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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-A00868-41 | Other Identifier | ANSM |
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The main objective of this study is to establish the postoperative "pain pathways" observed from D1 to D7 in the context of the current management after orthopedic, digestive, obstetrics and gynecology, urology, neurosurgery, vascular and thoracicn surgeries.
The secondary objectives of this study are:
A. To assess the incidence of Post-Surgical Chronic Pain (PSCP) Chronic 3 months post intervention.
B. To asses the incidence of neuropathic type pain (DN4 Questionnaire) at 3 months post intervention.
C. To study the potential links between pain trajectories and the presence or absence of PSCP.
D. To study the potential links between the presence or absence of PSCP and known risk factors for PSCP (patient-related data, data on the surgery, anesthesia data).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The study population | The study population consists of adult surgery patients at the Nîmes University Hospital, with recruitment based on the operating theater program for a predefined six month period and for a predefined list of surgeries. The latter list of surgical acts was established according to the Medicalization of Information Systems Progam (PMSI) database. Patients are recruited either the day before or the day after surgery, in their respective departments. Interventions:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telephone conctact at 3 months | Other | Patients will be contacted at 3 months post-surgery for pain questionnaires. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The pain trajectory for the first 7 post-operative days. | The pain trajectory is the vector of 7 verbal numerical pain estimates (from 0 to 10) taken over 7 days (days 1 (or -1), 2, 3, 4, 5, 6 & 7). Day 0 is the day of surgery. | Day 7 post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| The DN4 questionnaire | month 3 | |
| Since the surgery, do you have persistent pain? yes/no | month 3 | |
| Is it the same pain before the surgery? yes/no |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of adult surgery patients at the Nîmes University Hospital, with recruitment based on the operating theater program for a predefined six month period and for a predefined list of surgeries. The latter list of surgical acts was established according to the Medicalization of Information Systems Progam (PMSI) database. Patients are recruited either the day before or the day after surgery, in their respective departments.
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| Name | Affiliation | Role |
|---|---|---|
| Joël L'Hermite, MD | Centre Hospitalier Universitaire de Nīmes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33359373 | Result | L'Hermite J, Page MG, Chevallier T, Occean B, Viel E, Bredeau O, Lefrant JY, Cuvillon P. Characterisation of pragmatic postoperative PAin Trajectories over seven days and their association with CHronicity after 3 months: a prospective, pilot cohort study (PATCH study). Anaesth Crit Care Pain Med. 2021 Feb;40(1):100793. doi: 10.1016/j.accpm.2020.100793. Epub 2020 Dec 23. |
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| In hospital pain evaluation | Other | Patients will evaluate their pain levels via a verbal numerical scale on days 1(or-1), 2, 3, 4, 5, 6 & 7. |
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| In hospital questionnaires | Other | Patients are required to fill out the HADS and PCS questionnaires between on day -1 or +1. |
|
| month 3 |
| Verbal numberical scale for pain (ranging from 0 to 10) | month 3 |
| Have you had complications from your surgery? yes/no | month 3 |
| Hospital Anxiety and Depression Scale (HADS) | day -1 or day +1 |
| Pain Catastrophizing Scale (PCS) | day -1 or day +1 |
| Cumulative consumption of antalgic drugs | day -1 or day +1 |
| Cumulative consumption of antalgic drugs | day 2 |
| Cumulative consumption of antalgic drugs | day 3 |
| Cumulative consumption of antalgic drugs | day 4 |
| Cumulative consumption of antalgic drugs | day 5 |
| Cumulative consumption of antalgic drugs | day 6 |
| Cumulative consumption of antalgic drugs | day 7 |
| ID | Term |
|---|---|
| D010146 | Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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