Do we Achieve the Goal of "No Worse Than Mild Pain" in Daily Clinical Practice?
The Goal of "no Worse Than Mild Pain" in Daily Clinical Practice: Individual Responder Analysis - a Cross-sectional Prospective Cohort Study of Surgical Patients at Zealand University Hospital, Koege
1 other identifier
observational
190
1 country
1
Brief Summary
With this study the investigators want to perform a prospective cross-sectional audit at Zealand University Hospital, Koege, Denmark. The aim is to investigate the actual pain treatment and outcomes from a representative number of surgical procedures from different surgical departments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 27, 2017
CompletedStudy Start
First participant enrolled
March 3, 2017
CompletedFirst Posted
Study publicly available on registry
March 15, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 8, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 8, 2019
CompletedJanuary 9, 2019
January 1, 2019
1.9 years
February 27, 2017
January 8, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain during mobilisation late
Proportions achieving "no worse than mild pain" (Numeric Rating Scale ≤ 3) for pain during mobilisation at 24 hours (±2h) postoperatively
Outcome measure will be assessed and data will be presented in june 2018
Secondary Outcomes (13)
Pain during mobilisation early
Outcome measure will be assessed and data will be presented in june 2018
Pain at rest early
Outcome measure will be assessed and data will be presented in june 2018
Numeric Rating Scale pain levels
Outcome measure will be assessed and data will be presented in june 2018
Patient satisfaction
Outcome measure will be assessed and data will be presented in june 2018
Morphine consumption
Outcome measure will be assessed and data will be presented in june 2018
- +8 more secondary outcomes
Study Arms (5)
Spinal Surgery
No intervention will take place. Recruiting Autumn 2017 until spring 2018
Gastric sleeve
No intervention will take place. Recruiting Autumn 2017 until spring 2018
Total knee arthroplasty
No intervention will take place. Recruiting Spring 2018 until Summer 2018
Shoulder arthroplasty
No intervention will take place. Recruiting Winter 2017 until Summer 2018
Maxillofacial surgery
No intervention will take place. Recruiting 6 march 2017 until Autumn 2017
Interventions
Only registration and data collection of patients' care and treatment will take place. There will be no changes in patients' treatment. No intervention will take place
Eligibility Criteria
Patients undergoing a relevant surgical intervention at Zealand University Hospital, Koege and meeting the inclusion criteria
You may qualify if:
- Age \> 18 år
- Patients scheduled for relevant surgical procedure
- Patients who understand and speak Danish or English -
You may not qualify if:
- Patients who cannot cooperate
- Alcohol and drug dependency as judged by the investigator
- Chronic opioid dependent patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zealand University Hospital
Køge, Region Sjælland, 4600, Denmark
Related Publications (11)
Kehlet H. Fast-track surgery-an update on physiological care principles to enhance recovery. Langenbecks Arch Surg. 2011 Jun;396(5):585-90. doi: 10.1007/s00423-011-0790-y. Epub 2011 Apr 6.
PMID: 21468643BACKGROUNDKehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003 Dec 6;362(9399):1921-8. doi: 10.1016/S0140-6736(03)14966-5.
PMID: 14667752BACKGROUNDDahl JB, Mathiesen O, Kehlet H. An expert opinion on postoperative pain management, with special reference to new developments. Expert Opin Pharmacother. 2010 Oct;11(15):2459-70. doi: 10.1517/14656566.2010.499124.
PMID: 20586709BACKGROUNDRathmell JP, Wu CL, Sinatra RS, Ballantyne JC, Ginsberg B, Gordon DB, Liu SS, Perkins FM, Reuben SS, Rosenquist RW, Viscusi ER. Acute post-surgical pain management: a critical appraisal of current practice, December 2-4, 2005. Reg Anesth Pain Med. 2006 Jul-Aug;31(4 Suppl 1):1-42. doi: 10.1016/j.rapm.2006.05.002.
PMID: 16849098BACKGROUNDGurusamy KS, Vaughan J, Toon CD, Davidson BR. Pharmacological interventions for prevention or treatment of postoperative pain in people undergoing laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2014 Mar 28;2014(3):CD008261. doi: 10.1002/14651858.CD008261.pub2.
PMID: 24683057BACKGROUNDHojer Karlsen AP, Geisler A, Petersen PL, Mathiesen O, Dahl JB. Postoperative pain treatment after total hip arthroplasty: a systematic review. Pain. 2015 Jan;156(1):8-30. doi: 10.1016/j.pain.0000000000000003.
PMID: 25599296BACKGROUNDMoore A, Derry S, Eccleston C, Kalso E. Expect analgesic failure; pursue analgesic success. BMJ. 2013 May 3;346:f2690. doi: 10.1136/bmj.f2690. No abstract available.
PMID: 23645858BACKGROUNDMoore RA, Straube S, Aldington D. Pain measures and cut-offs - 'no worse than mild pain' as a simple, universal outcome. Anaesthesia. 2013 Apr;68(4):400-12. doi: 10.1111/anae.12148. Epub 2013 Jan 24. No abstract available.
PMID: 23347230BACKGROUNDGeisler A, Dahl JB, Karlsen AP, Persson E, Mathiesen O. Low degree of satisfactory individual pain relief in post-operative pain trials. Acta Anaesthesiol Scand. 2017 Jan;61(1):83-90. doi: 10.1111/aas.12815. Epub 2016 Oct 3.
PMID: 27696343BACKGROUNDSrikandarajah S, Gilron I. Systematic review of movement-evoked pain versus pain at rest in postsurgical clinical trials and meta-analyses: a fundamental distinction requiring standardized measurement. Pain. 2011 Aug;152(8):1734-1739. doi: 10.1016/j.pain.2011.02.008. Epub 2011 Mar 12.
PMID: 21402445BACKGROUNDGeisler A, Zachodnik J, Nersesjan M, Persson E, Mathiesen O. Postoperative Pain Management and Patient Evaluations After Five Different Surgical Procedures. A Prospective Cohort Study. Pain Manag Nurs. 2022 Dec;23(6):791-799. doi: 10.1016/j.pmn.2022.06.006. Epub 2022 Aug 6.
PMID: 35941015DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ole Mathiesen, MD.PhD
Zealand University Hospital, Koege
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical nurse specialist / PhD student
Study Record Dates
First Submitted
February 27, 2017
First Posted
March 15, 2017
Study Start
March 3, 2017
Primary Completion
January 8, 2019
Study Completion
January 8, 2019
Last Updated
January 9, 2019
Record last verified: 2019-01