Trial Outcomes & Findings for Opioid Analgesic Reduction Study (NCT NCT04452344)

NCT ID: NCT04452344

Last Updated: 2026-08-31

Results Overview

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 2 is the average of the ratings provided at the end of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery.)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1815 participants

Primary outcome timeframe

End of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery

Results posted on

2026-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Non-Opioid
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Overall Study
STARTED
909
906
Overall Study
COMPLETED
897
889
Overall Study
NOT COMPLETED
12
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Non-Opioid
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Overall Study
Withdrawal by Subject
3
6
Overall Study
Adverse Event
1
2
Overall Study
Lost to Follow-up
2
2
Overall Study
No Post-Op Visit
6
7

Baseline Characteristics

Opioid Analgesic Reduction Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Total
n=1815 Participants
Total of all reporting groups
Age, Continuous
Age
25.58 Years
STANDARD_DEVIATION 5.97 • n=14 Participants
25.81 Years
STANDARD_DEVIATION 6.50 • n=36 Participants
25.69 Years
STANDARD_DEVIATION 6.24 • n=324 Participants
Sex: Female, Male
Female
457 Participants
n=14 Participants
453 Participants
n=36 Participants
910 Participants
n=324 Participants
Sex: Female, Male
Male
452 Participants
n=14 Participants
453 Participants
n=36 Participants
905 Participants
n=324 Participants
Race/Ethnicity, Customized
Hispanic
279 Participants
n=14 Participants
282 Participants
n=36 Participants
561 Participants
n=324 Participants
Race/Ethnicity, Customized
Non-Hispanic Asian
141 Participants
n=14 Participants
131 Participants
n=36 Participants
272 Participants
n=324 Participants
Race/Ethnicity, Customized
Non-Hispanic Black
255 Participants
n=14 Participants
257 Participants
n=36 Participants
512 Participants
n=324 Participants
Race/Ethnicity, Customized
Non-Hispanic White
179 Participants
n=14 Participants
178 Participants
n=36 Participants
357 Participants
n=324 Participants
Race/Ethnicity, Customized
Other
32 Participants
n=14 Participants
30 Participants
n=36 Participants
62 Participants
n=324 Participants
Race/Ethnicity, Customized
Did Not Want to Report
23 Participants
n=14 Participants
28 Participants
n=36 Participants
51 Participants
n=324 Participants
3rd molars extracted
2.75 teeth
STANDARD_DEVIATION 1.17 • n=14 Participants
2.75 teeth
STANDARD_DEVIATION 1.21 • n=36 Participants
2.75 teeth
STANDARD_DEVIATION 1.19 • n=324 Participants
Impacted full bony 3rd molars extracted
.96 teeth
STANDARD_DEVIATION 1.23 • n=14 Participants
0.98 teeth
STANDARD_DEVIATION 1.22 • n=36 Participants
.97 teeth
STANDARD_DEVIATION 1.23 • n=324 Participants

PRIMARY outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Population: Subgroup data has been included

Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 1 is the average of all ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 1
3.77 units on a scale
Interval 3.58 to 3.96
4.47 units on a scale
Interval 4.28 to 4.65

PRIMARY outcome

Timeframe: End of day of the second day after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 2 is the average of all ratings provided day after surgery (day 2) and when waking up the next morning (2nd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 2
3.20 units on a scale
Interval 3.01 to 3.39
3.48 units on a scale
Interval 3.29 to 3.67

PRIMARY outcome

Timeframe: End of day of the third day after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 3 is the average of all ratings provided two days after surgery (day 3) and when waking up the 3rd morning after surgery (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 3
2.97 units on a scale
Interval 2.78 to 3.16
3.06 units on a scale
Interval 2.87 to 3.25

PRIMARY outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain All is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain All
2.73 units on a scale
Interval 2.54 to 2.92
2.94 units on a scale
Interval 2.74 to 3.13

PRIMARY outcome

Timeframe: At time of post-operative visit (day 9 +/- 5 days)

Participant rating on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) to the question: "Overall, how satisfied were you with your current pain medication?"

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Overall Satisfaction
Very Satisfied
355 Participants
308 Participants
Overall Satisfaction
Satisfied
409 Participants
395 Participants
Overall Satisfaction
Neither satisfied nor dissatisfied
87 Participants
122 Participants
Overall Satisfaction
Dissatisfied
33 Participants
54 Participants
Overall Satisfaction
Very dissatisfied
12 Participants
12 Participants
Overall Satisfaction
MIssing
13 Participants
15 Participants

PRIMARY outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 1
4.90 score on a scale
Interval 4.59 to 5.21
5.79 score on a scale
Interval 5.47 to 6.1

PRIMARY outcome

Timeframe: End of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 2 is the average of the ratings provided at the end of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery.)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 2
4.17 score on a scale
Interval 3.86 to 4.48
4.48 score on a scale
Interval 4.17 to 4.8

