NCT04095624

Does Preoperative Pain Medication Management Influence Surgical Outcomes in Spinal Fusion

Does Preoperative Pain Medication Management Influence Surgical Outcomes in Spinal Fusion: A Randomized Controlled Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 16 (actual)
• Sponsor: Stanford University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

In light of the current opioid epidemic, there is an urgent need to address chronic opioid use prior to surgery before it is exacerbated by postoperative surgical pain. Our central hypothesis is that patients who taper their opioid use prior to surgery will have reduced postoperative opioid and pain medication usage, less postoperative pain, and improved patient reported outcomes relative to patients that do not taper prior to surgery. Our specific aims include: 1. Determine whether reducing patients' preoperative opioid usage through a structured tapering regimen reduces postoperative opioid and pain medication use. 2. Examine whether reducing patients' preoperative opioid usage through a structured tapering regimen reduces postoperative pain. 3. Determine whether reducing patients' preoperative opioid usage through a structured tapering regimen improves patient reported outcomes.

Conditions

• Opioid Use
• Spine Fusion

Interventions

Type	Name	Description
BEHAVIORAL	Spinal Fusion Preoperative Opioid Taper	Guided weekly opioid pain medication reduction via telephone calls prior to elective spinal fusion surgery.
OTHER	Non-taper Control	Weekly phone calls prior to elective spinal fusion surgery, without opioid pain medication reduction recommendation or guidance.

Timeline

• Start date: 2019-09-09
• Primary completion: 2023-07-01
• Completion: 2023-07-01
• First posted: 2019-09-19
• Last updated: 2025-04-11

Locations

1 site across 1 country: United States