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Trial · NCT07885085

Postsurgical Pain and Opioid Use in Older Adults: Effects of Mild Cognitive Impairment

NCT07885085, Not yet recruiting, Miklos Kertai

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Postsurgical Pain and Opioid Use in Older Adults: Effects of Mild Cognitive Impairment. Trials, record NCT07885085. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT07885085

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Trial

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

Title
Postsurgical Pain and Opioid Use in Older Adults: Effects of Mild Cognitive Impairment
NCT number
NCT07885085
Status
Not yet recruiting
Enrollment
552 participants, estimated
Lead sponsor
Miklos Kertai
Conditions
Mild Cognitive Impairment (MCI), Opioid Use, Cognitive Dysfunction, Postoperative Pain
First posted
2026-10-21
Last updated
2026-10-21

Source ClinicalTrials.gov

Registered outcomes21

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

ListOutcomeTime frameDescription
PrimaryPast 24-Hour Average Pain IntensityBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Average postoperative pain intensity will be measured using an 11-point Numeric Rating Scale (NRS) ranging from 0 (No Pain) to 10 (Worst Possible Pain). Participants will rate their average pain during the previous 24 hours at each assessment. Results will be reported as the mean NRS score and standard deviation for each study group at each time point, as well as the mean change from baseline. Between-group differences in pain trajectories across the postoperative period will be assessed.
PrimaryCumulative Postoperative Opioid UsePostoperative Discharge through 6 months after surgery.
Postoperative opioid use will be quantified through pill counts and electronic health record review. All opioid medications consumed will be converted to morphine milligram equivalents (MME). Results will be reported as the cumulative MME consumed during each follow-up interval and cumulatively through 6 months after surgery. Mean MME, standard deviation, median, and range will be reported for each study group.
PrimaryHeat Pain Threshold TemperatureBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Heat pain threshold will be assessed using the Medoc TSA2 Air quantitative sensory testing system. The outcome measure is the average temperature in degrees Celsius at which thermal stimulation is first perceived as painful across four testing trials. Results will be reported as mean threshold temperature (°C), standard deviation, and mean change from baseline. Lower temperatures indicate increased pain sensitivity.
PrimaryHigh-Frequency Heart Rate Variability (HF-HRV)Baseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Cardiac vagal regulation will be assessed from a 5-minute resting electrocardiographic recording. The primary outcome will be high-frequency heart rate variability derived using Kubios HRV software according to established HRV analysis methods. Results will be reported as mean HF-HRV values and mean change from baseline for each study group. Higher values indicate greater vagal inhibitory control.
SecondaryTemporal Summation of PainBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Temporal summation will be assessed using repeated standardized pinprick stimulation. The outcome measure will be calculated as the difference between the pain intensity rating following a single stimulus and the maximum pain intensity rating reported during a train of ten repeated stimuli. Results will be reported as mean temporal summation scores and changes from baseline. Higher positive values indicate greater central sensitization.
SecondarySuprathreshold Heat Pain Intensity RatingBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Participants will rate the intensity of four suprathreshold heat stimuli using an 11-point Numeric Rating Scale ranging from 0 (No Pain) to 10 (Worst Possible Pain). The outcome measure will be the mean pain intensity rating across all suprathreshold stimuli. Results will be reported as mean ratings, standard deviations, and mean change from baseline.
SecondarySuprathreshold Heat Pain Unpleasantness RatingBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Participants will rate the unpleasantness associated with suprathreshold thermal stimuli using an 11-point Numeric Rating Scale ranging from 0 (Not Unpleasant at All) to 10 (Most Unpleasant Possible). The outcome measure will be the average unpleasantness score across all test stimuli. Results will be reported as mean scores and mean changes from baseline. Higher scores indicate greater affective pain response.
SecondaryPast 24-Hour Pain UnpleasantnessBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Participants will rate the overall unpleasantness of pain experienced during the previous 24 hours using an 11-point Numeric Rating Scale ranging from 0 (Not Unpleasant at All) to 10 (Most Unpleasant Possible). Results will be reported as mean unpleasantness scores and change from baseline values for each study group.
SecondaryPast 24-Hour Worst Pain IntensityBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Participants will rate the worst pain intensity experienced during the previous 24 hours using an 11-point Numeric Rating Scale ranging from 0 (No pain at All) to 10 (Most Intense Pain Possible). Results will be reported as mean worst pain scores and change from baseline values for each study group.
SecondaryPast 24-Hour Least Pain IntensityBaseline, 2 weeks, 1 month, 3 months, and 6 months after surgery.
Participants will rate the least pain intensity experienced during the previous 24 hours using an 11-point Numeric Rating Scale ranging from 0 (No pain at All) to 10 (Most Intense Pain Possible). Results will be reported as mean worst pain scores and change from baseline values for each study group.

Outcomes0

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

None in this release.

Results by group0

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

None in this release.

Participant flow0

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

None in this release.

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 totals0

The totals the trial posted for each group.

None in this release.

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27164846BACKGROUNDPubMed
28968238BACKGROUNDPubMed
39488443BACKGROUNDPubMed

Grants1

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01AG098934Postsurgical Pain and Opioid Use in Older Adults: Effects of Mild Cognitive ImpairmentKertai, Miklos David; Bruehl, StephenVANDERBILT UNIVERSITY MEDICAL CENTERNATIONAL INSTITUTE ON AGING2026

Trial comparisons0

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

None in this release.

Tests1

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

TestNamed as
Verbal LearningOther outcome

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/NCT07885085

GET https://conductscience.org/api/trials/v1/NCT07885085/registered?page=2