pMDT in Thoracic Surgery--------For the Baseline Investigation and Technical Preparation Stage

Perioperative Pain Management With Multi-discipline Team(pMDT) in Thoracic Surgery: a Multi-center，Prospective, Observational Study--------For the Baseline Investigation and Technical Preparation Stage

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03759275

Enrollment

480

Registered

2018-11-29

Start date

2018-09-01

Completion date

2021-08-31

Last updated

2022-03-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain, Postoperative

Keywords

pMDT, Pain, Thoracic surgery

Brief summary

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.

Detailed description

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.

Interventions

OTHERpMDT(Baseline Investigation)

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.

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 75 Years

Healthy volunteers

Inclusion criteria

* Patients aged between 18 and 75, ASA I-II; * Patients undergoing thoracoscopic surgery; * Patients who can understand and fill in the self-evaluation; * Patients who signed the Informed Consent Form.

Exclusion criteria

* Pregnant women; * Patients with preoperative chronic pain and long-term opioid use; * Patients with advanced tumors who have received preoperative chemotherapy or who are expected to receive postoperative chemotherapy.

Design outcomes

Primary

Measure	Time frame	Description
Incidence rate of postoperative pain	Up to 90 days after surgery.	The percentage of patients with NRS score greater than 3
The degree of patients' satisfaction	3 days after surgery.	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).

Secondary

Measure	Time frame	Description
Postoperative duration of stay in hospital	Up to 90 days after surgery.	The duration when patients stay in hospital after surgery.
Rehospitalization rate	Up to 90 days after surgery.	The percentage of patients who are rehospitalized.
Postoperative complication incidence rate	Up to 90 days after surgery.	The percentage of patients with complications after surgery.

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026