From the Department of Orthopedic Surgery, NYU Langone Health, New York, NY.
J Am Acad Orthop Surg. 2021 Oct 1;29(19):e961-e968. doi: 10.5435/JAAOS-D-20-00594.
The purpose of this study was to determine whether a preoperative video-based opioid education reduced narcotics consumption after arthroscopic rotator cuff repair in opioid-naive patients.
This was a single-center randomized controlled trial. Preoperatively, the control group received our institution's standard of care for pain management education, whereas the experimental group watched an educational video on the use of opioids. Patients were discharged with 30 × 5 mg/325 mg oxycodone-acetaminophen prescribed: 1 to 2 tablets every 4 to 6 hours. They were contacted daily and asked to report opioid use and visual analog scale pain. A chart review at 3 months post-op was used to analyze for opioid refills.
A total of 130 patients completed the study (65 control and 65 experimental). No statistically significant differences were noted in patient demographics between groups (P > 0.05). Patients in the education group did not use a statistically significant different number of narcotics than the control group throughout the first postoperative week (14.0 pills experimental versus 13.7 pills control, P = 0.60). No statistically significant differences were noted between groups at follow-regarding the rate of prescription refills (P > 0.05).
This study suggests that preoperative video-based opioid education may have no effect on reducing the number of narcotic pills consumed after arthroscopic rotator cuff repair.
Data exist to suggest that preoperative video-based opioid education has an effect on postoperative consumption; however, the effect of this education in the setting of already-limited opioid-prescribing is not known.
NCT04018768.
本研究旨在确定在接受关节镜肩袖修复术的阿片类药物初治患者中，术前基于视频的阿片类药物教育是否会减少术后阿片类药物的使用。
这是一项单中心随机对照试验。对照组术前接受我们机构常规的疼痛管理教育，而实验组观看关于阿片类药物使用的教育视频。患者出院时，开出处方为 30×5mg/325mg 羟考酮-对乙酰氨基酚：每 4 至 6 小时服用 1 至 2 片。每天联系患者并要求报告阿片类药物的使用情况和视觉模拟评分疼痛。术后 3 个月的病历回顾用于分析阿片类药物的补充情况。
共有 130 名患者完成了研究（对照组 65 例，实验组 65 例）。两组患者的人口统计学特征无统计学差异（P＞0.05）。实验组在术后第一周的阿片类药物使用量与对照组无统计学差异（实验组 14.0 片，对照组 13.7 片，P=0.60）。两组在随访时的处方补充率无统计学差异（P＞0.05）。
本研究表明，术前基于视频的阿片类药物教育可能不会减少关节镜肩袖修复术后阿片类药物的使用量。
有数据表明，术前基于视频的阿片类药物教育会对术后的使用量产生影响；然而，在已经限制阿片类药物处方的情况下，这种教育的效果尚不清楚。
NCT04018768。
