Neoplasms

All Conditions

Gland and Hormone Related Diseases

Symptoms and General Pathology

Behaviors and Mental Disorders

Adenoma

Thyroid Neoplasms

Thyroid Diseases

Pain

Thyroid Nodule

Hyperplasia

Behavior, Addictive

Goiter

Parathyroid Diseases

Parathyroid Neoplasms

Endocrine System Diseases

Endocrine Gland Neoplasms

Head and Neck Neoplasms

Neoplasms, Glandular and Epithelial

Neoplasms by Histologic Type

Antipyretics

Analgesics

All Drugs and Chemicals

Central Nervous System Depressants

Antitussive Agents

Respiratory System Agents

Anti-Obesity Agents

Vasoconstrictor Agents

Acetaminophen

Analgesics, Opioid

Tramadol

Narcotics

Parathyroid Hormone

Codeine

Analgesics, Non-Narcotic

Phenylpropanolamine

Guaifenesin

Chlorpheniramine, phenylpropanolamine drug combination

Tylenol (also known as acetaminophen) 1000mg every 6 hours for 3 days and tramadol 50 mg every 6 hours as needed for moderate to severe pain

Tylenol #3 (codeine-acetaminophen) 1 tab every 4 hours or 2 tabs every 6 hours as needed for pain

non-narcotic medication first with narcotic as second choice

Acetaminophen 500Mg Cap

Tylenol #3 Oral Tablet

Minerva A Romero Arenas, MD, MPH

Samuel K Snyder, MD

Henry A Reinhart, MD

This research is being done to better understand and test if the investigators can minimize narcotic medication for controlling pain after thyroid or parathyroid surgery. This research will be performed at Doctors Hospital At Renaissance in the investigators clinic and the perioperative area.

Participants will be randomly chosen to receive one of two options for pain management that the investigators are already using in the care of patients after surgery. One option includes a narcotic medication and one option includes a non-narcotic and a narcotic as needed.

Participants will be asked to complete a form about the level of pain and how much pain medication was needed after surgery in the hospital and while at home. Participants will not have to do any additional visits to participate in this study. The investigators will obtain the research materials at the same time as the usual care visits around the participants' surgery.

A study team member will give the participant a copy of the informed consent form to read. Participants will have a chance to ask questions about the study before agreeing to participate. If participants agree, they will be randomly chosen to receive one of two options for pain management that the investigators are already using in the care of patients (option 1: Tylenol (also known as acetaminophen) with tramadol if needed, or option 2: Tylenol #3 as needed) after surgery.

Participants will be asked to complete a form about the level of pain and how much pain medication was needed after surgery in the hospital and while at home. Participants will come to the GME General Surgery Center approximately one week after surgery for a post-operative visit so that the investigators can see how much pain medication was used and how much pain the participant had in the first few days after surgery.

Participants will not have to do any additional visits to participate in this study. The investigators will obtain the research materials at the same time as the usual care visits around the participants' surgery. It should take approximately 2 minutes each day to complete.

option 1: Tylenol (also known as acetaminophen) with tramadol if needed, or option 2: Tylenol #3 as needed

Minimizing Narcotic Analgesics After Endocrine Surgery

Minimizing Narcotic Analgesics After Thyroid or Parathyroid Surgery

De-identified information only will be made available to interested researchers.

Patient pain scores will be logged using Wong-Baker FACES pain rating scale (range 0-10) and scores will be assessed for differences between the study arms

The number of days after surgery that participants required pain medications will be counted and assessed for difference between the study arms

The type and quantity of pain medications used after surgery will be counted and assessed for difference between the study arms

The type and quantity of pain medications used after surgery will be counted and number of patients requiring cross over will be assessed

Minerva A Romero Arenas

Principal Investigator

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