The Recuperation of Patients After Elective Shoulder Surgery Observational Cohort Study

Study Overview
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Brief Summary
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Around 6400 shoulder surgeries are performed yearly in Finland. The procedure is mainly day-case surgery and the patients go home in the afternoon. Shoulder surgery is one of the most common procedures performed in private surgical practices. Because of the complex nature of the joint, the recovery may be complicated by severe opstoperative pain, which is relieved with strong opioids. Recently this has been addressed in the literature, as prescribed opioids too often lead to substance abuse. Pain in the acute phase after surgery is one of the common risk factors for persistent postoperative pain, which is a major burden for both the individual patient and the society. In this prospective, observational cohort study we aim to describe current standards of practice in planning and taking care of anaeshtesia and prescribing opioids and adjuvants for postoperative pain relief at home.

Detailed Description
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Around 6400 shoulder surgeries are performed yearly in Finland. The procedure is mainly day-case surgery and the patients go home in the afternoon. Shoulder surgery is one of the most common procedures performed in private surgical practices. Because of the complex nature of the joint, the recovery may be complicated by severe opstoperative pain, which is relieved with strong opioids. Recently this has been addressed in the literature, as prescribed opioids too often lead to substance abuse. Pain in the acute phase after surgery is one of the common risk factors for persistent postoperative pain, which is a major burden for both the individual patient and the society. In this prospective, observational cohort study we aim to describe current standards of practice in planning and taking care of anaeshtesia and prescribing opioids and adjuvants for postoperative pain relief at home. The data is collected prospectively from the care provider and the patient in a webrobol questionnaire at three time points: the day of surgery (care provider), one week after surgery (patient) and three months after surgery (patient).

Official Title
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The Recuperation of Patients After Elective Shoulder Surgery -a National Observational Cohort Study

Conditions
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Aucte Pain After Surgery, Persistent Pain After Surgery, Opioid Use After Surgery, Mode of Anaesthesia

Intervention / Treatment
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* Other: Non- interventional


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-85 years speaks and reads Finnish fluently has access to internet and email Undergoes elective shoulder surgery Exclusion Criteria: persistent pain in an area other than the shoulder in question longterm pain medication for any other purpose than the shoulder in question schitzophrenia diabetes mellitus with complications

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| shoulder surgery<br>18-85 years, undergoing day case shoulder surgery during 15th Sept- 15th Oct 2017, possibility to e-mail and an internet connection, understands Finnish, | Other: Non- interventional<br>* Non- interventional<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain of the patient after shoulder surgery | Acute pain | 1 week after surgery | 
| wellbeing of the patient after shoulder surgery | well being after shoulder surgery | 1 week after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| type of anaesthesia, personnel questionnaire | What is the anaesthesia, general anaesthesia, sedation or brachial plexus anaesthesia or a combination of these | Day of the surgery | 
| Type of pain relief, questionnaire | What kind of pain relief is provided for the patients after the surgery | 3 months after surgery | 
| Persistent pain after surgery, questionnaire | How are the patients doing three months after surgery -mobility, sleep, daily habits | three months after surgery |