Trial Outcomes & Findings for Preoperative Education (NCT NCT04970069)

NCT ID: NCT04970069

Last Updated: 2024-07-25

Results Overview

Opioid consumption (morphine milligrams equivalent) during the initial 72 hours after surgery.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1057 participants

Primary outcome timeframe

72 hours after surgery

Results posted on

2024-07-25

Participant Flow

Participant milestones

Participant milestones
Measure
Analgesic Education
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Overall Study
STARTED
527
530
Overall Study
COMPLETED
483
474
Overall Study
NOT COMPLETED
44
56

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Analgesic Education
n=527 Participants
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
n=530 Participants
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Total
n=1057 Participants
Total of all reporting groups
Age, Continuous
60 years
STANDARD_DEVIATION 15 • n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
60 years
STANDARD_DEVIATION 15 • n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
60 years
STANDARD_DEVIATION 15 • n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Sex: Female, Male
Female
193 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
198 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
391 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Sex: Female, Male
Male
290 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
276 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
566 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Race/Ethnicity, Customized
Black
67 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
55 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
122 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Race/Ethnicity, Customized
White
388 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
393 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
781 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Race/Ethnicity, Customized
Other
28 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
26 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
54 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Region of Enrollment
United States
527 participants
n=527 Participants
530 participants
n=530 Participants
1057 participants
n=1057 Participants
History of chronic pain
15 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
20 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
35 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Type of surgery
Laparoscopic colorectal
24 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
21 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
45 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Type of surgery
Orthopedic
51 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
63 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
114 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
Type of surgery
Laparoscopic abdominal
408 Participants
n=483 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
390 Participants
n=474 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.
798 Participants
n=957 Participants • Excludes patients not analyzed due to surgical cancellations/reschedule, and randomization errors.

PRIMARY outcome

Timeframe: 72 hours after surgery

Population: Modified intention to treat analysis population

Opioid consumption (morphine milligrams equivalent) during the initial 72 hours after surgery.

Outcome measures

Outcome measures
Measure
Analgesic Education
n=483 Participants
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
n=474 Participants
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Opioid Consumption
23 Morphine milligrams equivalent
Interval 13.0 to 42.0
26 Morphine milligrams equivalent
Interval 10.0 to 45.0

SECONDARY outcome

Timeframe: 72 hours after surgery, or until discharge, whichever was earlier

Population: Modified intention to treat population

Time-weighted average of pain scores obtained from electronic medical records. Pain scores were measured using the numeric rating scale ranging from 0-10, with 0 indicating the lowest pain (better) and 10 the highest pain (worse). Pain scores were recorded approximately every 15 minutes in the post-anesthesia care unit and then every 4 hours in the ward.

Outcome measures

Outcome measures
Measure
Analgesic Education
n=483 Participants
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
n=474 Participants
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Time-weighted Average Pain Scores
4 score on a scale
Interval 3.0 to 5.0
4 score on a scale
Interval 3.0 to 5.0

SECONDARY outcome

Timeframe: 3 days after surgery

Patient satisfaction measured using Likert scale 0-10 with 0 meaning not satisfied and 10 meaning completely satisfied.

Outcome measures

Outcome measures
Measure
Analgesic Education
n=483 Participants
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
n=474 Participants
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Satisfaction With Post Operative Pain Management
9 score on a scale
Interval 8.0 to 10.0
10 score on a scale
Interval 8.0 to 10.0

Adverse Events

Analgesic Education

Serious events: 0 serious events
Other events: 181 other events
Deaths: 0 deaths

General Perioperative Education

Serious events: 0 serious events
Other events: 176 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Analgesic Education
n=483 participants at risk
Video on analgesic education: A four minute video informing the patient about opioids.
General Perioperative Education
n=474 participants at risk
Video on general perioperative education: A four minute video informing the patient about general perioperative process.
Gastrointestinal disorders
Ileus
5.6%
27/483 • 72 hours after surgery or until discharge, whichever was earlier.
4.9%
23/474 • 72 hours after surgery or until discharge, whichever was earlier.
Gastrointestinal disorders
Nausea and vomiting
4.6%
22/483 • 72 hours after surgery or until discharge, whichever was earlier.
5.9%
28/474 • 72 hours after surgery or until discharge, whichever was earlier.
Renal and urinary disorders
Urinary catheterization
3.1%
15/483 • 72 hours after surgery or until discharge, whichever was earlier.
5.5%
26/474 • 72 hours after surgery or until discharge, whichever was earlier.
Gastrointestinal disorders
Anti-emetic use
32.3%
156/483 • 72 hours after surgery or until discharge, whichever was earlier.
32.7%
155/474 • 72 hours after surgery or until discharge, whichever was earlier.

Additional Information

Dr. Alparslan Turan

Cleveland Clinic

Phone: 2162172312

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place