Recruitment

Recruitment Status
Recruiting
Estimated Enrollment
Same as current

Summary

Conditions
  • Chronic Pain
  • Opioid Dependence
  • Opioid Use
  • Postoperative Pain
Type
Interventional
Phase
Not Applicable
Design
Allocation: RandomizedIntervention Model: Parallel AssignmentMasking: None (Open Label)Primary Purpose: Health Services Research

Participation Requirements

Age
Between 18 years and 125 years
Gender
Both males and females

Description

The proposed research program encompasses several study designs to evaluate the effectiveness and potential implementation of the TPSP across Ontario. The investigators will use three approaches to create a comprehensive evidence-base that can be used to guide future policy and programs related to t...

The proposed research program encompasses several study designs to evaluate the effectiveness and potential implementation of the TPSP across Ontario. The investigators will use three approaches to create a comprehensive evidence-base that can be used to guide future policy and programs related to the management of surgical patients with complex pain and chronic opioid use. In the first phase, a multicenter randomized controlled trial will be conducted in 6 hospital sites to evaluate the effectiveness and potential implementation of TPSP across Ontario. The aim is to recruit a total of 210 patients who are currently taking opioids and also undergoing a surgical intervention. The randomized controlled trial will determine the effectiveness of the TPSP at weaning patients completely off opioids while still managing pain after one year. Secondly, an economic and healthcare utilization analysis of the program via linkage to provincial administrative databases will be carried out to understand the impact the TPSP program has on the healthcare system as a whole. Lastly, a qualitative study will be conducted on both the treatment and control groups. The investigators hope to capture further insight to understand patients and providers experiences of the TPSP intervention.

Tracking Information

NCT #
NCT03675386
Collaborators
Not Provided
Investigators
Principal Investigator: Karim Ladha, MD Toronto General Hospital, University Health Network Principal Investigator: Hance Clarke, MD, PhD Toronto General Hospital, University Health Network Principal Investigator: Elaheh Adly, MD Hamilton Health Sciences Centre Principal Investigator: Paul Tumber, MD University Health Network, Toronto Principal Investigator: Anton Marinov, MD Rouge Valley Medical Centre Principal Investigator: Melanie Toman, MD Thunder Bay Reginal Health Sciences Centre Principal Investigator: Yuvaraj Kotteeswaran, MD Thunder Bay Reginal Health Sciences Centre Principal Investigator: Duminda Wijeysundera, MD Unity Health Toronto