Skip to main content

Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial.

Publication ,  Journal Article
Rhon, DI; Greenlee, TA; Gill, NW; Carlson, AE; Hart, AM; Larsen, TH; McLelland, A; Mayhew, RJ; McCafferty, RR; Koppenhaver, SL
Published in: Spine (Phila Pa 1976)
January 1, 2022

STUDY DESIGN: Parallel-arm randomized controlled trial. OBJECTIVE: To assess the effectiveness of an enhanced video education session highlighting risks of opioid utilization on longterm opioid utilization after spine surgery. SUMMARY OF BACKGROUND DATA: Long-term opioid use occurs in more than half of patients undergoing spine surgery and strategies to reduce this use are needed. METHODS: Patients undergoing spine surgery at Brooke Army Medical Center between July 2015 and February 2017 were recruited at their preoperative appointment, receiving the singlesession interactive video education or control at that same appointment. Opioid utilization was tracked for the full year after surgery from the Pharmacy Data Transaction Service of the Military Health System Data Repository. Self-reported pain also collected weekly for 1 and at 6months. RESULTS: A total of 120 participants (40 women, 33.3%) with a mean age of 45.9 ± 10.6 years were randomized 1:1 to the enhanced education and usual care control (60 per group). In the year following surgery the cohort had a mean 5.1 (standard deviation [SD] 5.9) unique prescription fills, mean total days' supply was 88.3 (SD 134.9), and mean cumulative morphine milligrams equivalents per participant was 4193.0 (SD 12,187.9) within the year after surgery, with no significant differences in any opioid use measures between groups. Twelve individuals in the standard care group and 13 in the enhanced education group were classified with having long-term opioid utilization. CONCLUSION: The video education session did not influence opioid use after spine surgery compared to the usual care control. There was no significant difference in individuals classified as long-term opioid users after surgery based on the intervention group. Prior opioid use was a strong predictor of future opioid use in this cohort. Strategies to improve education engagement, understanding, and decision- making continue to be of high importance for mitigating risk of long-term opioid use after spine surgery.Level of Evidence: 1.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

January 1, 2022

Volume

47

Issue

1

Start / End Page

5 / 12

Location

United States

Related Subject Headings

  • Pain, Postoperative
  • Orthopedics
  • Opioid-Related Disorders
  • Middle Aged
  • Humans
  • Female
  • Cohort Studies
  • Analgesics, Opioid
  • Adult
  • 4201 Allied health and rehabilitation science
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rhon, D. I., Greenlee, T. A., Gill, N. W., Carlson, A. E., Hart, A. M., Larsen, T. H., … Koppenhaver, S. L. (2022). Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial. Spine (Phila Pa 1976), 47(1), 5–12. https://doi.org/10.1097/BRS.0000000000004186
Rhon, Daniel I., Tina A. Greenlee, Norman W. Gill, Andrew E. Carlson, Allison M. Hart, Trent H. Larsen, Alex McLelland, Rachel J. Mayhew, Randall R. McCafferty, and Shane L. Koppenhaver. “Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial.Spine (Phila Pa 1976) 47, no. 1 (January 1, 2022): 5–12. https://doi.org/10.1097/BRS.0000000000004186.
Rhon DI, Greenlee TA, Gill NW, Carlson AE, Hart AM, Larsen TH, et al. Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial. Spine (Phila Pa 1976). 2022 Jan 1;47(1):5–12.
Rhon, Daniel I., et al. “Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial.Spine (Phila Pa 1976), vol. 47, no. 1, Jan. 2022, pp. 5–12. Pubmed, doi:10.1097/BRS.0000000000004186.
Rhon DI, Greenlee TA, Gill NW, Carlson AE, Hart AM, Larsen TH, McLelland A, Mayhew RJ, McCafferty RR, Koppenhaver SL. Does Engaging Patients with Relevant Education About Long-Term Opioid Use Before Spine Surgery Affect Long-term Opioid Use? A Randomized Controlled Trial. Spine (Phila Pa 1976). 2022 Jan 1;47(1):5–12.

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

January 1, 2022

Volume

47

Issue

1

Start / End Page

5 / 12

Location

United States

Related Subject Headings

  • Pain, Postoperative
  • Orthopedics
  • Opioid-Related Disorders
  • Middle Aged
  • Humans
  • Female
  • Cohort Studies
  • Analgesics, Opioid
  • Adult
  • 4201 Allied health and rehabilitation science