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VA Transitional Pain Service Study for Chronic Opioid Use

This study is testing a program called the Transitional Pain Service (TPS) to help Veterans who are at risk of using opioids long-term after orthopedic surgery. The TPS program offers comprehensive pain management and care coordination before, during, and for at least six months after surgery. This study aims to see if TPS can reduce the chance of Veterans developing chronic opioid use after surgery, especially for those receiving care through the Veteran Community Care Program. We are looking for 400 Veterans who are 18 or older, not currently using chronic opioids, and have a VA primary care provider. The main goal is to see how many participants are still using opioids 90 days after surgery.

Study design
This is an interventional study with a planned enrollment of 400 participants. The study is testing a behavioral intervention called the Transitional Pain Service.
What's involved
Participants will receive comprehensive pain management and care coordination before, during, and for at least 6 months after surgery.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for persistent post-surgical opioid use, measured at 90 days after surgery.

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NCT06223503

VA Transitional Pain Service Study

Recruiting
NAAges 18+InterventionalPrevention
VA Office of Research and Development
~400 participants
Updated 2026-05-06 on ClinicalTrials.gov
What's tested:Transitional Pain Service

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Persistent post-surgical opioid use
Measured over 90 days after surgery

Conditions

Chronic Opioid Use

Explore related trials

Opioid Use DisorderOrthopedic Rehabilitation Surgery

Where it's being run

1 sites across 1 states
Utah1

Study leadership

  • Benjamin S Brooke, MD PhD · PRINCIPAL_INVESTIGATOR · VA Salt Lake City Health Care System, Salt Lake City, UT

Who to contact

Benjamin S Brooke, MD PhD
[email protected]
(801) 582-1565 · ext. 4169
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Eligibility criteria

Inclusion

The investigators will include Veterans who are referred to the Veteran Community Care Program (VCCP) for an orthopedic surgery procedure from any VA medical center throughout VISN-19.
Additionally, these Veterans must be 18+ years of age who are not on chronic opioids at the time of surgery, and who have a VA primary care provider (PCP).
Veterans who received TPS (Aim 1) and referring VA Primary Care Providers.

Exclusion

The investigators will exclude Veterans who are scheduled for other types of surgical procedures, are on chronic opioid therapy before surgery, are on hospice or end-of-life care, are cognitively impaired, or unable to complete the follow-up visits for any other reason.
The investigators will exclude Veterans not randomized to the TPS Telehealth intervention of Aim 1.
Primary Care Providers will be excluded if they do not primarily work at the VA.
The investigators will exclude Veterans who were not randomized to the TPS Telehealth intervention.
Veterans who experienced a major complication during the perioperative period or experienced an extended length of stay (LOS) based on exceeding the upper interquartile range of median LOS.

What this trial measures

  • Persistent post-surgical opioid use90 days after surgery

    The percentage of non-chronic opioid use Veterans who continue post-surgical use past 90 days after surgery.