Looking back at health data collected over 9 years to assess the long term effects of using opioids to treat chronic back pain

ISRCTN ISRCTN69685117
DOI https://doi.org/10.1186/ISRCTN69685117
Secondary identifying numbers Danish Data Protection Agency 2008-58-0035
Submission date
24/05/2020
Registration date
28/05/2020
Last edited
20/07/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Spinal pain is the leading worldwide cause of years lived with chronic pain and disability. While opioids are well documented as an effective short-term pain-relieving medication, more than a few weeks of treatment may result in a reduced effect of pain relief as well as the development of addictive behaviour. Opioid addiction in pain patients is a major problem experienced in the outpatient clinic from which this study is run, no research has yet been completed on the long-term problems and link to clinical outcomes in patients who are prescribed novel opioid medication for chronic back pain.

In Denmark, a large number of different national registers of health data are available. The data from SpineData, the Danish National Patient Register, and The Danish National Prescription Registry will be used to assess different long-term effects of opioid use on a patient’s physical, psychological, and social health. The study will also investigate trends in how opioids are prescribed, how many patients are opioids for a short period when a short term episode of pain occurs, how many patients are being prescribed Long-Term Opioid Therapy (LTOT) for their chronic pain.

Who can participate?
Adult patients with a new spinal pain which lasted for more than 2 months, who attended their first outpatient visit at the participating centre between 2012 and 2013.

What does the study involve?
The participants received an electronic questionnaire three times - at their first visit in the Spinecenter, after 1 year and after 5 years. All participants will have received standard treatment based on their individual needs. No other changes beyond standard care are part of this study.

What are the possible benefits and risks of participating?
The only changes beyond standard care in this study are the completion of three electronic questionnaires, so there is not thought to be an added risk or benefit to participants.

Where is the study run from?
The Spinecenter of Southern Denmark (Denmark)

When is the study starting and how long is it expected to run for?
From January 2018 to June 2021

Who is funding the study?
The Danish Victim Fund, Offerfonden (Denmark)

Who is the main contact?
Prof Claus Manniche
cmanniche2@gmail.com

Contact information

Prof Claus Manniche
Scientific

claus.manniche2@rsyd.dk
Department of Occupational and Environmental Medicine
Odense University Hospital and Institute of Clinical Research
University of Southern Denmark
Odense M
5230
Denmark

ORCiD logoORCID ID 0000-0001-5938-1483
Phone +45 60825021
Email cmanniche2@gmail.com

Study information

Study designObservational longitudinal study using prospective clinical registry data
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet No participant information sheet available
Scientific titleLong-Term Opioid Therapy in Spine Center Outpatients: The Spinal Pain Opioid Cohort (SPOC)
Study acronymSPOC
Study objectivesTo collate relevant individual patient data over a decade in order to illuminate both the overall group data developments as well as developments relating to individual usage of different opioids during this period and to correlate these findings with the individual patient’s physical, psychological, and social data over a 10-year period.
Ethics approval(s)Approved 13/09/2017, the Scientific Ethics Committee of the Region of Southern Denmark (Regionshuset, Damhaven 12, 7100 Vejle, Denmark; +45 7663 8221; komite@regionsyddanmark.dk), ref: S-200112000-29
Health condition(s) or problem(s) studiedChronic back pain and long term opioid treatment
InterventionClinical data will be collected from patients with a new spinal pain episode lasting for more than 2 months, aged between 18 and 65 years, who had their first outpatient visit to the outpatient Spine Centre setting during 2012-2013. The data will be collected from data in SpineData, the Danish National Patient Register, and The Danish National Prescription Registry between 2012 and 2021. Participants will have been asked to complete follow-up questionnaires in SpineData at the time of their first outpatient Spine Centre visit, and again at 1 and 5 years.
Intervention typeOther
Primary outcome measurePrevalence of patients receiving Long-Term Opioid Therapy (LTOT), defined as receiving six or more opioid prescriptions in a single one-year interval, calculated using clinical data in SpineData, the Danish National Patient Register, and The Danish National Prescription Registry for yearly intervals between 2012 and 2021
Secondary outcome measuresPrevalence of patients receiving at least one opioid prescription in a single one-year interval, calculated using clinical data in SpineData, the Danish National Patient Register, and The Danish National Prescription Registry for yearly intervals between 2012 and 2021
Overall study start date01/01/2018
Completion date30/06/2021

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants8000
Key inclusion criteria1. Aged between 18 and 65 years
2. Experiencing a new pain episode for more than 2 months
3. Presenting at their first outpatient visit at The Spine Centre between 01/11/2012 and 31/12/2013
4. No indications for acute spinal surgery intervention
5. Baseline questionnaires completed with no missing data related to pain intensity
Key exclusion criteria1. Basis questionnaires not filled out in SpineData
2. Experiencing symptoms, which indicate serious systemic diseases such as cancer, infections, or inflammatory spondylopathies
Date of first enrolment01/01/2018
Date of final enrolment30/06/2021

Locations

Countries of recruitment

  • Denmark

Study participating centre

Spinecenter of Southern Denmark
Østre Hougvej 55
Middelfart
5500
Denmark

Sponsor information

Danish Victim Fund
Government

2. sal Toldboden 2
Viborg
8800
Denmark

Phone +45 3392 3334
Email www.offerfonden@civilstyrelsen.dk
Website http//offerfonden.dk

Funders

Funder type

Government

Offerfonden

No information available

Results and Publications

Intention to publish date01/06/2020
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planPlanned publication of 10 papers between 2020 and 2022
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 19/08/2020 20/07/2020 Yes No

Editorial Notes

20/07/2020: Publication reference added.
28/05/2020: Trial’s existence confirmed by the Scientific Ethics Committee of the Region of Southern Denmark.