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Neuropathic PainPOPARTSNCT04300660

Post-Operative Pain After Recovery in Thoracic Surgery

An observational study of Neuropathic Pain and Post Operative Pain, run by University of Trieste at 1 site in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Persistent pain after surgery has significant physical and mental consequences for the patient, as well as a significant economic impact on health systems. Neuropathic pain is caused by direct or indirect damage to the somatosensitive system. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
neuropathic pain after thoracic surgery
How many people
250 participants
Where
1 siteItaly
Study dates
25 Oct 2017to Apr 2020
How long will I take part?
30 Months
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients admitted at our surgical center who underwent elective lobectomy, segmentectomy or atypical resection surgery with a mini-thoracotomy approach or VATS.

Who may be able to join

  • Age ≥ 18 years
  • Patient's consent to the trial
  • Candidate to resective lung surgery (lobectomy, segmentectomy, atypical resection) with minimally invasive approach (mini-thoracotomy with muscle sparing or video-assisted thoracic surgery, VATS)

Who cannot join

  • neurological and / or cognitive deficits
  • inability to obtain informed consent
  • surgeries that include wall resections (pleural, muscle, rib or nerve)
  • pneumonectomy
  • Previous thoracic surgery at the time of enrollment

Trial locations and contacts

1 site in 1 country.

Italy1 site, 1 recruiting
  • Cattinara Hospital

    Trieste, 34149

    Marzia Umari, MD, 347 4688773 ext. +39, marzia.umari@asuits.sanita.fvg.it

    Marzia Umari, MD

    Recruiting

Other trials in Italy

About this study

Official title: POPARTS Study- Post-Operative Pain After Recovery in Thoracic Surgery: Evaluation of the Persistence of Painful Symptoms and the Incidence of Neuropathic Pain After Resective Lung Surgery

Persistent pain after surgery has significant physical and mental consequences for the patient, as well as a significant economic impact on health systems. Neuropathic pain is caused by direct or indirect damage to the somatosensitive system. In thoracic surgery, chronic neuropathic pain is represented by Post-Thoracotomic Pain Syndrome (PTPS), defined as recurrent or persistent pain in the thoracotomy scar site that persists for more than 3-6 months. Currently, in literature, the prevalence of PTPS is extremely variable. This prospective observational study aims to assess the incidence of pain in the weeks and months following surgery and to assess whether and how the presence of painful symptoms changes the patient's quality of life.

Read the detailed description

For each patient enrolled in the study, in the pre-operative phase, comorbidities, any chronic analgesic therapy and quality of life (through a dedicated questionnaire - Euro QoL 5D5L1) will be recorded. Surgical data (type of procedure, lobe affected by resection, type of approach and surgical time) and anesthesiological data (intravenous opioid, locoregional technique (s), non-opioid analgesics administered and other medications) will be collected in the perioperative phase. In the 48 hours following the surgery (in the Recovery Room, at 6h, 12h, 24h, 36h and 48h) the patient's pain data will be recorded (static, dynamic and cough-associated NRS) and those relating to any complications. The total amount of morphine administered to the patient in the first 48 hours will also be recorded. Each patient will be evaluated 7 days, 1, 3 and 6 months after the surgery by telephone interview. In this last phase, the possible presence of pain and its characteristics will be assessed, especially if these meet the criteria of neuropathic pain.

Being tested
neuropathic pain after thoracic surgery
Keywords
thoracic surgery, analgesia, chest wall analgesia, Post-Thoracotomic Pain Syndrome, VATS
Medical subject headings
Neuralgia, Pain, Postoperative, Agnosia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • neuropathic pain after thoracic surgeryOther

    analysis of perioperative factors implicated in the onset of postoperative pain after chest surgery and the incidence of neuropathic pain

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of persistent post-operative pain after thoracic surgery

    The incidence of static, dynamic and cough-associated pain is assessed through the numerical rate scale (NRS), by a telephone interview one week and one month after surgery. A questionnaire is submitted to the patient to analyze the characteristics of the pain and its possible impact on the patient's quality of life.

