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This study evaluates the effect of larger or smaller opioid prescriptions following minor surgery on the amount of narcotic used, patient reported satisfaction, refill requests, and leftover narcotic.
Patients are randomized to receive prescriptions for either 10 or 30 tabs of 5 mg hydrocodone/325 mg acetaminophen following minor hand surgery. Patients are allowed to request additional medication as needed. Patients are contacted by phone 10-14 days after their surgery to answer a questionnaire regarding number of pills taken, number of refills requested, number of remaining pills, their satisfaction with their pain control and their surgery, and their opinion regarding the appropriateness of the prescription size.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10 group | Experimental | Initial prescription for 10 narcotic tabs |
|
| 30 group | Active Comparator | Initial prescription for 30 narcotic tabs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Initial prescription for 10 narcotic tabs | Behavioral | Reduced number of pills in initial prescription post-operatively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Narcotic used | number of narcotic tabs taken by patient (5mg hydrocodone/325 mg acetaminophen) | 10-14 days post-op |
| Measure | Description | Time Frame |
|---|---|---|
| Number of refills requested | number of times patient requested additional pain medication | 10-14 days post-op |
| Number of left over tabs | Number of left over usable narcotic tabs remaining in patient possession |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cassandra Mierisch, MD | Carilion Clinic | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31730554 | Derived | Gaddis A, Dowlati E, Apel PJ, Bravo CJ, Dancea HC, Hagan HJ, Mierisch CM, Metzger TA, Mierisch C. Effect of Prescription Size on Opioid Use and Patient Satisfaction After Minor Hand Surgery: A Randomized Clinical Trial. Ann Surg. 2019 Dec;270(6):976-982. doi: 10.1097/SLA.0000000000003127. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| Inital prescription for 30 narcotic tabs | Behavioral |
|
| 10-14 days post-op |
| Patient reported efficacy of pain control | 10-14 days post-op |
| Patient reported satisfaction with pain control | 10-14 days post-op |
| Patient reported satisfaction with overall surgical experience | 10-14 days post-op |
| Patient Opinion Regarding Appropriateness of Size of Initial Prescription | 10-14 days post-op |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |