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. Author manuscript; available in PMC: 2026 Jul 2.
Published before final editing as: Reg Anesth Pain Med. 2025 Jul 2:rapm-2025-106783. doi: 10.1136/rapm-2025-106783

Table 2. Treatment effect on the primary and secondary outcomes.

Outcome Education App (N = 303) Control App (N = 303) Treatment effect (95% CI) P-value

Primary Median [Q1, Q3] or Mean (SD) Ratio of geometric means
Morphine milligram equivalents consumed four weeks after discharge 22 [0, 98] 15 [0, 82] 1.21 (0.87, 1.69) 0.264a
Secondary
Morphine milligram equivalents
prescribed at discharge
75 [60, 150] 75 [60, 150] 1.07 (0.85, 1.35) 1.0a,d
Pain Intensity 52.5 (9.7) 51.3 (9.2) 1.34 (0.20, 2.47) 0.084b,d
Pain Interference 55.2 (9.6) 53.8 (9.8) 1.47 (0.31, 2.63) 0.070b,d
Frequency (%) Relative risk
Additional opioids after discharge 54 (18) 46 (15) 1.17 (0.82, 1.68) 1.0c,d
Disposal 6/183 (3) 8/170 (5) 0.72 (0.26, 1.98) 1.0c,d
Exploratory
Additional non-opioid analgesic medications taken 35 (12) 30 (10) 1.16 (0.73, 1.84) 0.531c
a

P-value obtained from linear regression model with log-transformed outcome and treatment group, race and surgery type as covariates.

b

P-value obtained from linear mixed model with fixed covariates for treatment group (primary covariate of interest), time (categorical), race, and surgery type, and random intercepts for patients.

c

P-value obtained from log-binomial regression model with the treatment group, race, and type of surgery as covariates.

d

Holm-Bonferroni adjusted P value to account for multiple testing.