Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment292 (estimated)
SponsorUniversity Health Network, Toronto
Academic / other
Locations1 site (Toronto, Ontario)
StatusRecruiting
StartedMarch 4, 2019
Main results expectedDecember 2026
Study endsDecember 31, 2026
Registry record updatedJanuary 16, 2026
Trial IDNCT04044820 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

  • Toronto Western Hospital
    Toronto, Ontario, Canada
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.