PRIMARY outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 3
3.97 score on a scale
Interval 3.65 to 4.28
3.96 score on a scale
Interval 3.65 to 4.27

PRIMARY outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst All
3.66 score on a scale
Interval 3.34 to 3.97
3.79 score on a scale
Interval 3.48 to 4.11

PRIMARY outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 1
3.75 score on a scale
Interval 3.57 to 3.94
4.47 score on a scale
Interval 4.29 to 4.66

PRIMARY outcome

Timeframe: End of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 2 is the average of the ratings provided at the end of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery.)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 2
3.18 score on a scale
Interval 3.0 to 3.37
3.49 score on a scale
Interval 3.31 to 3.68

PRIMARY outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average All
2.69 score on a scale
Interval 2.5 to 2.88
2.95 score on a scale
Interval 2.76 to 3.14

PRIMARY outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 3
2.97 score on a scale
Interval 2.78 to 3.15
3.07 score on a scale
Interval 2.89 to 3.26

SECONDARY outcome

Timeframe: At post operative visit (9 days after surgery +/- 5 days)

Participant receiving additional pain medication (oxycodone) as study analgesic is not managing pain sufficiently

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Number of Participants Receiving Rescue Medication
26 Participants
54 Participants

SECONDARY outcome

Timeframe: End of the day of surgery (day 1)

Participants were asked to rate, on a 5 point Likert Scale, how much did pain interfered with their day to day activities, work around the home, ability to participate in social activities, enjoyment of life, the things you usually do for fun, enjoyment of social activities, household chores, family life, your ability to concentrate, enjoyment of recreational activities, tasks away from home {scale: 1=not at all, 2=a little bit, 3=somewhat, 4=quite a bit, 5=very much} and How often did pain keep you from socializing with others? {scale=1=never, 2=rarely, 3=sometimes, 4=often, 5=always} Pain Interference 1 is the average ratings provided at the end of the day of surgery. Lower scores are better.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Interference 1
2.75 score on a scale
Interval 2.65 to 2.85
3.11 score on a scale
Interval 3.01 to 3.21

SECONDARY outcome

Timeframe: End of the first full day after surgery (day 2)

Participants were asked to rate, on a 5 point Likert Scale, how much did pain interfered with their day to day activities, work around the home, ability to participate in social activities, enjoyment of life, the things you usually do for fun, enjoyment of social activities, household chores, family life, your ability to concentrate, enjoyment of recreational activities, tasks away from home {scale: 1=not at all, 2=a little bit, 3=somewhat, 4=quite a bit, 5=very much} and How often did pain keep you from socializing with others? {scale=1=never, 2=rarely, 3=sometimes, 4=often, 5=always} Pain Interference 2 is the average ratings provided at the end of day after surgery (day 2). Lower scores are better.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Interference 2
2.27 score on a scale
Interval 2.17 to 2.37
2.50 score on a scale
Interval 2.4 to 2.59

SECONDARY outcome

Timeframe: End of the second full day after surgery (day 3)

Participants were asked to rate, on a 5 point Likert Scale, how much did pain interfered with their day to day activities, work around the home, ability to participate in social activities, enjoyment of life, the things you usually do for fun, enjoyment of social activities, household chores, family life, your ability to concentrate, enjoyment of recreational activities, tasks away from home {scale: 1=not at all, 2=a little bit, 3=somewhat, 4=quite a bit, 5=very much} and How often did pain keep you from socializing with others? {scale=1=never, 2=rarely, 3=sometimes, 4=often, 5=always} Pain Interference 3 is the average ratings provided at the end of 2nd day after surgery (day 3). Lower scores are better.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Interference 3
2.20 score on a scale
Interval 2.1 to 2.3
2.34 score on a scale
Interval 2.24 to 2.44

SECONDARY outcome

Timeframe: First 7 days after surgery

Participants were asked to rate, on a 5 point Likert Scale, how much did pain interfered with their day to day activities, work around the home, ability to participate in social activities, enjoyment of life, the things you usually do for fun, enjoyment of social activities, household chores, family life, your ability to concentrate, enjoyment of recreational activities, tasks away from home {scale: 1=not at all, 2=a little bit, 3=somewhat, 4=quite a bit, 5=very much} and How often did pain keep you from socializing with others? {scale=1=never, 2=rarely, 3=sometimes, 4=often, 5=always} Pain Interference ALL is the average ratings provided at the end of the 1st seven days after surgery (days 1 thru 7). Lower scores are better.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Interference All
2.09 score on a scale
Interval 2.01 to 2.18
2.21 score on a scale
Interval 2.13 to 2.3

SECONDARY outcome

Timeframe: When first waking up the day after surgery

Participants were asked to rate the overall quality of their sleep the 1st night after surgery on a NRS scale of 0 to 10 where 0=excellent and 10=very poor. Sleep 1 is the rating provided when first waking up the day after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Sleep 1
4.28 score on a scale
Interval 4.02 to 4.54
4.62 score on a scale
Interval 4.36 to 4.88

