Management of Postoperative Pain in France: a Prospective National Study

NCT06487442 | Completed

• 1 other identifier: ALGOSFAR 2 / 2024-01
• Study Type: observational
• Target: 3,879
• Locations: 1 country
• Sites: 1

Brief Summary

Managing postoperative pain is an ongoing challenge. Therefore, frequent surveys are needed to constantly evaluate and improve perioperative pain care. The French reference audit was published in 2008. Ten years later, the French AlgoSFAR survey of 70 centres and 3,315 patients highlighted a clear improvement in practices. However, these data have never been published in a referenced journal due to significant methodological biases. In 2024, we do not have recent French data based on rigorous methodology in the field of postoperative pain management. The objective of this study is to reassess postoperative pain management in France. This is a prospective national survey. The proposed methodology will make it possible to provide a relevant snapshot of the practices and quality of care. Secondarily, areas for improvement can be identified and these results will also help in the drafting of future recommendations. 100 centres representative of the French map of surgical centres will be contacted. Inclusions will take place over 2 days, identical for all centres. All patients eligible for inclusion during this period will be included.

Conditions

Pain

Keywords

postoperative pain

Outcome Measures

Primary Outcomes (1)

• Pain assessment

  Pain assessed with a numerical rating scale (NRS)

  At rest over the first 3 days postoperatively

Secondary Outcomes (5)

• Preoperative pain assessment

  Preoperative assessment

• Morphine consumption

  Over the first 3 postoperative days

• Frequency of administration of non-morphine analgesics

  At rest over the first 3 days postoperatively

• Frequency of administration of regional anaesthesia

  At rest over the first 3 days postoperatively

• Frequency of postoperative nausea and vomiting (PONV)

  At rest over the first 3 days postoperatively

Study Arms (1)

Observational

No intervention, observation of postoperative pain scores and treatments

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult patients scheduled for surgery

You may not qualify if:

• Patients under 18 years old
• Patient's refusal
• Patients deprived of liberty
• Patients undergoing intracranial neurosurgery or cardiac surgery
• Expected surgery duration \< 30 minutes
• urgent surgery

Sponsors & Collaborators

• Société Française d'Anesthésie et de Réanimation: lead

Study Sites (1)

CHU Rennes - Hôpital Sud

Rennes, 35000, France

Location

Related Publications (8)

• Fletcher D, Fermanian C, Mardaye A, Aegerter P; Pain and regional anesthesia committee of the French Anesthesia and Intensive Care Society (SFAR). A patient-based national survey on postoperative pain management in France reveals significant achievements and persistent challenges. Pain. 2008 Jul 15;137(2):441-451. doi: 10.1016/j.pain.2008.02.026. Epub 2008 Apr 15.

  PMID: 18417292 RESULT

• Aubrun F, Langeron O, Quesnel C, Coriat P, Riou B. Relationships between measurement of pain using visual analog score and morphine requirements during postoperative intravenous morphine titration. Anesthesiology. 2003 Jun;98(6):1415-21. doi: 10.1097/00000542-200306000-00017.

  PMID: 12766651 RESULT

• Memtsoudis SG, Poeran J, Zubizarreta N, Cozowicz C, Morwald EE, Mariano ER, Mazumdar M. Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study. Anesthesiology. 2018 May;128(5):891-902. doi: 10.1097/ALN.0000000000002132.

  PMID: 29498951 RESULT

• Beloeil H, Sion B, Rousseau C, Albaladejo P, Raux M, Aubrun F, Martinez V; SFAR research network. Early postoperative neuropathic pain assessed by the DN4 score predicts an increased risk of persistent postsurgical neuropathic pain. Eur J Anaesthesiol. 2017 Oct;34(10):652-657. doi: 10.1097/EJA.0000000000000634.

  PMID: 28437260 RESULT

• Fletcher D, Stamer UM, Pogatzki-Zahn E, Zaslansky R, Tanase NV, Perruchoud C, Kranke P, Komann M, Lehman T, Meissner W; euCPSP group for the Clinical Trial Network group of the European Society of Anaesthesiology. Chronic postsurgical pain in Europe: An observational study. Eur J Anaesthesiol. 2015 Oct;32(10):725-34. doi: 10.1097/EJA.0000000000000319.

  PMID: 26241763 RESULT

• Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006 May 13;367(9522):1618-25. doi: 10.1016/S0140-6736(06)68700-X.

  PMID: 16698416 RESULT

• Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000 Oct;93(4):1123-33. doi: 10.1097/00000542-200010000-00038. No abstract available.

  PMID: 11020770 RESULT

• Gerbershagen HJ, Aduckathil S, van Wijck AJ, Peelen LM, Kalkman CJ, Meissner W. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013 Apr;118(4):934-44. doi: 10.1097/ALN.0b013e31828866b3.

  PMID: 23392233 RESULT

MeSH Terms

Conditions

Pain; Pain, Postoperative

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Postoperative Complications; Pathologic Processes

Study Officials

• Hélène Beloeil, MD

  Société Française d'Anesthésie et de Réanimation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 5, 2024
• Study Start: September 30, 2024
• Primary Completion: October 1, 2024
• Study Completion: April 10, 2025
• Last Updated: May 14, 2025

Record last verified: 2025-05

Locations

FR (1)