| 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 |
Postoperative pain management and associated factors in patients with preoperative opioid use: a retrospective cohort study
Postoperative Pain in Preoperative Opioid Users
Postoperative pain management and associated factors in patients with preoperative opioid use: a retrospective cohort study
Postoperative Pain in Preoperative Opioid Users
| Japan |
chronic pain, cancer pain
| Anesthesiology |
Malignancy
NO
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.
Safety,Efficacy
NRS pain score at 24 hours postoperatively
Observational
| 20 | years-old | <= |
| Not applicable |
Male and Female
Adult patients who underwent general anesthesia at our hospital and were using opioids prior to surgery.
Individuals who have requested not to participate in this study
180
| 1st name | Naho |
| Middle name | |
| Last name | Ihara |
Keio University School of Medicine
Department of Anesthesiology
160-8582
35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
03-3353-1211
naho.ihara@keio.jp
| 1st name | Naho |
| Middle name | |
| Last name | Ihara |
Keio University School of Medicine
Department of Anesthesiology
160-8582
35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
03-3353-1211
naho.ihara@keio.jp
Keio University School of Medicine
Keio University School of Medicine
Other
Ethics Committee, Keio University School of Medicine
35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
03-5363-3503
med-rinri-jimu@adst.keio.ac.jp
NO
| 2026 | Year | 09 | Month | 11 | Day |
Unpublished
Preinitiation
| 2026 | Year | 09 | Month | 11 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2029 | Year | 03 | Month | 31 | Day |
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.
| 2026 | Year | 09 | Month | 11 | Day |
| 2026 | Year | 09 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072006