A Multimodal Enhanced Recovery Program in Anorectal Surgery
NCT03992079 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2020-08-25
Summary
The goal of this study is to establish whether an opioid-sparing Enhanced Recovery After Surgery (ERAS) program in ambulatory anorectal surgery can be safely introduced at a single tertiary referral center without an increase in postoperative pain or negative impact on the patient experience. A single-center, single-blinded randomized control trial is proposed, where patients will be assigned in a 1:1 ratio to either usual care, which includes extended opioids (control group) or the enhanced recovery group (experimental), which includes preemptive pain control, targeted education, and multimodal opioid-sparing pain management during the intraoperative and postoperative periods. The expected outcome is that the enhanced recovery program will significantly reduce opioid utilization with comparable pain scores and patient satisfaction after anorectal surgery.
Conditions
- Colorectal Disorders
- Anorectal Disorder
- Patient Satisfaction
- Pain, Postoperative
- Opioid Use
- Opioid Abuse
- Opioid Dependence
Interventions
- PROCEDURE
-
ReCOVER Enhanced Recovery Protocol
The experimental group will receive preemptive pain management before surgery, an opioid-free strategy during surgery, and an opioid-sparing multimodal pain management protocol after surgery.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Deborah S. Keller, MS, MD · Columbia University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-06-20
- Primary Completion
- 2020-05-21
- Completion
- 2020-05-21
Countries
- United States
Study Locations
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