UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062885
Receipt number R000072006
Scientific Title Postoperative pain management and associated factors in patients with preoperative opioid use: a retrospective cohort study
Date of disclosure of the study information 2026/09/11
Last modified on 2026/09/11 16:51:12

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Postoperative pain management and associated factors in patients with preoperative opioid use: a retrospective cohort study

Acronym

Postoperative Pain in Preoperative Opioid Users

Scientific Title

Postoperative pain management and associated factors in patients with preoperative opioid use: a retrospective cohort study

Scientific Title:Acronym

Postoperative Pain in Preoperative Opioid Users

Region

Japan


Condition

Condition

chronic pain, cancer pain

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Postoperative pain management in chronic opioid users is challenging due to the narrow therapeutic window caused by opioid tolerance, opioid-induced hyperalgesia, and withdrawal risks. Although we implemented a protocol based on our previous institutional evidence, diversifying patient backgrounds and psychosocial factors now complicate care. This retrospective study aims to comprehensively evaluate the actual status of postoperative pain management and identify factors associated with inadequate pain control in preoperative opioid users, thereby improving perioperative management strategies.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

NRS pain score at 24 hours postoperatively

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adult patients who underwent general anesthesia at our hospital and were using opioids prior to surgery.

Key exclusion criteria

Individuals who have requested not to participate in this study

Target sample size

180


Research contact person

Name of lead principal investigator

1st name Naho
Middle name
Last name Ihara

Organization

Keio University School of Medicine

Division name

Department of Anesthesiology

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan

TEL

03-3353-1211

Email

naho.ihara@keio.jp


Public contact

Name of contact person

1st name Naho
Middle name
Last name Ihara

Organization

Keio University School of Medicine

Division name

Department of Anesthesiology

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan

TEL

03-3353-1211

Homepage URL


Email

naho.ihara@keio.jp


Sponsor or person

Institute

Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Keio University School of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Keio University School of Medicine

Address

35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan

Tel

03-5363-3503

Email

med-rinri-jimu@adst.keio.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 11 Day

Date of IRB


Anticipated trial start date

2026 Year 11 Month 30 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single center retrospective cohort study. Perioperative data including baseline characteristics, preoperative opioid doses, 24 hour postoperative Numerical Rating Scale pain scores, opioid consumption, and adverse events will be extracted from electronic medical records for patients with preoperative opioid use who underwent surgery. The primary outcome is the NRS pain score at 24 hours postoperatively. Subgroup and logistic regression analyses will be performed to identify associated factors.


Management information

Registered date

2026 Year 09 Month 11 Day

Last modified on

2026 Year 09 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072006