Transition From Acute to Chronic Pain After Inguinal Hernia, Hysterectomy and Thoracotomy: Analysis of Risk Factors and Association With Genetic Polymorphisms
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Purpose
The treatment of postoperative pain continues to be inadequate in the investigators practice setting.
Inadequate pain treatment not only contributes to postoperative complications in the short term but can also be a factor that favors the development of chronic postoperative pain and diminishes long-term quality of life. Risk factors that can lead to a transition to chronic pain need to be analyzed.
| Condition | Intervention |
|---|---|
|
Chronic Postoperative Pain |
Procedure: Inguinal herniorraphy. Procedure: Hysterectomy. Procedure: Thoracotomy . |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Transition From Acute to Chronic Pain After Inguinal Hernia, Hysterectomy and Thoracotomy : Analysis of Risk Factors and Association With Genetic Polymorphisms |
- Evaluation of chronic postsurgical pain. [ Time Frame: After 3 and 12 months of surgery. ] [ Designated as safety issue: No ]After 3 months a physical examination will take place and after 12 months a follow-up will be reported by phone.
- Predictive factors of chronic postsurgical pain. [ Time Frame: After 3 and 12 months of surgery. ] [ Designated as safety issue: Yes ]Preoperative (psychological factors, preoperative pain, pharmacologic treatment) intraoperative (surgical technic, type of anaestesia) and postoperative(posoperative pain, surgical complications and treatment of postoperative pain).
Biospecimen Retention: Samples With DNA
Sample collection Five milliliters of venous blood will be extracted from each patient with chronic pain; control samples will come from a DNA bank. All patients must have given their written consent to testing and storage.
- Plasma DNA will be extracted with a BioRobot EZ1 Workstation (Qiagen).
| Enrollment: | 3979 |
| Study Start Date: | January 2009 |
| Estimated Study Completion Date: | March 2012 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Patients who had inguinal herniorraphy. |
Procedure: Inguinal herniorraphy.
Inguinal herniorraphy (non laparoscopic).
|
| Patients who had hysterectomy. |
Procedure: Hysterectomy.
Hysterectomy: Vaginal and abdominal.
|
| Patients who had thoracotomy. |
Procedure: Thoracotomy .
Thoracotomy (non laparoscopic).
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All spanish patients who undergo scheduled surgery of one of the following types: inguinal herniorrhaphy, hysterectomy, toracothomy.
Inclusion Criteria:
- Patients with given inform consent, aged mor than 18 years, who undergo scheduled surgery of one of the following types: inguinal hernia (men), hysterectomy, thoracotomy (men).
Exclusion Criteria:
- Patients aged less than 18 years,
- Patients requiring reoperation because of surgical complications.
Contacts and Locations| Spain | |
| Hospital Municipal de Badalona | |
| Badalona, Barcelona, Spain, 08911 | |
| Hospital Universitari Germans Trias i Pujol | |
| Badalona, Barcelona, Spain, 08916 | |
| Hospital de San Bernabé | |
| Berga, Barcelona, Spain, 08600 | |
| Hospital de Granollers | |
| Granollers, Barcelona, Spain, 08400 | |
| Hospital Universitari de Bellvitge | |
| L'Hospitalet de Llobregat, Barcelona, Spain, 08907 | |
| Hospital General de Manresa | |
| Manresa, Barcelona, Spain, 08240 | |
| Hospital de Mataro | |
| Mataro, Barcelona, Spain, 08304 | |
| Hospital Parc Tauli | |
| Sabadell, Barcelona, Spain, 08208 | |
| Hospital Universitari Mutua de Terrassa | |
| Terrassa, Barcelona, Spain, 08227 | |
| Hospital Mutua de Terrassa | |
| Terrassa, Barcelona, Spain, 08221 | |
| Hospital de Viladecans | |
| Viladecans, Barcelona, Spain, 08840 | |
| Hospital de Santa Caterina | |
| Salt, Girona, Spain, 17190 | |
| Hospital Sant Joan de Reus | |
| Reus, Tarragona, Spain, 43201 | |
| Hospital Lluís Alcanyís de Xàtiva | |
| Xàtiva, València, Spain, 46800 | |
| Hospital del Sant Boi | |
| Barcelona, Spain, 08830 | |
| Hospital Sagrat Cor | |
| Barcelona, Spain, 08029 | |
| Hospital Clínic i Provincial de Barcelona | |
| Barcelona, Spain, 08036 | |
| Hospital de l'Esperança | |
| Barcelona, Spain, 08024 | |
| Hospital de la Santa Creu i Sant Pau | |
| Barcelona, Spain, 08025 | |
| Hospital del Mar | |
| Barcelona, Spain, 08003 | |
| Hospital Universitari Vall d'Hebron | |
| Barcelona, Spain, 08035 | |
| Hospital Universitari Doctor Josep Trueta de Girona | |
| Girona, Spain, 17007 | |
| Hospital Santa Maria | |
| Lleida, Spain, 25198 | |
| Hospital General Universitario de Valencia | |
| Valencia, Spain, 46014 | |
| Hospital Clínico de Valencia | |
| Valencia, Spain, 46010 | |
| Hospital Universitari de la Fe | |
| Valencia, Spain, 46026 | |
More Information
No publications provided
| Responsible Party: | Fundacion IMIM |
| ClinicalTrials.gov Identifier: | NCT01510496 History of Changes |
| Other Study ID Numbers: | GENDOLCAT |
| Study First Received: | December 23, 2011 |
| Last Updated: | January 11, 2012 |
| Health Authority: | Spain: Ethics Committee |
Keywords provided by Fundacion IMIM:
|
Chronic pain genetic polymorphisms postoperative pain |
Additional relevant MeSH terms:
|
Hernia Hernia, Inguinal Pain, Postoperative Pathological Conditions, Anatomical Hernia, Abdominal |
Postoperative Complications Pathologic Processes Pain Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013