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Robotic Opioid-free Prostatectomy Enhanced Strategy (ROPES)
Sponsor: Brigham and Women's Hospital
Summary
This prospective, interventional, open-label, phase 3 randomized study evaluates a multimodal analgesia discharge pathway to reduce automatic opioid prescribing following routine robotic-assisted laparoscopic prostatectomy (RALP). Patients are counseled on post-operative pain management and then may opt into or out of the study with randomization to discharge prescriptions including (A) multimodal plan with additional automatic opioid prescription or (B) multimodal plan alone and instruction to call phone line to request opioid prescription if pain management is insufficient. Additionally, a cohort of historical controls prior to implementation of the study is also prospectively assessed as a pre-study baseline. The primary outcome is postoperative opioid consumption. Secondary outcomes include bowel function recovery, unplanned care encounters including emergency department visits or postoperative phone calls, and same-day discharge rates.
Official title: Robotic Opioid-free Prostatectomy Enhanced Strategy (ROPES): Implementation of an Opioid-free Multimodal Analgesia Discharge Pathway
Key Details
Gender
MALE
Age Range
45 Years - Any
Study Type
INTERVENTIONAL
Enrollment
300
Start Date
2026-03-01
Completion Date
2027-04-30
Last Updated
2026-02-23
Healthy Volunteers
No
Conditions
Interventions
multimodal analgesia pathway with up-front small opioid prescription
multimodal analgesia pathway including an up-front small opioid prescription
multimodal analgesia pathway without up-front small opioid prescription
multimodal analgesia pathway without up-front small opioid prescription
pre-implementation baseline including opioid
pre-implementation baseline including opioid
Locations (2)
Brigham and Women's Hospital
Boston, Massachusetts, United States
Brigham and Women's Faulkner Hospital
Boston, Massachusetts, United States