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CompletedNCT04543227Updated Apr 30, 2024

Opioid Laws and Pediatric Use

An observational study in Burns, Knee Injuries and Opioid Use, sponsored by Nationwide Children's Hospital. Completed at 1 site in United States. Open to participants aged 0 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-04-30.

Sponsored by Nationwide Children's Hospital · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
980
Ages
0 Years to 18 Years
Sex
All
01

Study summary

The legitimate need for opioid medications for acute pain management in pediatric trauma patients is recognized, however, the high dose and duration of opioid drugs prescribed by medical providers has been associated with an increased risk of opioid abuse and chronic use by patients. The overarching goal of application is to assess opioid use and outcomes of pediatric patients treated for either burn injuries or knee arthroscopy procedures at a large academic pediatric medical center before and after Ohio opioid prescription rules for acute pain were implemented on August 21, 2017. Also, to evaluate patient use of opioids at 90-days post-treatment.

Read the detailed description

This study has a prospective and retrospective component. Phase 1 involves a retrospective chart review will be performed among pediatric patients undergoing burn care or knee arthroscopy at our institution to determine a whether there was a reduction in prescribed opioid medications following the 2017 Ohio opioid prescription law. A 24-month pre-law period (August 1st, 2015, to August 31st, 2017) and 24-month post-law period (September 1st, 2017, to August 31st 2019) will be compared. This phase will include 300 patients (n=150 burn, n=150 knee arthroscopy) evenly divided between the pre-law and post-law periods.

Phase 2 involves a prospective patient telephone survey 90 days after burn care or knee arthroscopy procedure to assess the association of opioid prescribing, consumption and amount of left-over medications, and pain control status after 90 days. This phase will include 100 patients (n=50 burn, n=50 knee arthroscopy) recruited via convenience sampling.

02

Conditions studied

  • Burns
  • Knee Injuries
  • Opioid Use
  • Pain

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Keywords

  • Burns
  • Knee Arthroscopy
  • Opioid
  • Pain
  • Chronic
03

In context

Knee Injuries

249 studies on the registry are indexed under Knee Injuries; 48 are open to participants now.

This study's enrollment of 980 is above the median of 90 across 79 observational studies indexed under Knee Injuries.

Browse Knee Injuries studies →

Lead sponsor

Nationwide Children's Hospital is the lead sponsor of 231 studies on the registry; 43 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 8 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric patients (age 0-18 years) treated at our institution for either a burn injury or knee arthroscopy procedure and received an opioid prescription.

Inclusion criteria

  • pediatric patients age 0-18 years (inclusive)
  • treated at our institution for either a burn injury or knee arthroscopy procedure
  • received at least one opioid prescription

Exclusion criteria

Exclusion Criteria:

  • patients age 19 years and above
  • patients who did not receive any opioid medications
  • patients undergoing knee arthroscopy with simultaneous anterior cruciate ligament (ACL) reconstruction
  • families unable to to communicate in English
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
980 participants (actual)
Patient registry
No

Groups and cohorts

  • Retrospective Burn Injuries

    Pediatric patients treated at a large academic pediatric medical center for burn injuries between August 2015 - August 2019.

  • Retrospective Knee Arthroscopy

    Pediatric patients treated at a large academic pediatric medical center for a knee arthroscopy procedure between August 2015 - August 2019.

  • Prospective Burn Injuries

    Pediatric patients treated at a large academic pediatric medical center for burn injuries after July 2020.

    Behavioral: Opioid Use 90-Days Post Treatment

  • Prospective Knee Arthroscopy

    Pediatric patients treated at a large academic pediatric medical center for a knee arthroscopy procedure after July 2020.

    Behavioral: Opioid Use 90-Days Post Treatment

Interventions

  • BehavioralOpioid Use 90-Days Post Treatment

    Survey conducted 90-days post treatment to determine use of opioid medications in relation to burn or knee arthroscopy pain

06

What researchers measure

Primary outcomes

  1. Change in opioid prescriptions

    Change in opioid medications prescribed pre-law and post-law (reported in morphine equivalent doses)

    Time frame: 2 years before and 2 years after Ohio opioid law

  2. Long-term opioid use

    Patients using opioid medications 90-days post treatment

    Time frame: 90 days post treatment

Secondary outcomes

  1. Comparison of opioid medications usage

    Comparison of opioid medications prescribed by injury type (burn and knee arthroscopy)

    Time frame: 2 years before and 2 years after Ohio opioid law

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Study locations

1 site
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
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References and documents

Publications

  • Armstrong M, Groner JI, Samora J, Olbrecht VA, Tram NK, Noffsinger D, Boyer EW, Xiang H. Impact of opioid law on prescriptions and satisfaction of pediatric burn and orthopedic patients: An epidemiologic study. PLoS One. 2023 Nov 16;18(11):e0294279. doi: 10.1371/journal.pone.0294279. eCollection 2023. PubMed 37972014 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04543227
Lead sponsor
Nationwide Children's Hospital
Collaborators
Ohio Department of Public Safety
Responsible party
Henry Xiang (Professor and Center Director, Nationwide Children's Hospital) — Principal investigator
First posted
Sep 10, 2020
Start date
Sep 10, 2020
Primary completion
Jun 30, 2022
Completion
Nov 16, 2023
Last update
Apr 30, 2024

Study contacts

Henry Xiang, MD, MPH, PhD
principal investigator · Nationwide Children's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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