Postoperative Recovery
Conditions
Keywords
Postoperative transitional pain, postoperative pain trajectory, postoperative neuropathic pain, thoracic surgery
Brief summary
Postoperative transitional pain corresponds to the pain occuring between acute postoperative pain and chronic postsurgical pain (defined as pain persisting for at least 3 months after surgery). We hypothesized that both trajectory and neuropathic component of transitional pain may influence the quality of recovery after thoracic surgery. To test this, we designed an observational study to identify risk factors for incomplete recovery assessed through the QoR-15 questionnaire.
Interventions
OTHERQoR-15 questionnaire
The QoR-15 is a 15-item questionnaire on postoperative quality of recovery. The DN4 is a 10-item questionnaire on neuropathic pain. Both questionnaires will be given to the patients preoperatively, on postoperative days 2 and 3, and 1, 3 and 6 months after surgery.
Sponsors
University Hospital, Angers
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients * patients scheduled for thoracic surgery (thoracotomy or video-assisted thoracic surgery or surgery for thoracic outlet syndrome) * patients who do not object to the study
Exclusion criteria
* patients non francophone * emergency surgery or revision surgery * patients already included in the study during the previous 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Impact of pain trajectory and neuropathic component of pain on quality of recovery. | 3 months after surgery. | An incomplete recovery will be defined as a postoperative QoR-15 score of at least 8 points lower than the preoperative QoR-15 value. The association between both trajectory and neuropathic component of postoperative transitional pain and incomplete recovery will be evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Description of trajectory and neuropathic component of postoperative transitional pain. | Between postoperative day 2 and 3 months after surgery. | To describe the trajectory and neuropathic component of postoperative transitional pain according to QoR-15 and DN4 successive values. |
| Impact of the type of surgery on quality of recovery. | 3 months after surgery. | To assess the impact of thoracotomy or video-assisted thoracic on quality of recovery. |
| Impact of pain trajectory, neuropathic component of pain and type of surgery on chronic postsurgical pain prevalence. | 3 and 6 months after surgery. | To assess the impact pain trajectory, neuropathic component of pain and type of surgery on chronic postsurgical pain prevalence. |
| Predictive accuracy of neuropathic pain trajectory on incomplete recovery and chronic postsurgical pain prevalence. | 3 and 6 months after surgery. | To assess the predictive accuracy of neuropathic pain trajectory on incomplete recovery and chronic postsurgical pain prevalence. |
| Correlation between neuropathic componente of chronic postsurgical pain and quality of recovery. | 3 and 6 months after surgery. | To assess the correlation between neuropathic componente of chronic postsurgical pain and quality of recovery. |
Countries
France
Outcome results
None listed