Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at Orange, California and other locations
Dates
study started
estimated completion

Description

Summary

Pain is a symptom that drives hospital admissions, and pain management is required by most patients during their hospital stay. Further, the use of medications such as opioids can lead to upward-spiraling doses, especially among chronic pain patients whose resource utilization rates are high. Many initiatives aim to reduce the costs of these "high-resource utilizing" patients. One exciting aspect of improving the management of pain is that this may help prevent patients from ever becoming high-cost in the first place. The purpose of this study is to examine the impacts of an early and sustained intervention pathway, in comparison to the current standard of care, for the treatment of pain in opioid tolerant patients. It is hypothesized that patients randomized to the intervention pathway, in comparison to the control, will lead to decreased costs of care, a reduction in opioid usage within 3 and 6 months, and decrease in hospital readmission rates.

Official Title

Pain Management Options for Opioid Tolerant Patients: a Randomized Controlled Trial

Keywords

Pain Acute Pain Postoperative Pain patient readmission pain relief units pain centers multidisciplinary pain clinics multidisciplinary pain centers pain clinics hospital readmission emergencies emergency medicine critical care emergency treatment opioid acute pain service New Clinical Pathway

Eligibility

You can join if…

Open to people ages 18 years and up

  • Adult patients (18 years and older)
  • Known opioid tolerant (as determined per FDA criteria)
  • Agree to sign the informed consent and HIPAA forms

You CAN'T join if...

  • Patients under the age of 18 years
  • No known opioid tolerance
  • Do not agree to sign the informed consent and HIPAA forms

Locations

  • University of California, Irvine Medical Center
    Orange California 92868 United States
  • Duke University Medical Center
    Durham North Carolina 27710 United States

Details

Status
currently not accepting new patients, but might later
Start Date
Completion Date
(estimated)
Sponsor
Duke University
ID
NCT02470728
Study Type
Interventional
Last Updated