Chronic Pain, Pain, Surgical Procedures, Operative
Conditions
Keywords
pain trajectory
Brief summary
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.
Interventions
Patients will evaluate their pain levels via a verbal numerical scale on days 1(or-1), 2, 3, 4, 5, 6 & 7.
Patients are required to fill out the PCS questionnaire between on day -1 or +1.
OTHERTelephone contact at 3 months
Patients will be contacted at 3 months post-surgery for pain questionnaires DN4 and EQ5D5L.
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* The patient must be insured or beneficiary of a health insurance plan * The patient is available for 3 months of follow-up * The patient has undergone a planned surgical procedure in one of the participating departments * The patient is willing and able to respond to the study questionnaires
Exclusion criteria
* The patient is participating in another study * The patient is in an exclusion period determined by a previous study * The patient is under judicial protection, under tutorship or curatorship * It is impossible to correctly inform the patient * Patient admitted to the ICU and still intubated at day 1
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The pain trajectory for the first 7 post-operative days. | Day 7 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The EuroQuol EQ5D5L questionnaire | month 3 | 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. |
| Since the surgery, do you have persistent pain? yes/no | month 3 | Since the surgery, do you have persistent pain? yes/no |
| Verbal numerical scale for pain (ranging from 0 to 10) | month 3 | Verbal numerical scale for pain (ranging from 0 to 10) |
| The DN4 questionnaire | month 3 | 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 |
| Pain Catastrophizing Scale (PCS) | day -1 or day +1 | 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. |
| Cumulative consumption of antalgic drugs | day -1 or day +1 | Cumulative consumption of antalgic drugs |
| Have you had complications from your surgery? yes/no | month 3 | Have you had complications from your surgery? yes/no |
Countries
France
Contacts
Primary ContactJoël L'Hermite, MD
Outcome results
None listed