Surgery
Conditions
Brief summary
The objective of these cohorts is to detect potential genetic, neurophysiological psychological and cognitive risk factors for the development of chronic postsurgical pain including neuropathic pain.
Detailed description
This new study will enroll patients undergoing mastectomy or thoracotomy for cancer. They will be three cohorts : * one prospective cohort constituted of women undergoing breast surgery in René Huguenin Hospital (Saint Cloud) and followed for up to one year after surgery. * another cross sectional cohort constituted of patient association (Seintinelle) including women operated up to 2 years previously from breast surgery. * One prospective cohort constituted of women or men undergoing thoracotomy in Foch hospital (Suresnes) and followed for up to one year after surgery. The main objectives of these cohorts will be to detect potential genetic, neurophysiological, psychological and cognitive risk factors for the development of chronic postsurgical neuropathic pain. These patients will questioned about demographics, age, sex, body mass index. A large neuropsychological and psychological battery of tests will be conducted. Sensory function will assessed using quantitative sensory testing. Biological samples will analyse potential genetic factors in the development of neuropathic pain after surgery. Conditioned pain modulation, threshold tracking and quantitative sensory testing will also be assessed in subgroup of patients. The prospective cohort will be assessed before surgery then 3, 6 and 12 months after surgery. The cross sectional cohort will be assessed during one to two visits in hospital.
Interventions
None listed
Sponsors
Hopital Foch
Hospital Ambroise Paré Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing surgery for breast cancer or thoracotomy for lung cancer followed during the course of the study or patients from the French cohort Seintinelle already operated from breast surgery over the past 2 years.
Exclusion criteria
: * Patients are not included if they have clinically significant or unstable psychiatric or somatic conditions (e.g. major depression, psychosis, uncontrolled diabetes mellitus or hypertension, neurological disorders, immune disease, body mass index \> 45), past or present substance abuse or any cognitive deterioration based on past medical history, semi-structured interview and lack of completion or full understanding of questionnaires. * Bilateral mastectomy (for women undergoing breast surgery) * Presence of pain before surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neuropathic pain | 3, 6 and 12 months after surgery in the prospective cohort | neuropathic pain assessed with the DN4 questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| chronic postsurgical pain | 3, 6 and 12 months after surgery | chronic pain questionnaire identification |
Countries
France
Outcome results
None listed