Characterization of Post-operative Pain Trajectories Over Seven Days and Links With Chronicity

Centre Hospitalier Universitaire de Nīmes392 enrolled

Overview

The main objective of this study is to establish the postoperative "pain pathways" observed from D1 to D7 in the context of the current management after orthopedic, digestive, obstetrics and gynecology, urology, neurosurgery, vascular and thoracicn surgeries.

The secondary objectives of this study are: A. To assess the incidence of Post-Surgical Chronic Pain (PSCP) Chronic 3 months post intervention. B. To asses the incidence of neuropathic type pain (DN4 Questionnaire) at 3 months post intervention. C. To study the potential links between pain trajectories and the presence or absence of PSCP. D. To study the potential links between the presence or absence of PSCP and known risk factors for PSCP (patient-related data, data on the surgery, anesthesia data).

Study Type

OBSERVATIONAL

Enrollment

392

Conditions

Surgical Procedures, Operative Pain Chronic Pain

Interventions

Telephone conctact at 3 monthsOTHER

Patients will be contacted at 3 months post-surgery for pain questionnaires.

In hospital pain evaluationOTHER

Patients will evaluate their pain levels via a verbal numerical scale on days 1(or-1), 2, 3, 4, 5, 6 \& 7.

In hospital questionnairesOTHER

Patients are required to fill out the HADS and PCS questionnaires between on day -1 or +1.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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 (HADS, PCS, EN, DN4) 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

Locations (1)

CHRU de Nîmes - Hôpital Universitaire Carémeau

Nîmes, France

Outcomes

Primary Outcomes

The pain trajectory for the first 7 post-operative days.

The pain trajectory is the vector of 7 verbal numerical pain estimates (from 0 to 10) taken over 7 days (days 1 (or -1), 2, 3, 4, 5, 6 \& 7). Day 0 is the day of surgery.

Time frame: Day 7 post-surgery

Secondary Outcomes

The DN4 questionnaire

Time frame: month 3

Since the surgery, do you have persistent pain? yes/no

Time frame: month 3

Is it the same pain before the surgery? yes/no

Time frame: month 3

Verbal numberical scale for pain (ranging from 0 to 10)

Time frame: month 3

Have you had complications from your surgery? yes/no

Time frame: month 3

Hospital Anxiety and Depression Scale (HADS)

Time frame: day -1 or day +1

Pain Catastrophizing Scale (PCS)

Time frame: day -1 or day +1

Cumulative consumption of antalgic drugs

Time frame: day -1 or day +1

Cumulative consumption of antalgic drugs

Time frame: day 2

Cumulative consumption of antalgic drugs

Time frame: day 3

Data from ClinicalTrials.gov

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