Unique ID issued by UMIN | UMIN000027556 |
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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 |
Exploratory research of the factor related post thoracic surgery pain
Exploratory research of the factor related post thoracic surgery pain
Exploratory research of the factor related post thoracic surgery pain
Exploratory research of the factor related post thoracic surgery pain
Japan |
A case in which surgery beyond segmentectomy is performed for lung cancer
Chest surgery |
Malignancy
NO
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
Efficacy
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.
Observational
20 | years-old | <= |
85 | years-old | >= |
Male and Female
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.
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.
140
1st name | Ichiro |
Middle name | |
Last name | Yoshino |
Chiba university
Department of General Thoracic Surgery, Graduate School of Medicine
260-0024
1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN
043-222-7171
koge@office.chiba-u.jp
1st name | Yuki |
Middle name | |
Last name | Sata |
Chiba universal hospital
General thoracic surgery
260-0024
1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN
043-222-7171
y.sata.0506@chiba-u.jp
Chiba university
None.
Other
Ethics Review Committee, Graduate School of Medicine and School of Medicine, Chiba University
1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, JAPAN
043-222-7171
inohana-kyodo@chiba-u.jp
NO
千葉大学医学部附属病院
2017 | Year | 05 | Month | 30 | Day |
Unpublished
146
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.
2021 | Year | 01 | Month | 27 | Day |
Delay expected |
An article under submission
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.
We conducted a single center prospective observational study involving lung cancer patients who underwent anatomical resection.
No adverse events
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.
Information of individual case data will be shared by publishing paper.
We are planning to submitting to the paper in January 2021.
Completed
2017 | Year | 01 | Month | 17 | Day |
2017 | Year | 05 | Month | 30 | Day |
2017 | Year | 05 | Month | 30 | Day |
2018 | Year | 12 | Month | 01 | Day |
observational study to postoperative pain
2017 | Year | 05 | Month | 30 | Day |
2021 | Year | 01 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031589
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