SECONDARY outcome

Timeframe: When first waking up the 2nd day after surgery

Participants were asked to rate the overall quality of their sleep the 2nd night after surgery on a NRS scale of 0 to 10 where 0=excellent and 10=very poor. Sleep 2 is the rating provided when first waking up the second day after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Sleep 2
4.10 score on a scale
Interval 3.84 to 4.35
4.14 score on a scale
Interval 3.88 to 4.4

SECONDARY outcome

Timeframe: When first waking up the 3rd day after surgery

Participants were asked to rate the overall quality of their sleep the 3rd night after surgery on a NRS scale of 0 to 10 where 0=excellent and 10=very poor. Sleep 1 is the rating provided when first waking up the third day after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Sleep 3
3.78 score on a scale
Interval 3.52 to 4.04
3.82 score on a scale
Interval 3.56 to 4.08

SECONDARY outcome

Timeframe: First 7 nights after surgery

Participants were asked to rate the overall quality of their sleep for the first 7 nights after surgery on a NRS scale of 0 to 10 where 0=excellent and 10=very poor. Sleep All is the average rating provided for all seven nights.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Sleep All
3.69 score on a scale
Interval 3.44 to 3.94
3.62 score on a scale
Interval 3.37 to 3.87

SECONDARY outcome

Timeframe: At post operative visit (9 days after surgery +/- 5 days)

Number of returned opioid analgesic capsules at post operative visit (9 days after surgery +/- 5 days)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=896 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=891 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Potential for Opioid Tablet Diversion
0 capsules
Interval 0.0 to 0.0
8.55 capsules
Interval 7.5 to 9.6

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 )

Population: Data stratified by sex

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 1 is the average of all ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 1 by Sex
Female
4.03 units on a scale
Interval 3.87 to 4.2
4.67 units on a scale
Interval 4.5 to 4.85
Composite Pain 1 by Sex
Male
3.47 units on a scale
Interval 3.32 to 3.61
4.21 units on a scale
Interval 4.04 to 4.38

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of the second day after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 2 is the average of all ratings provided day after surgery (day 2) and when waking up the next morning (2nd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 2 by Sex
Female
3.52 units on a scale
Interval 3.37 to 3.68
3.78 units on a scale
Interval 3.62 to 3.94
Composite Pain 2 by Sex
Male
2.82 units on a scale
Interval 2.68 to 2.97
3.07 units on a scale
Interval 2.92 to 3.22

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of the third day after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 3 is the average of all ratings provided two days after surgery (day 3) and when waking up the 3rd morning after surgery (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 3 by Sex
Female
3.29 units on a scale
Interval 3.13 to 3.44
3.36 units on a scale
Interval 3.2 to 3.51
Composite Pain 3 by Sex
Male
2.58 units on a scale
Interval 2.44 to 2.72
2.66 units on a scale
Interval 2.51 to 2.8

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Data stratified by sex

NIH Required Analysis - Description Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain All is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain All by Sex
Male
2.37 units on a scale
Interval 2.32 to 2.43
2.50 units on a scale
Interval 2.44 to 2.56
Composite Pain All by Sex
Female
2.98 units on a scale
Interval 2.92 to 3.04
3.08 units on a scale
Interval 3.02 to 3.15

OTHER_PRE_SPECIFIED outcome

Timeframe: At time of post-operative visit (day 9 +/- 5 days)

Population: Data stratified by sex

NIH Required Analysis - Participant rating on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) to the question: "Overall, how satisfied were you with your current pain medication?"

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Overall Satisfaction by Sex
Female · Very Satisfied
168 Participants
145 Participants
Overall Satisfaction by Sex
Female · Satisfied
207 Participants
194 Participants
Overall Satisfaction by Sex
Female · Neither satisfied nor dissatisfied
46 Participants
68 Participants
Overall Satisfaction by Sex
Female · Dissatisfied
25 Participants
30 Participants
Overall Satisfaction by Sex
Female · Very dissatisfied
7 Participants
8 Participants
Overall Satisfaction by Sex
Female · Missing
4 Participants
8 Participants
Overall Satisfaction by Sex
Male · Very Satisfied
187 Participants
163 Participants
Overall Satisfaction by Sex
Male · Satisfied
202 Participants
201 Participants
Overall Satisfaction by Sex
Male · Neither satisfied nor dissatisfied
41 Participants
54 Participants
Overall Satisfaction by Sex
Male · Dissatisfied
8 Participants
24 Participants
Overall Satisfaction by Sex
Male · Very dissatisfied
5 Participants
4 Participants
Overall Satisfaction by Sex
Male · Missing
9 Participants
7 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 1 by Sex
Female
5.08 units on a scale
Interval 4.89 to 5.27
5.99 units on a scale
Interval 5.8 to 6.18
Pain Worst 1 by Sex
Male
4.66 units on a scale
Interval 4.48 to 4.84
5.51 units on a scale
Interval 5.32 to 5.7

OTHER_PRE_SPECIFIED outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 2 by Sex
Female
4.46 units on a scale
Interval 4.28 to 4.63
4.78 units on a scale
Interval 4.61 to 4.96
Pain Worst 2 by Sex
Male
3.81 units on a scale
Interval 3.64 to 3.98
4.05 units on a scale
Interval 3.87 to 4.22

OTHER_PRE_SPECIFIED outcome

Timeframe: e End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 3 by Sex
Female
4.26 units on a scale
Interval 4.09 to 4.44
4.25 units on a scale
Interval 4.07 to 4.43
Pain Worst 3 by Sex
Male
3.59 units on a scale
Interval 3.41 to 3.76
3.52 units on a scale
Interval 3.35 to 3.7

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Data stratified by sex

Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst All by Sex
Female
3.86 score on a scale
Interval 3.79 to 3.93
3.95 score on a scale
Interval 3.88 to 4.03
Pain Worst All by Sex
Male
3.28 score on a scale
Interval 3.21 to 3.35
3.33 score on a scale
Interval 3.26 to 3.4

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 1 by Sex
Female
3.99 units on a scale
Interval 3.81 to 4.16
4.67 units on a scale
Interval 4.49 to 4.86
Pain Average 1 by Sex
Male
3.48 units on a scale
Interval 3.32 to 3.64
4.23 units on a scale
Interval 4.05 to 4.41

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Population: Data stratified by sex

Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 2 is the average of the ratings provided at the end of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery.)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 2 by Sex
Female
3.52 score on a scale
Interval 3.36 to 3.68
3.83 score on a scale
Interval 3.66 to 4.0
Pain Average 2 by Sex
Male
2.79 score on a scale
Interval 2.64 to 2.93
3.05 score on a scale
Interval 2.9 to 3.2

OTHER_PRE_SPECIFIED outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by sex

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 3 by Sex
Female
3.30 score on a scale
Interval 3.14 to 3.46
3.40 score on a scale
Interval 3.23 to 3.56
Pain Average 3 by Sex
Male
2.56 score on a scale
Interval 2.41 to 2.7
2.64 score on a scale
Interval 2.49 to 2.79

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Data analysis stratified by sex

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average All by Sex
Female
2.97 score on a scale
Interval 2.91 to 3.04
3.09 score on a scale
Interval 3.02 to 3.16
Pain Average All by Sex
Male
2.35 score on a scale
Interval 2.29 to 2.4
2.49 score on a scale
Interval 2.42 to 2.55

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 )

Population: Data stratified by race and ethnicity

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 1 is the average of all ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 1 by Race Ethnicity
Non-Hispanic Black
4.17 units on a scale
Interval 3.94 to 4.41
4.96 units on a scale
Interval 4.72 to 5.21
Composite Pain 1 by Race Ethnicity
Non-Hispanic White
3.86 units on a scale
Interval 3.64 to 4.07
4.43 units on a scale
Interval 4.19 to 4.67
Composite Pain 1 by Race Ethnicity
Non-Hispanic Asian
2.76 units on a scale
Interval 2.53 to 3.0
3.72 units on a scale
Interval 3.43 to 4.01
Composite Pain 1 by Race Ethnicity
Hispanic
3.74 units on a scale
Interval 3.54 to 3.94
4.31 units on a scale
Interval 4.09 to 4.52
Composite Pain 1 by Race Ethnicity
Other
4.39 units on a scale
Interval 3.77 to 5.01
4.74 units on a scale
Interval 4.1 to 5.38
Composite Pain 1 by Race Ethnicity
Do Not Want to Report
3.99 units on a scale
Interval 3.24 to 4.73
4.32 units on a scale
Interval 3.56 to 5.08

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of the second day after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 2 is the average of all ratings provided day after surgery (day 2) and when waking up the next morning (2nd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 2 by Race Ethnicity
Non-Hispanic Black
3.39 units on a scale
Interval 3.16 to 3.62
3.68 units on a scale
Interval 3.45 to 3.91
Composite Pain 2 by Race Ethnicity
Non-Hispanic White
3.31 units on a scale
Interval 3.08 to 3.54
3.54 units on a scale
Interval 3.31 to 3.76
Composite Pain 2 by Race Ethnicity
Non-Hispanic Asian
2.45 units on a scale
Interval 2.24 to 2.67
2.69 units on a scale
Interval 2.43 to 2.95
Composite Pain 2 by Race Ethnicity
Hispanic
3.26 units on a scale
Interval 3.07 to 3.45
3.43 units on a scale
Interval 3.23 to 3.62
Composite Pain 2 by Race Ethnicity
Other
3.51 units on a scale
Interval 2.89 to 4.13
3.75 units on a scale
Interval 3.1 to 4.39
Composite Pain 2 by Race Ethnicity
Do Not Want to Report
3.07 units on a scale
Interval 2.43 to 3.7
3.66 units on a scale
Interval 2.98 to 4.35

