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Real-Time Pain Control Education After Outpatient General Surgery: A Randomized Controlled Trial.

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|December 13, 2024
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Summary
This summary is machine-generated.

Short-messaging service (SMS) surveys with real-time opioid-use education (SMSE) did not reduce outpatient opioid use. However, SMSE showed high patient acceptance and potential for identifying patients needing pain management support.

Keywords:
Elective general surgeryOpioid epidemicOpioid stewardshipPatient educationPatient satisfactionPostoperative analgesiaShort-messaging service

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Area of Science:

  • Pain Management
  • Digital Health Interventions
  • Surgical Outcomes

Background:

  • Rising opioid-related morbidity and mortality highlight the need for interventions.
  • Surgery is a common first exposure to opioids for many patients.
  • Limited real-time educational interventions exist for outpatient pain management.

Purpose of the Study:

  • To evaluate the effect of SMS surveys with (SMSE) and without (SMS) real-time opioid-use education on outpatient postoperative opioid consumption.
  • To assess patient pain scores and satisfaction in response to SMS-based interventions.

Main Methods:

  • A double-blinded randomized controlled trial involving 160 adult general surgery patients.
  • Daily automated SMS or SMSE delivered for 10 days postoperatively.
  • Primary outcomes: total oral morphine equivalents (OMEs) used and total pain scores, collected via SMS responses.

Main Results:

  • No significant difference in total pain scores or OMEs between SMS and SMSE groups.
  • Increased OME use correlated with younger age, higher opioid prescription, and preoperative opioid use.
  • Open hernia repair subgroup in SMSE group showed significantly lower OME use.

Conclusions:

  • Real-time opioid-use education via SMS did not alter overall outpatient opioid use.
  • SMS interventions demonstrated high patient acceptance for communication and feedback.
  • Further optimization of SMS tools may help identify patients with inadequate pain control and promote safe opioid practices.