Variation in Opioid Prescribing and Use for Acute Pain in Diverse Populations

Overview

Información sobre este estudio

This is a prospective observational cohort study.

This study will address important gaps in knowledge that hamper the development of evidence-based guidelines for acute pain management by prospectively following patients for 180 days and collecting detailed information on patients’ self-reported experience of pain and their corresponding analgesic use.

This study will invite opioid-naïve patients receiving an opioid prescription for the treatment of acute pain in primary or urgent care, an emergency department, or a dental office. Opioid naive patients are those who self-report no opioid use in the prior 6 months. For the purpose of the study, acute pain is defined as pain that started less than 8 weeks before entry in the study. The study will follow consented patients prospectively for 180 days, tracking their pain and treatment patterns using a novel patient-centered health data sharing platform – Hugo – that will consolidate data from patient-reported outcomes, pharmacy records, and electronic health records.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • Age 15 and over (15+ will only occur in dental setting).
  • English- or Spanish-speaking.
  • Experiencing acute pain of less than 8 weeks duration at the time the opioid is prescribed.
  • Received prescription for opioid analgesic at visit; opioids included in the study will be all FDA-approved enteral, transdermal, and transmucosal opioid analgesics including the most common: hydrocodone (except cough and anti-diarrheal medications), oxycodone, codeine (except cough medications), tramadol, morphine, hydromorphone.
    • We do not anticipate many opioid-naïve people receiving an opioid analgesic for acute pain will receive the following drugs, however, we will not exclude otherwise eligible patients who receive one of the following drugs: buprenorphine (as an analgesic), butorphanol, dihydrocodeine, fentanyl, meperidine, methadone (as an analgesic), oxymorphone, pentazocine, sufentanil, and tapentadol.
    • All of these opioids are included in any combinations with acetaminophen, aspirin, ibuprofen, naloxone, etc.
  • Opioid naive (no use of prescribed opioids or illicit opioids, including medical or non-medical use, in the past 6 months) by self-report.
  • Willing and able to give consent and participate in study.
  • Able to access a mobile device (smartphone or tablet) with web access every day to complete study surveys.
  • Willing to connect Fitbit to a device that can regularly link to Hugo for data transfer.
  • Willing to use the health data sharing platform.
  • Released/discharged to home after their visit.

Exclusion Criteria: 

  • Pain thought to be caused by a systemic disease very likely to progress to chronic pain (e.g., sickle cell disease, fibromyalgia, lupus, multiple sclerosis, etc.).
  • Cancer or end-of-life pain.
  • Unable to give consent and be enrolled within 3 days of their visit.

 

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus Contacto

Rochester, Minn.

Investigador principal de Mayo Clinic

Molly Jeffery, Ph.D.

Cerrado para la inscripción

Contact information:

Emma Behnken

(507) 293-0177

Behnken.Emma@mayo.edu

More information

Publicaciones

Publications are currently not available
.
CLS-20493097

Mayo Clinic Footer