Educational intervention to reduce pain after outpatient orthopedic surgery

Impact of a Preoperative Education on the Quality of Postoperative Analgesia Management in Outpatient Surgery

This study is testing whether giving patients better information before outpatient orthopedic surgery can help them manage their pain at home and reduce the need for emergency calls or hospital visits afterward.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 414 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: Hospices Civils de Lyon (other)
• Locations: 1 site (Lyon)
• Trial ID: NCT03754699 on ClinicalTrials.gov

What this trial studies

This study aims to improve postoperative pain management for patients undergoing outpatient orthopedic surgery by providing structured preoperative education. The intervention focuses on enhancing patient engagement and understanding of analgesic use at home, addressing the common issue of inadequate information leading to uncontrolled pain. By utilizing psychological techniques, the study seeks to empower patients to follow postoperative analgesia instructions effectively. The goal is to reduce emergency calls and readmissions related to pain management in the critical first 48-72 hours after surgery.

Who should consider this trial

Good fit: Ideal candidates include adults scheduled for outpatient orthopedic surgery who are expected to experience moderate to severe pain.

Not a fit: Patients with chronic pain unrelated to the surgical site or those undergoing outpatient arthroplasty may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve pain control and patient satisfaction after outpatient orthopedic surgeries.

How similar studies have performed: Previous studies have shown that structured educational interventions can enhance patient outcomes in postoperative pain management, indicating a promising approach.

Eligibility criteria

Inclusion Criteria:

* Adults (age ≥ 18 years);
* Patients scheduled for outpatient orthopedic surgery
* ASA (American Society of Anesthesiology) I to III;
* Patients admitted for an outpatient intervention resulting in moderate to severe pain: eg: arthroscopy of the knee or shoulder, cruciate ligaments, shoulder block, medial patellofemoral ligament plasty (not exhaustive)

Exclusion Criteria:

* Pregnant or lactating women
* Patients with contraindications to paracetamol and/or second-level analgesic and/or NSAIDs (hepatocellular insufficiency, respiratory insufficiency, substituted or unsubstituted drug addicts, allergy to one of the drugs, history of bleeding or digestive perforation during previous NSAID treatment, history of gastroduodenal ulcer, renal failure with clearance \<50mL / min, severe heart failure)
* Patients with preoperative chronic pain (outside operative site, known or detected by DN4)
* Patients admitted for an outpatient arthroplasty (excluded because they are subjected of a specific preoperative preparation)
* Persons deprived of their liberty by a judicial or administrative decision, persons under psychiatric care, persons admitted to a health or social establishment for other purposes than research
* Patient with a poor understanding of French
* Patient refusing to participate to the study
* Patient not affiliated to a social security regimen
* Patient participating in other interventional research except a routine care research (former regulation) and/or research with no interference with the primary endpoint analysis as determined by the investigator.

Where this trial is running

Lyon

• Hospices Civils de Lyon - Hopital de la Croix Rousse - Anaesthesia Reanimation unit — Lyon, France (RECRUITING)

Study contacts

• Study coordinator: Mikhaïl DZIADZKO

Conditions: Outpatient Orthopedic Surgery, Pain, Surgery, Preoperative Education, Outpatient