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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A03223-36 | Other Identifier | RCB number |
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The effective management of acute postoperative pain remains a daily challenge despite the organizational efforts made and the techniques put in place.
Thirty percent of patients who undergo surgery suffer from chronic post-surgical pain, of which 5 to 10% are of severe intensity. Many preoperative, intraoperative, and postoperative factors, related to the patient, the surgical procedure, or the anesthetic technique, have been incriminated as risk factors for chronic post-surgical pain. The severity of acute postoperative pain is recognized as one of the risk factors for the occurrence of chronic post-surgical pain on which we can hope to interact during the peri-operative period.
In this cohort study, we wish to define the typologies of postoperative pain trajectories observed from Day 0 to Day 7 and to estimate the proportion of patients with an abnormal resolution of pain in a model of organization such as that of our institution, in classic hospitalization and in ambulatory care.
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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 and for a predefined list of surgeries. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The pain trajectory for the first 7 post-operative days. | The pain trajectory is the change in pain level evaluated by verbal numerical pain (from 0 to 10) from day 0 (surgery) to day 7. | Day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| The DN4 questionnaire | The Douleur Neuropathique 4 (DN4) questionnaire was developed by the French Neuropathic Pain Group and is a simple and objective tool, with the ability to distinguish nociceptive from neuropathic pain | month 3 |
| The EuroQuol EQ5D5L questionnaire |
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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 ffor a predefined list of surgeries.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Joël L'Hermite, MD | Contact | +33.(0)4.66.68.36.18 | joel.lhermite@chu-nimes.fr |
| 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 | Recruiting | Nîmes | 30029 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15733628 | Background | Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lanteri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005 Mar;114(1-2):29-36. doi: 10.1016/j.pain.2004.12.010. Epub 2005 Jan 26. | |
| Background | Sullivan, M. J., Bishop, S. R., & Pivik, J. The pain catastrophizing scale: development and validation. Psychological assessment, 1995, 7(4), 524. |
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| In hospital questionnaires | Other | Patients are required to fill out the PCS questionnaire between on day -1 or +1. |
|
| Telephone contact at 3 months | Other | Patients will be contacted at 3 months post-surgery for pain questionnaires DN4 and EQ5D5L. |
|
The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. |
| month 3 |
| Since the surgery, do you have persistent pain? yes/no | Since the surgery, do you have persistent pain? yes/no | month 3 |
| Verbal numerical scale for pain (ranging from 0 to 10) | Verbal numerical scale for pain (ranging from 0 to 10) | month 3 |
| Have you had complications from your surgery? yes/no | Have you had complications from your surgery? yes/no | month 3 |
| Pain Catastrophizing Scale (PCS) | The Pain Catastrophizing Scale (PCS) is a 13-item self-report measure designed to assess catastrophic thinking related to pain among adults with or without chronic pain. | day -1 or day +1 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day -1 or day +1 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day 2 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day 3 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day 4 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day 5 |
| Cumulative consumption of antalgic drugs | Cumulative consumption of antalgic drugs | day 6 |
| Cumulative consumption of antalgic drugs | 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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