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of the third day after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: data stratified by race and ethnicity

NIH Required Analysis - Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain 3 is the average of all ratings provided two days after surgery (day 3) and when waking up the 3rd morning after surgery (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain 3 by Race Ethnicity
Non-Hispanic Black
3.20 units on a scale
Interval 2.97 to 3.43
3.24 units on a scale
Interval 3.02 to 3.46
Composite Pain 3 by Race Ethnicity
Non-Hispanic White
2.97 units on a scale
Interval 2.75 to 3.19
3.13 units on a scale
Interval 2.91 to 3.35
Composite Pain 3 by Race Ethnicity
Non-Hispanic Asian
2.35 units on a scale
Interval 2.13 to 2.57
2.26 units on a scale
Interval 2.02 to 2.51
Composite Pain 3 by Race Ethnicity
Hispanic
2.98 units on a scale
Interval 2.79 to 3.17
3.08 units on a scale
Interval 2.87 to 3.28
Composite Pain 3 by Race Ethnicity
Other
3.21 units on a scale
Interval 2.61 to 3.81
3.21 units on a scale
Interval 2.57 to 3.86
Composite Pain 3 by Race Ethnicity
Do Not Want to Report
2.76 units on a scale
Interval 2.14 to 3.38
2.69 units on a scale
Interval 2.15 to 3.22

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Description Before going to sleep participants are asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the day along with "pain now." Upon waking participants were asked to rate their "worst pain experienced", "least pain experienced" and "average pain experienced" during the night along with "pain now." A NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine was used. Composite Pain All is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Composite Pain All by Race and Ethnicity
Non-Hispanic Black
3.06 units on a scale
Interval 2.97 to 3.15
3.11 units on a scale
Interval 3.02 to 3.2
Composite Pain All by Race and Ethnicity
Non-Hispanic White
2.72 units on a scale
Interval 2.64 to 2.81
2.87 units on a scale
Interval 2.78 to 2.97
Composite Pain All by Race and Ethnicity
Non-Hispanic Asian
2.03 units on a scale
Interval 1.95 to 2.11
2.12 units on a scale
Interval 2.02 to 2.22
Composite Pain All by Race and Ethnicity
Hispanic
2.63 units on a scale
Interval 2.55 to 2.7
2.76 units on a scale
Interval 2.68 to 2.85
Composite Pain All by Race and Ethnicity
Other
3.03 units on a scale
Interval 2.79 to 3.27
3.02 units on a scale
Interval 2.76 to 3.27
Composite Pain All by Race and Ethnicity
Do Not Want to Report
2.62 units on a scale
Interval 2.38 to 2.85
2.73 units on a scale
Interval 2.46 to 3.0

OTHER_PRE_SPECIFIED outcome

Timeframe: At time of post-operative visit (day 9 +/- 5 days)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Participant rating on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) to the question: "Overall, how satisfied were you with your current pain medication?"

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Satisfied
93 Participants
73 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Very Satisfied
89 Participants
86 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Satisfied
107 Participants
117 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Neither Satisfied or Dissatisfied
35 Participants
30 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Dissatisfied
13 Participants
14 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Very Dissatisfied
5 Participants
2 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Black · Did not report
6 Participants
8 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Very Satisfied
62 Participants
55 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Neither Satisfied or Dissatisfied
13 Participants
28 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Dissatisfied
6 Participants
17 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Very Dissatisfied
3 Participants
4 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic White · Did not report
2 Participants
1 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Very Satisfied
66 Participants
42 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Satisfied
60 Participants
59 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Neither Satisfied or Dissatisfied
10 Participants
24 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Dissatisfied
3 Participants
2 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Very Dissatisfied
0 Participants
1 Participants
Overall Satisfaction by Race Ethnicity
Non-Hispanic Asian · Did not report
2 Participants
3 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Very Satisfied
114 Participants
109 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Satisfied
126 Participants
120 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Neither Satisfied or Dissatisfied
24 Participants
31 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Dissatisfied
10 Participants
16 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Very Dissatisfied
3 Participants
4 Participants
Overall Satisfaction by Race Ethnicity
Hispanic · Did not report
2 Participants
2 Participants
Overall Satisfaction by Race Ethnicity
Other · Very Satisfied
14 Participants
12 Participants
Overall Satisfaction by Race Ethnicity
Other · Satisfied
13 Participants
9 Participants
Overall Satisfaction by Race Ethnicity
Other · Neither Satisfied or Dissatisfied
3 Participants
4 Participants
Overall Satisfaction by Race Ethnicity
Other · Dissatisfied
0 Participants
4 Participants
Overall Satisfaction by Race Ethnicity
Other · Very Dissatisfied
1 Participants
0 Participants
Overall Satisfaction by Race Ethnicity
Other · Did not report
1 Participants
1 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Very Satisfied
10 Participants
4 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Satisfied
10 Participants
17 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Neither Satisfied or Dissatisfied
2 Participants
5 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Dissatisfied
1 Participants
1 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Very Dissatisfied
0 Participants
1 Participants
Overall Satisfaction by Race Ethnicity
Do Not Want to Report · Did not report
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Population: Subgroup analysis

