Standardized opioid prescriptions after hand and forearm surgery
Official title: Discharge Opioid Prescription for Ambulatory Hand and Forearm Surgery: A Randomized Controlled Trial
Run by University Health Network, Toronto · NCT04044820 · Data updated 2026-11-12
This study tests if a set prescription for pain medication after hand and forearm surgery can help patients use fewer unused opioid pills while still managing their pain effectively.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 292 (estimated) |
| Sponsor | University Health Network, Toronto Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | March 4, 2019 |
| Main results expected | December 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | January 16, 2026 |
| Trial ID | NCT04044820 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients undergoing elective ambulatory hand and forearm surgery at Toronto Western Hospital.
✕Probably not a fit
Patients currently on chronic opioid treatment or those with cognitive impairments may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate whether a standardized opioid prescription following elective hand and forearm surgery can reduce the number of unused opioid pills while still providing effective pain control. Patients at Toronto Western Hospital will be randomly assigned to receive either a standardized prescription or the usual physician-prescribed opioids. The standardized prescription includes Oxycodone or alternatives based on patient needs, along with guidance on using non-opioid analgesics to minimize narcotic consumption. The study will assess opioid use and pain management through follow-up consultations.
Why it matters
Potential benefit: If successful, this approach could lead to more effective pain management while reducing the risk of opioid over-prescription and waste.
How similar studies have gone: Other studies have shown promise in standardizing opioid prescriptions to improve pain management and reduce excess use, indicating this approach is supported by existing evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1\. Patients presenting to TWH for elective ambulatory hand and forearm surgery Exclusion Criteria: 1. Chronic opioid treatment, defined as more than 6 tablets of Oxycodone 5 mg per day (or equivalent) 2. Cognitive impairment or any other condition causing inability to use 'as required' medication for pain control 3. Language barrier preventing completion of patient diary 4. Patient refusal
Where it's running
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Toronto Western Hospital
Toronto, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Anuj Bhatia, MD FRCPC — Uhn
- Study coordinator: Anuj Bhatia, MD FRCPC
- Email: anuj.bhatia@uhn.ca
- Phone: (416) 603 5800
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.