Clinical trial NCT03761550: pMDT in Thoracic Surgery--The Process Implementation Stage
Official title: Perioperative Pain Management With Multi-discipline Team(pMDT) in Thoracic Surgery: a Multi-center，Prospective, Observational Study--The Process Implementation Stage
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Pain, Postoperative
Keywords: pMDT
Pain
Thoracic surgery
Lead sponsor: Peking University People's Hospital
Sponsor class: OTHER
Collaborators: name: Peking Union Medical College Hospital
name: Anhui Provincial Hospital
name: Southwest Hospital, China
name: Fujian Provincial Hospital
name: Hebei Tumor Hospital
name: Qianfoshan Hospital
name: General Hospital of Shenyang Military Region
name: Shanghai Chest Hospital
name: Zhejiang University
name: The First Affiliated Hospital of Zhengzhou University
name: Second Affiliated Hospital of Nanchang University
name: Guangdong Provincial People's Hospital
name: First Affiliated Hospital of Xinjiang Medical University
name: LanZhou University
name: Lanzhou University Second Hospital
name: Kunming General Hospital of PLA
name: Renmin Hospital of Wuhan University
name: Henan Provincial People's Hospital
name: First Affiliated Hospital of Kunming Medical University
name: The People's Hospital of Gaozhou
name: Shaanxi Provincial People's Hospital
name: Liaoning Cancer Hospital & Institute
name: First Affiliated Hospital of Chongqing Medical University
name: Hebei Medical University Fourth Hospital
First posted: 2018-12-03
Enrollment: 480
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients undergoing thoracic surgery in Peking University People's Hospital and other multi-centers.

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Incidence rate of postoperative pain
timeFrame: Up to 90 days after surgery.
measure: The degree of patients' satisfaction
timeFrame: 3 days after surgery.
Secondary outcomes:
measure: Postoperative duration of stay in hospital
timeFrame: Up to 90 days after surgery.
measure: Rehospitalization rate
timeFrame: Up to 90 days after surgery.
measure: Postoperative complication incidence rate
timeFrame: Up to 90 days after surgery.
Other outcomes:
Locations:
city: Beijing
country: China
facility: Peking University People's Hospital
state: Beijing
Study officials:
affiliation: Peking University People's Hospital
name: Feng Yi, MD
role: STUDY_DIRECTOR
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