Clinical trial NCT03335410: The Recuperation of Patients After Elective Shoulder Surgery Observational Cohort Study
Official title: The Recuperation of Patients After Elective Shoulder Surgery -a National Observational Cohort Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Aucte Pain After Surgery
Persistent Pain After Surgery
Opioid Use After Surgery
Mode of Anaesthesia
Lead sponsor: Tampere University Hospital
Sponsor class: OTHER
Collaborators: name: Turku University Hospital
name: Oulu University Hospital
name: Kuopio University Hospital
name: Helsinki University Central Hospital
name: Hatanpää Hospital, Tampere
name: Middle Finland Central Hospital, Jyväskylä
name: Pihlajalinna, Tampere
name: Terveystalo, Turku
name: Satakunta Central Hospital, Pori
name: Päijänne Tavastia Central Hospital
name: Vaasa Central Hospital, Vaasa, Finland
First posted: 2017-11-07
Enrollment: 122
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Prospective cohort of patients undergoing elective shoulder surgery and capable of answering an internet-based webropol questionnaire in Finnish.

Brief summary: 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: 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).

Eligibility criteria: 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

Primary outcomes:
measure: Pain of the patient after shoulder surgery
timeFrame: 1 week after surgery
measure: wellbeing of the patient after shoulder surgery
timeFrame: 1 week after surgery
Secondary outcomes:
measure: type of anaesthesia, personnel questionnaire
timeFrame: Day of the surgery
measure: Type of pain relief, questionnaire
timeFrame: 3 months after surgery
measure: Persistent pain after surgery, questionnaire
timeFrame: three months after surgery
Other outcomes:
measure: Comparison of practices by a questionnaire
timeFrame: three months after surgery
Locations:
city: Helsinki
country: Finland
facility: Helsinki University Hospital
city: Jyväskylä
country: Finland
facility: Central Finland Central Hospital
city: Kuopio
country: Finland
facility: Kuopio University Hospital
city: Lahti
country: Finland
facility: Lahti Central Hospital
city: Oulu
country: Finland
facility: Oulu University Hospital
city: Pori
country: Finland
facility: Pori Central Hospital
city: Tampere
country: Finland
facility: Tampere University Hospital
city: Tampere
country: Finland
facility: Hatanpää Hospital
city: Tampere
country: Finland
facility: Pihlajalinna
city: Tampere
country: Finland
facility: Pohjola Sairaala Tampere
city: Turku
country: Finland
facility: NEO Hospital
city: Turku
country: Finland
facility: Terveystalo Turku
city: Turku
country: Finland
facility: Turku University Hospital
city: Vaasa
country: Finland
facility: Vaasa Central Hospital
Study officials:
References: