Transitional Pain Service for patients at Risk of chronic postsurgical pain Undergoing Surgery

Completed

• Conditions: Pijn; Chronic postsurgical pain

• Registration Number: NL-OMON49357
• Lead Sponsor: Academisch Medisch Centrum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 9 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 180

Inclusion Criteria

1. Patients aged 18 years or older
2. Willing and able to provide informed consent
3. Undergoing a surgical procedure with an increased risk of CPSP (amputation,
spinal surgery, thoracotomy, breast surgery, herniotomy, hysterectomy and after
arthroplasty) (8).

Or;

Any surgical procedure and one of the following:
- Diagnosed chronic pain, defined according to the ICD-11 as *an unpleasant
sensory and emotional experience associated with actual or potential tissue
damage, or described in terms of such damage. Chronic pain is pain that
persists or recurs for longer than 3 months (3)*
- Chronic opioid use, defined as > 20 mg daily morphine equivalent (MME)
consumption for more than 3 months in the last 3 months
- Allergy to opioid agents
- Patients with pain device implants, such as intrathecal pain pump, spinal
cord stimulation or peripheral nerve stimulator
- The usage of pain medication as methadone, buprenorphine, anticonvulsants,
antidepressants or medicinal cannabis for chronic pain for more than 3 months
in the last three months
- Psychosocial comorbidities like anxiety, depression, pain catastrophizing if
documented in the electronic medical record

Exclusion Criteria

- Not willing or able to provide written informed consent
- Emergency surgery

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome is the between group difference in Quality of Recovery<br /><br>(QoR)-15 questionnaire score at day three after surgery. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcomes are the incidence of CPSP, opioid consumption and<br /><br>patient-reported outcome measures. </p><br>