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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04963751
Other study ID # 21-3205
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date September 8, 2022
Est. completion date June 30, 2025

Study information

Verified date April 2024
Source University of Colorado, Denver
Contact Patricia S Huguelet, MD
Phone (720)-777-2238
Email patricia.huguelet@cuanschutz.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The Investigator propose a randomized trial that will assess whether participant involvement in pre-operative counseling for ERAS improves post-surgical pain scores. The Investigator will also assess participant compliance to ERAS-prescribed medications, and functionality (return to school). Each participant who is enrolled in the study will be assigned to 1) pre-operative counseling with participant's caregiver or 2) caregiver-only counseling.


Description:

Enhanced Recovery After Surgery (ERAS) protocols have been shown to be safe and effective in pediatric and adolescent gynecology (PAG) participants. However, the individual elements of ERAS that are associated with positive outcomes have not been identified. Pre-operative counseling and education is a standard component of ERAS. In pediatric and adolescent gynecology (PAG), pre-operative counseling is typically administered to the participant's caregiver rather than directly to the participant. It is possible that direct participant involvement in ERAS pre-operative counseling could be an important factor to improve post-surgical outcomes. To investigator's knowledge, no studies have examined the impact of direct participant involvement in pre-operative counseling on ERAS outcomes in the PAG population. The Investigator propose a randomized trial that will assess whether participant involvement in pre-operative counseling for ERAS improves post-surgical pain scores. The Investigator will also assess participant compliance to ERAS-prescribed medications, and functionality (return to school). Each participant who is enrolled in the study will be assigned to 1) pre-operative counseling with participant's caregiver or 2) caregiver-only counseling.


Recruitment information / eligibility

Status Recruiting
Enrollment 60
Est. completion date June 30, 2025
Est. primary completion date January 31, 2025
Accepts healthy volunteers No
Gender Female
Age group 9 Years to 17 Years
Eligibility Inclusion Criteria: - 9- 17 years of age - Patient is undergoing abdominal surgery and being managed under the ERAS protocol Exclusion Criteria: - Developmental delay (IQ < 70) determined by documentation in medical record - Emergency or non-elective surgical cases - Patients who attend clinic appointments independently from their caregiver

Study Design


Intervention

Other:
Enhanced Recovery After Surgery (ERAS) Counseling to Patients
In pediatric and adolescent gynecology (PAG), pre-operative counseling is typically administered to the patient's caregiver rather than directly to the patient. It is possible that direct patient involvement in ERAS pre-operative counseling could be an important factor to improve post-surgical outcomes.
Enhanced Recovery After Surgery (ERAS) Counseling to Caregiver
In pediatric and adolescent gynecology (PAG), pre-operative counseling is typically administered to the patient's caregiver rather than directly to the patient. It is possible that direct patient involvement in ERAS pre-operative counseling could be an important factor to improve post-surgical outcomes.

Locations

Country Name City State
United States Pediatric and Gynecology Clinic at Children's Hospital Colorado Aurora Colorado

Sponsors (1)

Lead Sponsor Collaborator
University of Colorado, Denver

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Numeric Pain rating scores at post-op days 1 and 7 Minimum value = 0, maximum value = 10. 0 = no pain at all, 10 = worst pain imaginable. A higher score on the rating scale indicates a worse outcome. 1-7 days after surgery
Secondary Number of participants who have returned to school at 7-days post-op Yes/no question asking whether the participants has returned to school 7 days after surgery
Secondary Rate of medication adherence to ERAS-prescribed medications Participants reported adherence to ERAS medications during the post-operative period measured by asking patients which medications they are taking. 1-7 days after surgery
Secondary Rate of narcotic medication prescriptions Documentation of narcotic pain medications used during the post-operative period. Assessed via chart review of medical record. 1-7 days after surgery
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