    Measured: the data needed to analyze the incidence and characteristics of pain will be collected at 1 week after surgery

  2. Incidence of persistent post-operative pain after thoracic surgery

    The incidence of static, dynamic and cough-associated pain is assessed through the numerical rate scale (NRS), by a telephone interview one week and one month after surgery. A questionnaire is submitted to the patient to analyze the characteristics of the pain and its possible impact on the patient's quality of life.

    Measured: the data needed to analyze the incidence and characteristics of pain will be collected at 1 month after surgery

  3. Incidence of Chronic Pain after thoracic surgery

    The possible presence and incidence of chronic pain is assessed through a telephone interview three and six months after surgery.

    Measured: The data needed to analyze the presence of chronic pain will be collected at 3 months after surgery

  4. Incidence of Chronic Pain after thoracic surgery

    The possible presence and incidence of chronic pain is assessed through a telephone interview three and six months after surgery.

    Measured: The data needed to analyze the presence of chronic pain will be collected at 6 months after surgery

  5. Presence of pain with typical features of neuropathic pain in the different phases of the postoperative course

    During each telephone interview the presence of neuropathic pain is assessed through a dedicated questionnaire (PainDetect Questionnaire) and the impact that this type of pain has on the patient's quality of life.

    Measured: The data neede to analyze the presence of neuropathic pain will be collected at a week after the surgery

  6. Presence of pain with typical features of neuropathic pain in the different phases of the postoperative course

    During each telephone interview the presence of neuropathic pain is assessed through a dedicated questionnaire (PainDetect Questionnaire) and the impact that this type of pain has on the patient's quality of life.

    Measured: The data neede to analyze the presence of neuropathic pain will be collected at a month after the surgery

  7. Presence of pain with typical features of neuropathic pain in the different phases of the postoperative course

    During each telephone interview the presence of neuropathic pain is assessed through a dedicated questionnaire (PainDetect Questionnaire) and the impact that this type of pain has on the patient's quality of life.

    Measured: The data neede to analyze the presence of neuropathic pain will be collected at 3 months after the surgery

  8. Presence of pain with typical features of neuropathic pain in the different phases of the postoperative course

    During each telephone interview the presence of neuropathic pain is assessed through a dedicated questionnaire (PainDetect Questionnaire) and the impact that this type of pain has on the patient's quality of life.

    Measured: The data neede to analyze the presence of neuropathic pain will be collected at 6 months after the surgery

Secondary outcomes (3)
  1. Assessment of the incidence of chronic pain based on the different surgical techniques in thoracic surgery

    the aim of this objective is to analyze whether different surgical techniques (more or less invasive) play a role in the onset of chronic pain after thoracic surgery

    Measured: during the intraoperative phase, data relating to the surgical techniques performed are collected

  2. Assessment of the post-operative quality of life based on the different surgical techniques in thoracic surgery

    the aim of this objective is to analyze whether different surgical techniques (more or less invasive) play a role in the quality of life after thoracic surgery

    Measured: during the intraoperative phase, data relating to the surgical techniques performed are collected

  3. Evaluation of postoperative pain control based on different anesthesiological techniques and its possible correlation with the development of chronic pain

    the aim of this objective is to analyze whether different anesthesiological techniques play a role in the onset of chronic or neuropathic pain after thoracic surgery. The techniques of locoregional anesthesia performed and the drugs used both during surgery and in the postoperative phase are analyzed

    Measured: data relating to this objective are collected in the intraoperative, 24 hours after surgery and subsequent telephone interviews at 1 week, 1, 3 and 6 months after thoracic surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2020
  2. Study start25 Oct 2017
  3. Primary completionApr 2020 (estimated)
  4. Study completionApr 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
250 participants (estimated)
Target duration
30 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04300660
Sponsor's protocol ID
N. ASUI TS 8/2017
Acronym
POPARTS
Status last verified
Mar 2020
First submitted
1 Mar 2020
Last updated
9 Mar 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth. 2008 Jul;101(1):77-86. doi: 10.1093/bja/aen099. Epub 2008 Apr 22.