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 1 by Race Ethnicity
Non-Hispanice Black
5.08 units on a scale
Interval 4.81 to 5.34
6.08 units on a scale
Interval 5.8 to 6.36
Pain Worst 1 by Race Ethnicity
Non-Hispanic White
5.40 units on a scale
Interval 5.13 to 5.67
6.14 units on a scale
Interval 5.87 to 6.41
Pain Worst 1 by Race Ethnicity
Non-Hispanic Asian
3.97 units on a scale
Interval 3.67 to 4.27
5.25 units on a scale
Interval 4.91 to 5.58
Pain Worst 1 by Race Ethnicity
Hispanic
4.69 units on a scale
Interval 4.45 to 4.92
5.42 units on a scale
Interval 5.18 to 5.66
Pain Worst 1 by Race Ethnicity
Other
5.63 units on a scale
Interval 4.94 to 6.31
6.19 units on a scale
Interval 5.56 to 6.83
Pain Worst 1 by Race Ethnicity
Do Not Want to Report
5.48 units on a scale
Interval 4.61 to 6.34
5.57 units on a scale
Interval 4.68 to 6.46

OTHER_PRE_SPECIFIED outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 2 by Race Ethnicity
Non-Hispanic Black
4.13 units on a scale
Interval 3.88 to 4.38
4.49 units on a scale
Interval 4.23 to 4.75
Pain Worst 2 by Race Ethnicity
Non-Hispanic White
4.54 units on a scale
Interval 4.28 to 4.8
4.88 units on a scale
Interval 4.62 to 5.14
Pain Worst 2 by Race Ethnicity
Non-Hispanic Asian
3.50 units on a scale
Interval 3.22 to 3.78
3.85 units on a scale
Interval 3.53 to 4.16
Pain Worst 2 by Race Ethnicity
Hispanic
4.13 units on a scale
Interval 3.91 to 4.36
4.28 units on a scale
Interval 4.06 to 4.5
Pain Worst 2 by Race Ethnicity
Other
4.92 units on a scale
Interval 4.19 to 5.65
4.79 units on a scale
Interval 4.11 to 5.46
Pain Worst 2 by Race Ethnicity
Do Not Want to Report
4.17 units on a scale
Interval 3.44 to 4.9
4.65 units on a scale
Interval 3.9 to 5.41

OTHER_PRE_SPECIFIED outcome

Timeframe: e End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by Race and Ethnicity

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst 3 by Race Ethnicity
Non-Hispanic Black
3.98 units on a scale
Interval 3.72 to 4.24
3.95 units on a scale
Interval 3.69 to 4.2
Pain Worst 3 by Race Ethnicity
Non-Hispanic White
4.21 units on a scale
Interval 3.94 to 4.47
4.41 units on a scale
Interval 4.14 to 4.67
Pain Worst 3 by Race Ethnicity
Non-Hispanic Asian
3.45 units on a scale
Interval 3.17 to 3.73
3.23 units on a scale
Interval 2.93 to 3.52
Pain Worst 3 by Race Ethnicity
Hispanic
3.90 units on a scale
Interval 3.67 to 4.13
3.83 units on a scale
Interval 3.6 to 4.07
Pain Worst 3 by Race Ethnicity
Other
4.52 units on a scale
Interval 3.8 to 5.24
4.05 units on a scale
Interval 3.36 to 4.74
Pain Worst 3 by Race Ethnicity
Do Not Want to Report
3.87 units on a scale
Interval 3.12 to 4.62
3.54 units on a scale
Interval 2.84 to 4.25

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Participants are asked to rate the worst pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Worst all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Worst All by Race Ethnicity
Hispanic
3.39 score on a scale
Interval 3.3 to 3.48
3.48 score on a scale
Interval 3.38 to 3.57
Pain Worst All by Race Ethnicity
Non-Hispanic Black
3.79 score on a scale
Interval 3.69 to 3.9
3.85 score on a scale
Interval 3.74 to 3.95
Pain Worst All by Race Ethnicity
Non-Hispanic White
3.87 score on a scale
Interval 3.77 to 3.98
4.06 score on a scale
Interval 3.94 to 4.17
Pain Worst All by Race Ethnicity
Non-Hispanic Asian
3.04 score on a scale
Interval 2.93 to 3.15
3.02 score on a scale
Interval 2.9 to 3.15
Pain Worst All by Race Ethnicity
Other
4.18 score on a scale
Interval 3.89 to 4.47
3.89 score on a scale
Interval 3.61 to 4.18
Pain Worst All by Race Ethnicity
Do Not Want to Report
3.72 score on a scale
Interval 3.43 to 4.01
3.54 score on a scale
Interval 3.23 to 3.85

