UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027556
Receipt number R000031589
Scientific Title Exploratory research of the factor related post thoracic surgery pain
Date of disclosure of the study information 2017/05/30
Last modified on 2021/01/27 11:30:02

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Basic information

Public title

Exploratory research of the factor related post thoracic surgery pain

Acronym

Exploratory research of the factor related post thoracic surgery pain

Scientific Title

Exploratory research of the factor related post thoracic surgery pain

Scientific Title:Acronym

Exploratory research of the factor related post thoracic surgery pain

Region

Japan


Condition

Condition

A case in which surgery beyond segmentectomy is performed for lung cancer

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

In addition to the degree of invasiveness by surgery, by considering the individual difference to the subjective sensation of pain, we explore the factors related of postoperative pain

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Before surgery we investigate the individual pain threshold by algometer and the characteristics related to opioid sensitivity, then we identify factors affecting thoracic chronic pain.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Grouped into cases of NRS 4 or more and 3 points or less at 3 months after thoracic surgery, regression analysis of background factors in each group is conducted to investigate factors contributing to postoperative pain.
2)Preoperative PS 0-1.
3)To be able to communicate with each other.
4)
In conjunction with thoracic surgery, we plan to use epidural anesthesia in addition to general anesthesia.
5)The thoracotomy method is scheduled to be thoracoscopic or axillary incision thoracotomy, lateral thoracotomy.
6)Patients who can use NSAIDS as a postoperative analgesic.
7)
After receiving sufficient explanation for the participation of the research, consent form is obtained with free will by the patient himself / herself or his / her agent after sufficient understanding.

Key exclusion criteria

1)have pain before surgery or use NSAIDS and opioids for pain relief.
2)Have dementia.
3)Patients with other primary organ cancer before thoracic surgery or with recurrence of lung cancer within 3 months after thoracic surgery.
4)
Patients who have pain in other areas of surgery.
5)Patients recognized by the attending physician as inappropriate for conducting this study.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Yoshino

Organization

Chiba university

Division name

Department of General Thoracic Surgery, Graduate School of Medicine

Zip code

260-0024

Address

1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN

TEL

043-222-7171

Email

koge@office.chiba-u.jp


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Sata

Organization

Chiba universal hospital

Division name

General thoracic surgery

Zip code

260-0024

Address

1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN

TEL

043-222-7171

Homepage URL


Email

y.sata.0506@chiba-u.jp


Sponsor or person

Institute

Chiba university

Institute

Department

Personal name



Funding Source

Organization

None.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee, Graduate School of Medicine and School of Medicine, Chiba University

Address

1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN

Tel

043-222-7171

Email

inohana-kyodo@chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

千葉大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2017 Year 05 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

146

Results

PST and FS were normally distributed among the patients. PST/FS was not significantly associated with BPI scores at each postoperative time-point. The average pain score 1 week after the operation was significantly higher in the thoracotomy group than in the thoracoscopic group (p<0.050). The worst pain scores did not differ between the groups at all the examination periods. PTPS was observed in nine patients, but PST, FS, and surgical procedures were not related to the incidence of PTPS.

Results date posted

2021 Year 01 Month 27 Day

Results Delayed

Delay expected

Results Delay Reason

An article under submission

Date of the first journal publication of results


Baseline Characteristics

Of 146 patients who were enrolled, 100 who met our criteria were analyzed. Pulmonary resection was performed by thoracoscopic surgery in 42 patients and by minimally invasive thoracotomy in 58 patients.

Participant flow

We conducted a single center prospective observational study involving lung cancer patients who underwent anatomical resection.

Adverse events

No adverse events

Outcome measures

Brief pain inventory (BPI), including nine items concerning pain and QOL, was investigated at 1 week, 1 month, and 3 months postoperatively. PST and FS were assessed preoperatively.

Plan to share IPD

Information of individual case data will be shared by publishing paper.

IPD sharing Plan description

We are planning to submitting to the paper in January 2021.


Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 01 Month 17 Day

Date of IRB

2017 Year 05 Month 30 Day

Anticipated trial start date

2017 Year 05 Month 30 Day

Last follow-up date

2018 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

observational study to postoperative pain


Management information

Registered date

2017 Year 05 Month 30 Day

Last modified on

2021 Year 01 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031589


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name