pMDT in Thoracic Surgery--The Process Implementation Stage

Study Overview
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Brief Summary
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The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.

Detailed Description
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The postoperative acute pain refers to the acute pain (usually lasting less than 7 days) that occurs immediately after surgery, and its nature is traumatic pain. It may develop into a chronic pain, such as a neuropathic pain or a mixed pain, if it is not fully controlled at the initial state. It will seriously impact the physiology and psychology of a patient. According to the study, the postoperative acute pain is one of the risks for postoperative complications, and it may result in the death of a patient. However, the alleviation of a postoperative acute pain can shorten the duration of stay in hospital, and reduce the overall cost for treatment of a patient. The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.

Official Title
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Perioperative Pain Management With Multi-discipline Team(pMDT) in Thoracic Surgery: a Multi-center，Prospective, Observational Study--The Process Implementation Stage

Conditions
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Pain, Postoperative

Intervention / Treatment
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* Combination Product: pMDT(Process Implementation)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged between 18 and 75, ASA I-II; Patients undergoing thoracoscopic surgery; Patients who can understand and fill in the self-evaluation; Patients who signed the Informed Consent Form. Exclusion Criteria: Pregnant women; Patients with preoperative chronic pain and long-term opioid use; Patients with advanced tumors who have received preoperative chemotherapy or who are expected to receive postoperative chemotherapy.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 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 |
| --- | --- |
| Stage 2<br>The Process Implementation Stage | Combination Product: pMDT(Process Implementation)<br>* The pMDT(Baseline Investigation) takes multi-model analgesia as the main technical means. Multimodal perioperative analgesia refers to the combination of analgesics, adjuvant drugs and analgesic techniques with different effects throughout the perioperative period to achieve the best curative effect of reducing postoperative acute and chronic pain.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence rate of postoperative pain | The percentage of patients with numerical rating scale（NRS）score greater than 3. The NRS score is ranged from 0 to 10. 0 means without pain. 1-3 means mild pain. 4-6 means moderate pain. 7-9 means severe pain. 10 means intense pain and can't bear. | Up to 90 days after surgery. | 
| The degree of patients' satisfaction | The degree of patients' satisfaction on pain managements. Patients were asked to give a score from 0-10 (0 means dissatisfied, 10 means very satisfied). | 3 days after surgery. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative duration of stay in hospital | The duration when patients stay in hospital after surgery. | Up to 90 days after surgery. | 
| Rehospitalization rate | The percentage of patients who are rehospitalized. | Up to 90 days after surgery. | 
| Postoperative complication incidence rate | The percentage of patients with complications after surgery. | Up to 90 days after surgery. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pMDT, Pain, Thoracic surgery