Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Peking Union Medical College Hospital | OTHER |
| Anhui Provincial Hospital | OTHER_GOV |
| Southwest Hospital, China | OTHER |
| Fujian Provincial Hospital |
Not provided
Not provided
Not provided
Not provided
Not provided
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
The postoperative acute pain refers to the acute pain (usually lasting less than 7 days) that occurs immediately after surgery, and its nature is traumatic pain. It may develop into a chronic pain, such as a neuropathic pain or a mixed pain, if it is not fully controlled at the initial state. It will seriously impact the physiology and psychology of a patient. According to the study, the postoperative acute pain is one of the risks for postoperative complications, and it may result in the death of a patient. However, the alleviation of a postoperative acute pain can shorten the duration of stay in hospital, and reduce the overall cost for treatment of a patient.
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stage 2 | The Process Implementation Stage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pMDT(Process Implementation) | Combination Product | The pMDT(Baseline Investigation) takes multi-model analgesia as the main technical means. Multimodal perioperative analgesia refers to the combination of analgesics, adjuvant drugs and analgesic techniques with different effects throughout the perioperative period to achieve the best curative effect of reducing postoperative acute and chronic pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence rate of postoperative pain | The percentage of patients with numerical rating scale（NRS）score greater than 3. The NRS score is ranged from 0 to 10. 0 means without pain. 1-3 means mild pain. 4-6 means moderate pain. 7-9 means severe pain. 10 means intense pain and can't bear. | Up to 90 days after surgery. |
| The degree of patients' satisfaction | The degree of patients' satisfaction on pain managements. Patients were asked to give a score from 0-10 (0 means dissatisfied, 10 means very satisfied). | 3 days after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative duration of stay in hospital | The duration when patients stay in hospital after surgery. | Up to 90 days after surgery. |
| Rehospitalization rate | The percentage of patients who are rehospitalized. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Patients undergoing thoracic surgery in Peking University People's Hospital and other multi-centers.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Feng Yi, MD | Peking University People's Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Beijing | Beijing Municipality | 100044 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26329661 | Background | Bugada D, Lavand'homme P, Ambrosoli AL, Klersy C, Braschi A, Fanelli G, Saccani Jotti GM, Allegri M; SIMPAR group. Effect of postoperative analgesia on acute and persistent postherniotomy pain: a randomized study. J Clin Anesth. 2015 Dec;27(8):658-64. doi: 10.1016/j.jclinane.2015.06.008. Epub 2015 Aug 30. | |
| 26213198 | Background |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D010146 | Pain |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |
Not provided
Not provided
| OTHER |
| Hebei Tumor Hospital | OTHER |
| Qianfoshan Hospital | OTHER |
| General Hospital of Shenyang Military Region | OTHER |
| Shanghai Chest Hospital | OTHER |
| Zhejiang University | OTHER |
| The First Affiliated Hospital of Zhengzhou University | OTHER |
| Second Affiliated Hospital of Nanchang University | OTHER |
| Guangdong Provincial People's Hospital | OTHER |
| First Affiliated Hospital of Xinjiang Medical University | OTHER |
| LanZhou University | OTHER |
| Lanzhou University Second Hospital | OTHER |
| Kunming General Hospital of PLA | UNKNOWN |
| Renmin Hospital of Wuhan University | OTHER |
| Henan Provincial People's Hospital | OTHER |
| First Affiliated Hospital of Kunming Medical University | OTHER |
| The People's Hospital of Gaozhou | OTHER |
| Shaanxi Provincial People's Hospital | OTHER |
| Liaoning Cancer Hospital & Institute | OTHER |
| First Affiliated Hospital of Chongqing Medical University | OTHER |
| Hebei Medical University Fourth Hospital | OTHER |
Not provided
Not provided
Not provided
|
| Up to 90 days after surgery. |
| Postoperative complication incidence rate | The percentage of patients with complications after surgery. | Up to 90 days after surgery. |
| Kelley BP, Shauver MJ, Chung KC. Management of Acute Postoperative Pain in Hand Surgery: A Systematic Review. J Hand Surg Am. 2015 Aug;40(8):1610-9, 1619.e1. doi: 10.1016/j.jhsa.2015.05.024. |
| 25890623 | Background | Lesin M, Domazet Bugarin J, Puljak L. Factors associated with postoperative pain and analgesic consumption in ophthalmic surgery: a systematic review. Surv Ophthalmol. 2015 May-Jun;60(3):196-203. doi: 10.1016/j.survophthal.2014.10.003. Epub 2014 Nov 5. |
| 26512441 | Background | Sharp HT. Management of Postoperative Abdominal Wall Pain. Clin Obstet Gynecol. 2015 Dec;58(4):798-804. doi: 10.1097/GRF.0000000000000152. |
| 26600464 | Background | Pogatzki-Zahn E, Kutschar P, Nestler N, Osterbrink J. A Prospective Multicentre Study to Improve Postoperative Pain: Identification of Potentialities and Problems. PLoS One. 2015 Nov 24;10(11):e0143508. doi: 10.1371/journal.pone.0143508. eCollection 2015. |
| 26509324 | Background | Rawal N. Current issues in postoperative pain management. Eur J Anaesthesiol. 2016 Mar;33(3):160-71. doi: 10.1097/EJA.0000000000000366. |
| 25987449 | Background | Yun XD, Yin XL, Jiang J, Teng YJ, Dong HT, An LP, Xia YY. Local infiltration analgesia versus femoral nerve block in total knee arthroplasty: a meta-analysis. Orthop Traumatol Surg Res. 2015 Sep;101(5):565-9. doi: 10.1016/j.otsr.2015.03.015. Epub 2015 May 16. |
| D012816 | Signs and Symptoms |