Chronic Pain Following Thoracic Surgery (PTPS-18)
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Purpose
Pain that persists after the healing of a surgical wound has previously been described as an important, but often unrecognized clinical problem. Persistent postsurgical (chronic postoperative pain) is the consequence of either ongoing inflammation or more common neuropathic pain as a result of surgical damage to peripheral nerves.
Previous studies have shown that chronic pain is a frequent and serious complication following thoracic surgery. However, the prevalence of chronic pain following both thoracoscopy and anterior thoracotomy in patients with pulmonary malignancies is poorly characterized and the impact of this pain on patients' lives remains unclear. Thus, this study aims to investigate the prevalence of chronic pain following thoracoscopy or anterior thoracotomy, and the severity and impact of persistent post-surgical pain on daily life.
This study is working with several hypotheses: 1.) persistent postsurgical pain following lung cancer surgery is predominantly of neuropathic nature and the presence of neuropathic symptoms increases the severity of postsurgical pain and reduces the patient's quality of life, 2.) the prevalence of chronic pain is reduced over time, and 3.) less invasive thoracic surgical interventions reduces the risk of the development of chronic pain.
| Condition | Intervention |
|---|---|
|
Pain, Postoperative |
Procedure: Thoracic surgery |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Study of Persistent Postsurgical Pain Following Thoracic Surgery in Patients With Pulmonary Malignancies |
- Presence of persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Location of persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Duration of postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Course of persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Severity of postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Characteristics of persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Symptoms associated with persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Treatment of and effect of treatment on persistent postsurgical pain [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
- Effect of postsurgical pain on activity, mood, walking ability, work, interpersonal relations, sleep and quality of life [ Time Frame: Within 10 years after thoracic surgery ] [ Designated as safety issue: No ]
| Enrollment: | 702 |
| Study Start Date: | April 2010 |
| Study Completion Date: | October 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Thoracic surgical patients
Patients with pulmonary malignancies
|
Procedure: Thoracic surgery
Thoracoscopy or anterior thoracotomy
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients who underwent thoracic surgery due to pulmonary malignancies at the Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Denmark
Inclusion Criteria:
- Patients who previously underwent thoracic surgery with lung resection from January 2000 to december 2009
Exclusion Criteria:
- Death
Contacts and Locations| Denmark | |
| Department of Cardiothoracic and Vascular surgery, Aarhus University Hospital, Skejby | |
| Aarhus N, Denmark, DK-8200 | |
| Principal Investigator: | Kasper Grosen, PhDS, MHScS, RN | Department of Cardiothoracic and Vascular surgery, Aarhus University Hospital, Skejby, Denmark |
| Study Director: | Hans K Pilegaard, MD | Department of Cardiothoracic and Vascular surgery, Aarhus University Hospital, Skejby, Denmark |
| Study Chair: | Vibeke Hjortdal, MD, Professor, DMSc, PhD | Department of Cardiothoracic and Vascular surgery, Aarhus University Hospital, Skejby, Denmark |
| Study Chair: | Mogens P Jensen, MD, PhD | Department of Rheumatology, Aarhus University Hospital, Aarhus Hospital, Denmark |
More Information
No publications provided
| Responsible Party: | Kasper Grosen, PhD fellow, Master of Health Sciences, RN, University of Aarhus |
| ClinicalTrials.gov Identifier: | NCT01144845 History of Changes |
| Other Study ID Numbers: | PTPS-18 |
| Study First Received: | June 14, 2010 |
| Last Updated: | August 27, 2011 |
| Health Authority: | Denmark: Danish Dataprotection Agency |
Keywords provided by University of Aarhus:
|
Thoracotomy Thoracic Surgery Thoracic Surgical Procedures |
Thoracic Surgery, Video-Assisted Lung Neoplasms Thoracic Nerves |
Additional relevant MeSH terms:
|
Pain, Postoperative Postoperative Complications Pathologic Processes Pain Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013