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The purpose of this study is to determine if the investigators can precisely predict how much pain medication the subjects will need after surgery using a special calculator that was developed for this purpose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Opioid Prescription | Active Comparator | Patients will be given a prescription for opioid pain medication to use for acute postoperative pain as would be typical for the attending surgeon performing the surgery. |
|
| Opioid Calculator Prescription | Experimental | Patients will be a given a prescription for opioid pain medication based on the opioid calculator. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Opioid calculator | Other | Our research group previously created an Opioid calculator that can be used to predict the number of opioids needed post-operatively based on patient health history and characteristics. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain scores measured by team-created pain questionnaires | Pain questionnaire is a 2 question survey that ask patients to rate pain on scale of 0 (no pain) to 10 (worst pain) immediately post-op and current. Baseline will be calculated by asking patient's expected post-op pain score. | baseline, 1 week post-op, 2 weeks post-op |
| Measure | Description | Time Frame |
|---|---|---|
| Change in satisfaction scores measured by team-created questionnaire | Questionnaire is a 1 question survey that ask patients to rate their satisfaction with their pain control on scale of 0 (totally unsatisfied) to 10 (totally satisfied) immediately post-op and current. | 1 week post-op, 2 weeks post-op |
| Change in number of opioid tablets remaining measured by team-created questionnaire |
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Inclusion Criteria:
Included urogynecologic procedures:
Sacrocolpopexy - robotic or laparoscopic
Sacrospinous ligament fixation
Uterosacral ligament suspension - robotic, laparoscopic, or vaginal
Colpocleisis
Isolated anterior and/or posterior colporrhaphy
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Sheyn, MD | University Hospitals Cleveland Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospitals Cleveland Medical Center | Cleveland | Ohio | 44106 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40570353 | Derived | Bauer HH, Schlussel MA, Hoffberg EA, Palm KM, Rhodes SP, Wherley SD, Le Neveu M, Sears SB, Rustia GM, Hijaz AK, Mahajan ST, Sammarco AG, Sheyn D. Personalized Prediction of Opioid Demand After Surgery for Pelvic Organ Prolapse: A Randomized Controlled Trial. Obstet Gynecol. 2025 Jun 26;146(2):285-292. doi: 10.1097/AOG.0000000000005969. |
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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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| Standard opioid prescription | Other | Patients will receive prescription for post-operative opioids based on what the attending surgeon usually provides. |
|
Patients will be asked the number of tablets remaining from their opioid prescriptions. |
| 1 week post-op, 2 weeks post-op |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |