The Recuperation of Patients After Elective Shoulder Surgery Observational Cohort Study

Conditions

Aucte Pain After Surgery, Mode of Anaesthesia, Opioid Use After Surgery, Persistent Pain After Surgery

Brief summary

Around 6400 shoulder surgeries are performed yearly in Finland. The procedure is mainly day-case surgery and the patients go home in the afternoon. Shoulder surgery is one of the most common procedures performed in private surgical practices. Because of the complex nature of the joint, the recovery may be complicated by severe opstoperative pain, which is relieved with strong opioids. Recently this has been addressed in the literature, as prescribed opioids too often lead to substance abuse. Pain in the acute phase after surgery is one of the common risk factors for persistent postoperative pain, which is a major burden for both the individual patient and the society. In this prospective, observational cohort study we aim to describe current standards of practice in planning and taking care of anaeshtesia and prescribing opioids and adjuvants for postoperative pain relief at home.

Detailed description

Around 6400 shoulder surgeries are performed yearly in Finland. The procedure is mainly day-case surgery and the patients go home in the afternoon. Shoulder surgery is one of the most common procedures performed in private surgical practices. Because of the complex nature of the joint, the recovery may be complicated by severe opstoperative pain, which is relieved with strong opioids. Recently this has been addressed in the literature, as prescribed opioids too often lead to substance abuse. Pain in the acute phase after surgery is one of the common risk factors for persistent postoperative pain, which is a major burden for both the individual patient and the society. In this prospective, observational cohort study we aim to describe current standards of practice in planning and taking care of anaeshtesia and prescribing opioids and adjuvants for postoperative pain relief at home. The data is collected prospectively from the care provider and the patient in a webrobol questionnaire at three time points: the day of surgery (care provider), one week after surgery (patient) and three months after surgery (patient).

Related papers

No related papers found yet.

Interventions

OTHERNon- interventional

Non- interventional

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 85 Years

Healthy volunteers

No

Inclusion criteria

* 18-85 years * speaks and reads Finnish fluently * has access to internet and email * Undergoes elective shoulder surgery

Exclusion criteria

* persistent pain in an area other than the shoulder in question * longterm pain medication for any other purpose than the shoulder in question * schitzophrenia * diabetes mellitus with complications

Design outcomes

Primary

Measure	Time frame	Description
Pain of the patient after shoulder surgery	1 week after surgery	Acute pain
wellbeing of the patient after shoulder surgery	1 week after surgery	well being after shoulder surgery

Secondary

Measure	Time frame	Description
type of anaesthesia, personnel questionnaire	Day of the surgery	What is the anaesthesia, general anaesthesia, sedation or brachial plexus anaesthesia or a combination of these
Type of pain relief, questionnaire	3 months after surgery	What kind of pain relief is provided for the patients after the surgery
Persistent pain after surgery, questionnaire	three months after surgery	How are the patients doing three months after surgery -mobility, sleep, daily habits

Other

Measure	Time frame	Description
Comparison of practices by a questionnaire	three months after surgery	Compare the patient outcome results by a questionnaire based on the mode of anaesthesia/center

Countries

Finland

Outcome results

None listed