other
• Sex: All
• Age: 0 Years – 18 Years
• Healthy volunteers: Accepted

Summary

Over the past two decades, the misuse of prescription opioids has significantly increased. A recent systematic review reported as much as 67% to 92% of opioids dispensed on discharge post-surgery go unused. This culture of overprescribing is consistently observed across surgical specialties. Less frequently observed is the potential for opioid use and misuse in children and adolescents post-surgery. The research to date in this area has been poorly performed with heterogenous data collection, analysis and reporting, as well as large loss of patients to follow-up. The investigators' previous prospective observational deception study identified three areas of concern: 1. There is a culture of postoperative opioid over-prescribing at discharge as demonstrated by heterogenous opioid dosing and duration of treatments across practitioners for single procedures 2. This overprescribing is in excess of patients' home-requirements and results in significant quantities of leftover opioids 3. There is a culture of inappropriate storage and lack of safe disposal of prescribed opioids in the community

Detailed description

This study focuses on addressing and minimizing pediatric surgical over-prescribing. It aims to reduce the amount of opioids prescribed by focusing prescribers and families on regular use of simple non-opioid analgesics, as well as decreasing the amount of opioids prescribed and dispensed.

Conditions

• Pain Management

Timeline

• Start date: 2019-10-01
• Primary completion: 2020-09-30
• Completion: 2020-09-30
• First posted: 2019-08-16
• Last updated: 2021-12-17

Locations

1 site across 1 country: Canada