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NCT05370326 | Completed | Opioid Dependence


Feasibility and Preliminary Efficacy of an Opioid Stewardship Program in Hospitalized Patients With Chronic Pain
Sponsor:

Yale University

Brief Summary:

This study aims to investigate the feasibility and preliminary efficacy of an enhanced opioid stewardship program, tailored to the needs of hospitalized patients with chronic pain with opioid dependence, incorporating real-time guidance from an addiction medicine and pain-trained physician/pharmacist team, using a pilot randomized clinical trial format. Findings from this research may improve pain management and decrease risk of opioid-related adverse events among patients with chronic pain.

Condition or disease

Opioid Dependence

Chronic Pain

Intervention/treatment

Enhanced Opioid Stewardship Program

Phase

Not Applicable

Detailed Description:

The primary objective of this study is to determine whether an enhanced opioid stewardship program, tailored to the needs of patients with chronic pain, is feasible to implement in a hospital setting. One secondary objective is to determine whether an enhanced opioid stewardship program increases use of guideline-based opioid care. The other secondary objective of this study is to determine whether an enhanced opioid stewardship program reduces pain frequency, intensity, and interference and decreases the risk for opioid-related adverse events among adult patients with chronic pain hospitalized on medical units at Yale-New Haven Hospital, York Street and Saint Raphael campuses. This is a pilot randomized controlled trial of 100 adult participants. It is prospective and focus primarily on feasibility. There will be up to 3 study visits with each participant, which will take place during hospitalization or in the first week after hospital discharge.}}

Study Type : Interventional
Estimated Enrollment : 52 participants
Masking : None (Open Label)
Primary Purpose : Other
Official Title : Randomized Controlled Pilot Trial to Evaluate Feasibility and Preliminary Efficacy of an Opioid Stewardship Program in Hospitalized Patients With Chronic Pain
Actual Study Start Date : July 7, 2022
Estimated Primary Completion Date : November 1, 2022
Estimated Study Completion Date : November 30, 2022
Arm Intervention/treatment

Experimental: Enhanced Opioid Stewardship Program

Enhanced opioid stewardship program, tailored to the needs of hospitalized patients with chronic pain with opioid dependence, incorporating real-time guidance from an addiction medicine and pain-trained physician/pharmacist team

No Intervention: Standard of care

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • admitted at Yale New Haven Hospital (YSC and SRC) on medical units
  • identified as having chronic pain and prescribed opioids
  • have opioid dependence (evidenced by ongoing opioid prescription, meeting Diagnostic and Statistical Manual of Mental Disorders-5 criteria for Opioid Use Disorder, or clinical history)
Exclusion Criteria
  • active cancer
  • current pregnancy
  • hospice care/comfort measures only
  • admission to inpatient psychiatry
  • completed or planned Addiction Medicine consult during hospitalization

Feasibility and Preliminary Efficacy of an Opioid Stewardship Program in Hospitalized Patients With Chronic Pain

Location Details


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Feasibility and Preliminary Efficacy of an Opioid Stewardship Program in Hospitalized Patients With Chronic Pain

How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


Not yet recruiting

United States, Connecticut

Yale New Haven Hospital, 20 York Street

New Haven, Connecticut, United States, 06510

Not yet recruiting

United States, Connecticut

Yale New Haven Hospital, 1450 Chapel Street

New Haven, Connecticut, United States, 06511

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