pMDT in Thoracic Surgery--------For the Baseline Investigation and Technical Preparation Stage
- Conditions
- Pain, Postoperative
- Interventions
- Other: pMDT(Baseline Investigation)
- Registration Number
- NCT03759275
- Lead Sponsor
- Peking University People's Hospital
- Brief Summary
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
- Detailed Description
The postoperative acute pain refers to the acute pain (usually lasting less than 7 days) that occurs immediately after surgery, and its nature is traumatic pain. It may develop into a chronic pain, such as a neuropathic pain or a mixed pain, if it is not fully controlled at the initial state. It will seriously impact the physiology and psychology of a patient. According to the study, the postoperative acute pain is one of the risks for postoperative complications, and it may result in the death of a patient. However, the alleviation of a postoperative acute pain can shorten the duration of stay in hospital, and reduce the overall cost for treatment of a patient.
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 480
- Patients aged between 18 and 75, ASA I-II;
- Patients undergoing thoracoscopic surgery;
- Patients who can understand and fill in the self-evaluation;
- Patients who signed the Informed Consent Form.
- Pregnant women;
- Patients with preoperative chronic pain and long-term opioid use;
- Patients with advanced tumors who have received preoperative chemotherapy or who are expected to receive postoperative chemotherapy.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Stage 1 pMDT(Baseline Investigation) For the Baseline Investigation and Technical Preparation Stage
- Primary Outcome Measures
Name Time Method Incidence rate of postoperative pain Up to 90 days after surgery. The percentage of patients with NRS score greater than 3
The degree of patients' satisfaction 3 days after surgery. The degree of patients' satisfaction on pain managements. Patients were asked to give a score from 0-10 (0 means dissatisfied, 10 means very satisfied).
- Secondary Outcome Measures
Name Time Method Postoperative duration of stay in hospital Up to 90 days after surgery. The duration when patients stay in hospital after surgery.
Rehospitalization rate Up to 90 days after surgery. The percentage of patients who are rehospitalized.
Postoperative complication incidence rate Up to 90 days after surgery. The percentage of patients with complications after surgery.
Trial Locations
- Locations (1)
Peking University People's Hospital
🇨🇳Beijing, Beijing, China