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Preoperative Opioid Tapering Before Spine Surgery

RECRUITINGN/ASponsored by Thomas Jefferson University
Actively Recruiting
PhaseN/A
SponsorThomas Jefferson University
Started2025-12-01
Est. completion2026-12-01
Eligibility
Age18 Years+
Healthy vol.Accepted
Locations1 site
View on ClinicalTrials.gov →

NCT07221786

Summary

This is a pilot study in which patients taking opioids chronically who are scheduled for spine surgery at least 4 weeks in advance will be randomly assigned to one of two groups: opioid tapering with education alone or opioid tapering with education plus cognitive behavioral therapy (CBT). The primary objective is to determine the proportion of each group that is successful in achieving their opioid tapering goals by the time of surgery.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion:

* at least 18 years old
* scheduled for major spine surgery (i.e. at least 2 levels of fusion) with hospital admission of at least one night
* scheduled for spine surgery at least 4 weeks ahead of time
* takes between 40 and 200 oral morphine equivalents daily

Exclusion:

* inability to use a computer or tablet for telemedicine encounters
* non-English-speaking
* inability to complete assessments
* positive screen on the Columbia Suicide Screening Assessment

Conditions5

AnxietyDepressionOpioid Consumption, PostoperativeOpioid DependencyPain After Surgery

Locations1 site

Thomas Jefferson University Hospital
Philadephia, Pennsylvania, 19107
Eric Schwenk, MD919-360-0762eric.schwenk@jefferson.edu

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