Pain Management for In-Office Gynecologic Procedures Using a Risk-Stratification Pain Calculator

NCT ID: NCT07311824

Last Updated: 2025-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-29

Study Completion Date

2027-04-30

Brief Summary

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The goal of this clinical trial is to learn how using a risk-stratification calculator to determine the risk of a patient experiencing severe pain during an in-office gynecologic procedure and subsequently assigning pain medications to be used for the procedure based on risk, will affect patients' pain during these procedures. The main questions it aims to answer are:

* Does using pain medications determined by a risk-stratification calculator improve patients' pain scores during if-office gynecologic procedures?
* Does using pain medications determined by a risk-stratification calculator improve patient satisfaction?

Researchers will compare using the risk-stratification calculator to decide on pain medications to a provider using their best judgement to decide on pain medications. This will help determine if patients have improved pain scores and satisfaction if they have their pain medications assigned using the risk-stratification calculator.

Participants who are undergoing a relevant in-office gynecologic procedure will:

* Receive pain medications for their procedure either based on their answers to questions for the risk-stratification calculator or based on their provider's best judgement.
* Answer an online survey about their experience with the procedure and related pain management.

Detailed Description

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Conditions

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Pain Management Patient Satisfaction Gynecologic Procedures

Keywords

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pain management patient satisfaction gynecologic procedures IUD insertion hysteroscopy endometrial biopsy colposcopy ambulatory gynecologic procedures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pain Calculator

Participants will answer the Pain Calculator Questionnaire that will determine if they are low, moderate, or high risk for severe pain during their procedure. They will receive assigned pain medications based on their risk.

Group Type EXPERIMENTAL

Pain Calculator

Intervention Type OTHER

The risk-stratification calculator, or the Pain Calculator, will be a questionnaire that the participant will answer with a research team member. The questions asked will include age, menopausal status, delivery history, history of certain gynecologic disorders, past experiences with gynecologic procedures, and anxiety about their upcoming procedure. Their answers will sort participants into low, moderate, and high risk groups. Each group will receive escalating pain medications for their procedure.

Control

Participants will have their pain management determined by the provider's best judgement, using shared decision making

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Pain Calculator

The risk-stratification calculator, or the Pain Calculator, will be a questionnaire that the participant will answer with a research team member. The questions asked will include age, menopausal status, delivery history, history of certain gynecologic disorders, past experiences with gynecologic procedures, and anxiety about their upcoming procedure. Their answers will sort participants into low, moderate, and high risk groups. Each group will receive escalating pain medications for their procedure.

Intervention Type OTHER

Other Intervention Names

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risk-stratification calculator risk-stratification algorithm

Eligibility Criteria

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Inclusion Criteria

* At least 18 years of age
* Proficient in English
* Access to personal smart devices (smartphone, tablet, laptop, etc.)
* Will be undergoing the following in-office gynecologic procedures: IUD insertion, endometrial biopsy, colposcopy with cervical biopsy, or hysteroscopy

Exclusion Criteria

* Under the age of 18
* Non-English-Speaking
* Have contraindications to taking NSAIDs, acetaminophen, lidocaine or its derivatives, or opioids
* Patients who are taking methadone, Suboxone, and/or naltrexone
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Carle Foundation Hospital

OTHER

Sponsor Role lead

Responsible Party

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Claire Aucoin

Co-Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beverly London, MD

Role: PRINCIPAL_INVESTIGATOR

Carle Foundation Hospital

Georgina Cheng, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Carle Foundation Hospital

Locations

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Carle Champaign on Curtis

Champaign, Illinois, United States

Site Status

Carle Foundation Hospital

Urbana, Illinois, United States

Site Status

Countries

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United States

Central Contacts

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Claire M Aucoin, MD

Role: CONTACT

Phone: 217-383-3140

Email: [email protected]

Beverly London, MD

Role: CONTACT

Phone: 217-365-6208

Email: [email protected]

Facility Contacts

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Beverly M London, MD

Role: primary

Claire M Aucoin, MD

Role: backup

Claire M Aucoin, MD

Role: primary

Beverly London, MD

Role: backup

Other Identifiers

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24CRU4052

Identifier Type: -

Identifier Source: org_study_id