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Population: Data satisfied by race and ethnicity

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 1 is the average of the ratings provided at the end of day of surgery (day 1) and when waking up the next morning (1 night after surgery)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 1 by Race Ethnicity
Non-Hispanic Black
4.22 units on a scale
Interval 3.97 to 4.47
4.89 units on a scale
Interval 4.62 to 5.16
Pain Average 1 by Race Ethnicity
Non-Hispanic White
3.75 units on a scale
Interval 3.52 to 3.98
4.42 units on a scale
Interval 4.16 to 4.69
Pain Average 1 by Race Ethnicity
Non-Hispanic Asian
2.74 units on a scale
Interval 2.5 to 2.99
3.80 units on a scale
Interval 3.49 to 4.1
Pain Average 1 by Race Ethnicity
Hispanic
3.74 units on a scale
Interval 3.53 to 3.95
4.33 units on a scale
Interval 4.1 to 4.56
Pain Average 1 by Race Ethnicity
Other
4.27 units on a scale
Interval 3.61 to 4.92
4.91 units on a scale
Interval 4.2 to 5.63
Pain Average 1 by Race Ethnicity
Do Not Want to Report
3.88 units on a scale
Interval 3.04 to 4.71
4.53 units on a scale
Interval 3.73 to 5.33

OTHER_PRE_SPECIFIED outcome

Timeframe: End of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 2 is the average of the ratings provided at the end of day of after surgery (day 2) and when waking up the next morning (2nd night after surgery.)

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 2 by Race Ethnicity
Non-Hispanic White
3.16 score on a scale
Interval 2.93 to 3.39
3.46 score on a scale
Interval 3.22 to 3.69
Pain Average 2 by Race Ethnicity
Non-Hispanic Asian
2.38 score on a scale
Interval 2.16 to 2.6
2.62 score on a scale
Interval 2.35 to 2.89
Pain Average 2 by Race Ethnicity
Hispanic
3.29 score on a scale
Interval 3.09 to 3.48
3.46 score on a scale
Interval 3.26 to 3.66
Pain Average 2 by Race Ethnicity
Other
3.40 score on a scale
Interval 2.75 to 4.05
3.91 score on a scale
Interval 3.22 to 4.6
Pain Average 2 by Race Ethnicity
Do Not Want to Report
3.15 score on a scale
Interval 2.45 to 3.85
3.75 score on a scale
Interval 3.03 to 4.47
Pain Average 2 by Race Ethnicity
Non-Hispanic Black
3.45 score on a scale
Interval 3.21 to 3.68
3.76 score on a scale
Interval 3.52 to 3.99

OTHER_PRE_SPECIFIED outcome

Timeframe: End of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery)

Population: Data stratified by race and ethnicity

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average 3 is the average of the ratings provided at the end of 2nd day of after surgery (day 3) and when waking up the next morning (3rd night after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average 3 by Race Ethnicity
Non-Hispanic Black
3.21 score on a scale
Interval 2.98 to 3.45
3.29 score on a scale
Interval 3.05 to 3.52
Pain Average 3 by Race Ethnicity
Non-Hispanic White
2.91 score on a scale
Interval 2.69 to 3.14
3.11 score on a scale
Interval 2.87 to 3.34
Pain Average 3 by Race Ethnicity
Non-Hispanic Asian
2.26 score on a scale
Interval 2.03 to 2.49
2.21 score on a scale
Interval 1.95 to 2.47
Pain Average 3 by Race Ethnicity
Hispanic
3.02 score on a scale
Interval 2.83 to 3.22
3.10 score on a scale
Interval 2.9 to 3.31
Pain Average 3 by Race Ethnicity
Other
3.27 score on a scale
Interval 2.67 to 3.88
3.31 score on a scale
Interval 2.63 to 3.99
Pain Average 3 by Race Ethnicity
Do Not Want to Report
2.85 score on a scale
Interval 2.18 to 3.52
2.65 score on a scale
Interval 2.07 to 3.22

OTHER_PRE_SPECIFIED outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Population: Subgroup analysis

