chronic postoperative pain (ICD-11: MG 30.21)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients with elective surgery indication and planned inpatient stay of at least 2 days; patients who are proficient enough in the German language to understand and answer the questionnaires used
Exclusion criteria
Exclusion criteria: Patients undergoing emergency surgery; patients scheduled for outpatient surgery or whose inpatient stay is expected to be less than 48 hours; age of patient: < 18 years; patients unable to give consent; patients with insufficient knowledge of German to understand and answer the questionnaires used; pregnant patients; patients with private health insurance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameters of the RCT: Pain intensity index (numeric rating scales, Von Korff); pain-related functional impairment (numeric rating scales, Von Korff); physical activity (EHIS-PAQ (European Health Interview Survey - Physical Activity Questionnaire); general self-efficacy (General Self-Efficacy Expectancy (SWE) scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity (NRS); pain-related impairment in acute pain (Pain-Out Questionnaire); analgesic intake per day; analgesic-related side effects (ORSDS); anxiety, depression (DASS 21 (Depression Anxiety Stress Scales); pain catastrophizing (PCS); Neuropathic Pain Diagnostic Questionnaire (DN-4); self-rated improvement of activities of daily life (GROC); health-related quality of life (VR-12); measures of satisfaction; cumulative duration of work disability (routine health insurance data); hospitalization duration (routine health insurance data); costs (especially hospitalization duration); sickness benefits (routine health insurance data); long-term care benefits (routine health insurance data). Accompanying projects: Primary outcome parameters of the process and structure surveys: descriptive analysis of location and dispersion measures and categorical content analysis of free-text entries of the structured survey questionnaires and interviews; results from "non-participant observation", the qualitative content analyses of the focus group interviews with the TPS team and the interviews with the patients; descriptive analysis of location and dispersion measures and categorical content analysis of free-text entries of the structured survey questionnaires of the TPS and the standard care as well as on individual and team decision-making processes. In order to answer the questions of the accompanying projects, in addition to the primary and secondary result parameters mentioned, variables that are recorded as part of the profession-specific assessments are also used (e.g. variables such as the Patient Specific Functional Scale, PSFS; Chronic Pain Acceptance Questionnaire, information on sleep disorders, etc). | — |
Countries
Germany
Contacts
Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster