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Trial · NCT04175509

Improving Post-Operative Pain and Recovery in Gynecologic Surgery

NCT04175509, Phase 4, Completed, Aultman Health Foundation; results first posted 2021-08-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Improving Post-Operative Pain and Recovery in Gynecologic Surgery. Trials, record NCT04175509. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04175509

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Improving Post-Operative Pain and Recovery in Gynecologic Surgery
NCT number
NCT04175509
Status
Completed
Phases
Phase 4
Enrollment
40 participants, actual
Lead sponsor
Aultman Health Foundation
Conditions
Postoperative Pain, Opioid Use, Acetaminophen
Interventions
Rectal acetaminophen, Intravenous acetaminophen
First posted
2019-11-25
Last updated
2022-01-20
Results first posted
2021-08-19
Limitations and caveats
Due to the COVID-19 pandemic, many patients were prohibited to stay overnight in the hospital. Therefore, many patients were discharged home before 24 hours after surgery. This is primarily why the primary and secondary outcomes were analyzed at shorter time intervals (6 hours post-op and 12 hours-op) as well.

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPostoperative Pain: Standardized Pain ScaleThe first 24 hours following surgery, or upon discharge, whichever comes first.
Post-operative pain control using a standardized pain scale from 0 (no pain) to 10 (worse pain) measured every 4 hours for the 24 hours, or discharge, whichever comes first. Time points were averaged for each participate and reported as a single value.
SecondaryOpioid UseThe first 24 hours following surgery, or upon discharge, whichever comes first.Total amount of opioid rescue calculated by converting all opiates to Morphine Milligram Equivalents in the first 24 hours following surgery, or upon discharge, whichever comes first.
OtherPostoperative Pain: Standardized Pain ScaleThe first 6 hours following surgery
Post-operative pain control using a standardized pain scale from 0 (no pain) to 10 (worse pain) for the first 6 hours after surgery. Time points were averaged for each participate and reported as a single value.
OtherPostoperative Pain: Standardized Pain ScaleThe 12 hours following surgery
Post-operative pain control using a standardized pain scale from 0 (no pain) to 10 (worse pain) for the first 12 hours after surgery. Time points were averaged for each participate and reported as a single value.
OtherOpioid UseThe first 6 hours following surgeryTotal amount of opioid rescue calculated by converting all opiates to Morphine Milligram Equivalents in the first 6 hours following surgery
OtherOpioid UseThe first 12 hours following surgeryTotal amount of opioid rescue calculated by converting all opiates to Morphine Milligram Equivalents in the first 12 hours following surgery
OtherEstimated Blood LossDuring the duration of the surgery, from start to end time, on average 1.5 hoursTotal estimated blood loss in millilitres for the surgery
OtherOperative TimeFrom the start to end of the surgeryOperative time in minutes determined by the operating room record

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPostoperative Pain: Standardized Pain ScaleThe first 24 hours following surgery, or upon discharge, whichever comes first.score on a scaleMEAN
SECONDARYOpioid UseThe first 24 hours following surgery, or upon discharge, whichever comes first.Morphine Milligram EquivalentsMEAN
OTHER_PRE_SPECIFIEDPostoperative Pain: Standardized Pain ScaleThe first 6 hours following surgeryTwo participants in the intravenous acetaminophen group were discharged home prior to 6 hours after surgery and therefore were not included in the analysis.score on a scaleMEAN
OTHER_PRE_SPECIFIEDPostoperative Pain: Standardized Pain ScaleThe 12 hours following surgery
One participant in the rectal acetaminophen group, and 3 participants in the intravenous acetaminophen group were discharged home prior to 12 hours after surgery and therefore were not included in the analysis.
score on a scaleMEAN
OTHER_PRE_SPECIFIEDOpioid UseThe first 6 hours following surgeryMorphine Milligram EquivalentsMEAN
OTHER_PRE_SPECIFIEDOpioid UseThe first 12 hours following surgeryMorphine Milligram EquivalentsMEAN
OTHER_PRE_SPECIFIEDEstimated Blood LossDuring the duration of the surgery, from start to end time, on average 1.5 hoursMillilitresMEAN
OTHER_PRE_SPECIFIEDOperative TimeFrom the start to end of the surgeryMinutesMEAN

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Postoperative Pain: Standardized Pain ScaleRectal Acetaminophen2.82Standard Deviation 1.11score on a scale
Postoperative Pain: Standardized Pain ScaleIntravenous Acetaminophen3.18Standard Deviation 1.26score on a scale
Opioid UseRectal Acetaminophen25.75Standard Deviation 20.09Morphine Milligram Equivalents
Opioid UseIntravenous Acetaminophen23.71Standard Deviation 18.46Morphine Milligram Equivalents
Postoperative Pain: Standardized Pain ScaleRectal Acetaminophen3.13Standard Deviation 1.36score on a scale
Postoperative Pain: Standardized Pain ScaleIntravenous Acetaminophen1.36Standard Deviation 1.78score on a scale
Postoperative Pain: Standardized Pain ScaleRectal Acetaminophen2.99Standard Deviation 1.20score on a scale
Postoperative Pain: Standardized Pain ScaleIntravenous Acetaminophen3.36Standard Deviation 1.43score on a scale
Opioid UseRectal Acetaminophen6.74Standard Deviation 7.49Morphine Milligram Equivalents
Opioid UseIntravenous Acetaminophen7.97Standard Deviation 6.28Morphine Milligram Equivalents

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRectal Acetaminophen19
Overall StudySTARTEDIntravenous Acetaminophen21
Overall StudyCOMPLETEDRectal Acetaminophen17
Overall StudyCOMPLETEDIntravenous Acetaminophen19
Overall StudyNOT COMPLETEDRectal Acetaminophen2
Overall StudyNOT COMPLETEDIntravenous Acetaminophen2

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRectal Acetaminophen019
Total, all-cause mortalityIntravenous Acetaminophen021
Total, other adverse eventsRectal Acetaminophen019
Total, other adverse eventsIntravenous Acetaminophen021
Total, serious adverse eventsRectal Acetaminophen019
Total, serious adverse eventsIntravenous Acetaminophen021

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
10618939BACKGROUNDPubMed
26157186BACKGROUNDPubMed
26827847BACKGROUNDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Rectal Acetaminophen vs Intravenous Acetaminophen: deaths from any causeTrial comparisons
Rectal Acetaminophen vs Intravenous Acetaminophen: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04175509

GET https://conductscience.org/api/trials/v1/NCT04175509/registered