    PubMed 18434337
  • Allegri M, Baron R, Hans G, Correa-Illanes G, Mayoral Rojals V, Mick G, Serpell M. A pharmacological treatment algorithm for localized neuropathic pain. Curr Med Res Opin. 2016;32(2):377-84. doi: 10.1185/03007995.2015.1129321.

    PubMed 26641136
  • Elmore B, Nguyen V, Blank R, Yount K, Lau C. Pain Management Following Thoracic Surgery. Thorac Surg Clin. 2015 Nov;25(4):393-409. doi: 10.1016/j.thorsurg.2015.07.005.

    PubMed 26515940
  • Maguire MF, Ravenscroft A, Beggs D, Duffy JP. A questionnaire study investigating the prevalence of the neuropathic component of chronic pain after thoracic surgery. Eur J Cardiothorac Surg. 2006 May;29(5):800-5. doi: 10.1016/j.ejcts.2006.02.002. Epub 2006 Apr 3.

    PubMed 16581259
  • Rizk NP, Ghanie A, Hsu M, Bains MS, Downey RJ, Sarkaria IS, Finley DJ, Adusumilli PS, Huang J, Sima CS, Burkhalter JE, Park BJ, Rusch VW. A prospective trial comparing pain and quality of life measures after anatomic lung resection using thoracoscopy or thoracotomy. Ann Thorac Surg. 2014 Oct;98(4):1160-6. doi: 10.1016/j.athoracsur.2014.05.028. Epub 2014 Jul 31.

    PubMed 25086945
  • Kinney MA, Mantilla CB, Carns PE, Passe MA, Brown MJ, Hooten WM, Curry TB, Long TR, Wass CT, Wilson PR, Weingarten TN, Huntoon MA, Rho RH, Mauck WD, Pulido JN, Allen MS, Cassivi SD, Deschamps C, Nichols FC, Shen KR, Wigle DA, Hoehn SL, Alexander SL, Hanson AC, Schroeder DR. Preoperative gabapentin for acute post-thoracotomy analgesia: a randomized, double-blinded, active placebo-controlled study. Pain Pract. 2012 Mar;12(3):175-83. doi: 10.1111/j.1533-2500.2011.00480.x. Epub 2011 Jun 16.

    PubMed 21676165
  • Gotoda Y, Kambara N, Sakai T, Kishi Y, Kodama K, Koyama T. The morbidity, time course and predictive factors for persistent post-thoracotomy pain. Eur J Pain. 2001;5(1):89-96. doi: 10.1053/eujp.2001.0225.

    PubMed 11394926
  • Khelemsky Y, Noto CJ. Preventing post-thoracotomy pain syndrome. Mt Sinai J Med. 2012 Jan-Feb;79(1):133-9. doi: 10.1002/msj.21286.

    PubMed 22238046
  • Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, Bonsel G, Badia X. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011 Dec;20(10):1727-36. doi: 10.1007/s11136-011-9903-x. Epub 2011 Apr 9.

    PubMed 21479777
  • Freynhagen R, Baron R, Gockel U, Tolle TR. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006 Oct;22(10):1911-20. doi: 10.1185/030079906X132488.

    PubMed 17022849

Questions about this trial

What is this clinical trial studying?

An observational study of Neuropathic Pain and Post Operative Pain, run by University of Trieste at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 9 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Marzia Umari, MD (3474688773 ext. +39, marzia.umari@asuits.sanita.fvg.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of persistent post-operative pain after thoracic surgery (time frame: the data needed to analyze the incidence and characteristics of pain will be collected at 1 week after surgery). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04300660, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Mar 2020.

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