NIH Required Analysis - Participants are asked to rate the average pain they experienced during the day (recorded before going to sleep) and overnight (recorded when waking up) on a NRS scale of 0 to 10 where 0=no pain and 10=pain as bad as you can imagine. Pain Average all is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=909 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Pain Average All by Race Ethnicity
Non-Hispanic Black
3.10 score on a scale
Interval 3.0 to 3.19
3.13 score on a scale
Interval 3.04 to 3.23
Pain Average All by Race Ethnicity
Non-Hispanic White
2.65 score on a scale
Interval 2.56 to 2.73
2.83 score on a scale
Interval 2.73 to 2.92
Pain Average All by Race Ethnicity
Non-Hispanic Asian
1.96 score on a scale
Interval 1.88 to 2.04
2.08 score on a scale
Interval 1.98 to 2.19
Pain Average All by Race Ethnicity
Hispanic
2.64 score on a scale
Interval 2.56 to 2.72
2.78 score on a scale
Interval 2.69 to 2.86
Pain Average All by Race Ethnicity
Other
2.99 score on a scale
Interval 2.74 to 3.24
3.14 score on a scale
Interval 2.86 to 3.42
Pain Average All by Race Ethnicity
Do Not Want to Report
2.64 score on a scale
Interval 2.4 to 2.89
2.74 score on a scale
Interval 2.46 to 3.03

POST_HOC outcome

Timeframe: Day of surgery (day 1) and 1 night after surgery

Participants were asked "overall, how satisfied were you with your current pain medication". Responses were provided on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) Satisfaction 1 is the average of the response provided for the day of surgery and the 1st night after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=386 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=388 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Satisfaction 1
2.22 score on a scale
Interval 2.13 to 2.3
2.38 score on a scale
Interval 2.3 to 2.47

POST_HOC outcome

Timeframe: Day after surgery (day 2) and 2nd night after surgery

Participants were asked "overall, how satisfied were you with your current pain medication". Responses were provided on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) Satisfaction 2 is the average of the response provided for the 1st day of after surgery (day 2) and the 2nd night after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=386 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=388 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Satisfaction 2
2.17 score on a scale
Interval 2.08 to 2.26
2.27 score on a scale
Interval 2.18 to 2.35

POST_HOC outcome

Timeframe: Second day after (day 3) and third night after surgery

Participants were asked "overall, how satisfied were you with your current pain medication". Responses were provided on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) Satisfaction 3 is the average of the response provided for the 2nd day of after surgery (day 3) and the 3nd night after surgery.

Outcome measures

Outcome measures
Measure
Non-Opioid
n=386 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=388 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Satisfaction 3
2.21 score on a scale
Interval 2.12 to 2.3
2.30 score on a scale
Interval 2.21 to 2.39

POST_HOC outcome

Timeframe: End of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery)

Participants were asked "overall, how satisfied were you with your current pain medication". Responses were provided on a five point Likert Scale (1=very satisfied, 2=satisfied, 3=neither satisfied or dissatisfied, 4=dissatisfied, 5=very dissatisfied) Satisfaction ALL is the average of the ratings provided at the end of first 7 days after surgery (days 1 thru 7) and when waking up the first 7 mornings (1st thru 7th nights after surgery).

Outcome measures

Outcome measures
Measure
Non-Opioid
n=386 Participants
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=388 Participants
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Satisfaction All
2.24 score on a scale
Interval 2.14 to 2.34
2.27 score on a scale
Interval 2.18 to 2.36

Adverse Events

Non-Opioid

Serious events: 1 serious events
Other events: 58 other events
Deaths: 0 deaths

Opioid

Serious events: 2 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Non-Opioid
n=909 participants at risk
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 participants at risk
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Infections and infestations
Spider Bite
0.00%
0/909 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.11%
1/906 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Infections and infestations
Infection & Swelling
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.11%
1/906 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.

Other adverse events

Other adverse events
Measure
Non-Opioid
n=909 participants at risk
Combination of ibuprofen 400 mg/acetaminophen 500 mg two over-the-counter analgesics: combination of over-the-counter analgesics (ibuprofen/acetaminophen)
Opioid
n=906 participants at risk
Combination analgesic of hydrocodone 5mg/acetaminophen 300 mg and a placebo pill. opioid-containing analgesic: hydrocodone/ acetaminophen combination product
Nervous system disorders
Pain
2.8%
25/909 • Number of events 25 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
3.0%
27/906 • Number of events 27 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Injury, poisoning and procedural complications
Bleeding
0.55%
5/909 • Number of events 5 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.55%
5/906 • Number of events 5 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Gastrointestinal disorders
Nausea
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.11%
1/906 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Gastrointestinal disorders
Diarrhea
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.00%
0/906 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Gastrointestinal disorders
Constipation
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.00%
0/906 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Nervous system disorders
Dizziness
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.00%
0/906 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Immune system disorders
Skin rash
0.00%
0/909 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.22%
2/906 • Number of events 2 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Gastrointestinal disorders
Vomiting
0.11%
1/909 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.11%
1/906 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
Nervous system disorders
Headache
0.33%
3/909 • Number of events 3 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
0.11%
1/906 • Number of events 1 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
General disorders
Other
2.2%
20/909 • Number of events 20 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.
1.5%
14/906 • Number of events 14 • Adverse even data was collected between the time of surgery and the post-operative visit which was 9 days +/- 5 days.

Additional Information

Cecile A. Feldman, DMD

Rutgers University School of Dental Medicine

Phone: 973-972-4634

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place