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Prospective association study to analyse patients' outcome after bariatric surgery.
Outcome comprises postoperative pain, analgesia, postoperative side-effects, long-lasting pain, patients' impairment in daily living.
Background
Bariatric surgery is a common procedure. Data on patient related outcome beyond loss of body weight are scarce. The question arises which patient is at specific risk for an unfavorable outcome after bariatric surgery.
Objective
The aim of this study is to investigate variables possibly associated with impaired outcome and increased patients' interference after bariatric surgery. Which patients are at risk for clinically meaningful impaired daily living?
Methods
Patients will be enrolled in a prospective observational study. Data will be collected in a registry with documentation of patient, surgery, anesthesia and analgesia related variables including preoperative status and postoperative patient reported outcome with a follow-up period up to 5 years after bariatric surgery.
Patients fill in standardized validated outcome questionnaires at predefined time points. The registry provides the basis for large scale analyses and benchmarks for several parameters.
Variables to be considered are pain scores after surgery, patient reported outcome, pain related interference after surgery (Brief Pain Inventory), quality of life (SF-12), long-term outcome, chronic (neuropathic) postsurgical pain, BMI, psychological questionnaires, surgery and patient related variables, including genetic variants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All patients | Patients undergoing elective surgery with anesthesia |
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| Measure | Description | Time Frame |
|---|---|---|
| What influences pain related impairment after bariatric surgery | Measured by the validated International Pain Outcomes Questionnaire: Patient reported outcome using the numeric rating scale 0-10 (0=no impairment, 10=worst experience possible). Patients with severe pan (pain scores of NRS 6 and higher) are compared to those with no and mild pain. | First day after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain related outcome after bariatric surgery | Measurement of patient reported outcome by the BPI (Brief Pain Inventory). The BPI gives information on the physical and affective interference as well as pain scores using the numeric rating scale (NRS: 0-10). Cut-offs discussed for the three groups no/mild interference, moderate interference and severe interference are mean NRS-scores of 3 and 5. |
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Inclusion Criteria:
Exclusion Criteria
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Patients scheduled for elective bariatric surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ulrike M Stamer, Prof. MD | Contact | +41-316329995 | ulrike.stamer@dbmr.unibe.ch | |
| Frank Stüber, MD | Contact | +41-316322483 | frank.stueber@insel.ch |
| Name | Affiliation | Role |
|---|---|---|
| Ulrike M Stamer, Prof. MD | Department of Anaestheisology and Pain Medicine, Inselspital, University of Bern | Principal Investigator |
| Frank Stüber | Department of Anaesthesiology and Pain Medicine, Inselspital, University of Bern |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anaesthesiology and Pain Medicine, Inselspital, University of Bern | Recruiting | Bern | 3010 | Switzerland |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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whole blood (plasma and cells) or mucosal swab
| Up to 12 months after surgery |
| Change in interference with daily activities after bariatric surgery | Physical and affective interference as well as pain scores measured by the Brief Pain Inventory (BPI). Independent variables e.g. Hospital Anxiety and Depression Scale (HADS) and further validated psychological questionnaires | Up to to 5 years after surgery |
| Change in quality of life after bariatric surgery | Measured by the 12 item short-form health survey (SF-12). | Up to 5 years after surgery |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D010146 | Pain |