Clinical trial NCT06487442: Management of Postoperative Pain in France: a Prospective National Study
Official title: Management of Postoperative Pain in France: a Prospective National Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Pain
Keywords: postoperative pain
Lead sponsor: Société Française d'Anesthésie et de Réanimation
Sponsor class: OTHER
First posted: 2024-07-05
Enrollment: 3879
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Adult patients scheduled for surgery

Brief summary: Managing postoperative pain is an ongoing challenge. Therefore, frequent surveys are needed to constantly evaluate and improve perioperative pain care. The French reference audit was published in 2008. Ten years later, the French AlgoSFAR survey of 70 centres and 3,315 patients highlighted a clear improvement in practices. However, these data have never been published in a referenced journal due to significant methodological biases.

In 2024, we do not have recent French data based on rigorous methodology in the field of postoperative pain management.

The objective of this study is to reassess postoperative pain management in France. This is a prospective national survey. The proposed methodology will make it possible to provide a relevant snapshot of the practices and quality of care. Secondarily, areas for improvement can be identified and these results will also help in the drafting of future recommendations.

100 centres representative of the French map of surgical centres will be contacted.

Inclusions will take place over 2 days, identical for all centres. All patients eligible for inclusion during this period will be included.


Eligibility criteria: Inclusion Criteria:

* Adult patients benefiting of a scheduled surgery during the inclusion period in a participating centre.

Exclusion Criteria:

* Patients under 18 years old
* Patient's refusal
* Patients deprived of liberty
* Patients undergoing intracranial neurosurgery or cardiac surgery
* Expected surgery duration \< 30 minutes
* urgent surgery

Primary outcomes:
measure: Pain assessment
timeFrame: At rest over the first 3 days postoperatively
Secondary outcomes:
measure: Preoperative pain assessment
timeFrame: Preoperative assessment
measure: Morphine consumption
timeFrame: Over the first 3 postoperative days
measure: Frequency of administration of non-morphine analgesics
timeFrame: At rest over the first 3 days postoperatively
measure: Frequency of administration of regional anaesthesia
timeFrame: At rest over the first 3 days postoperatively
measure: Frequency of postoperative nausea and vomiting (PONV)
timeFrame: At rest over the first 3 days postoperatively
Other outcomes:
Locations:
city: Rennes
country: France
facility: CHU Rennes - Hôpital Sud
Study officials:
affiliation: Société Française d'Anesthésie et de Réanimation
name: Hélène Beloeil, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fletcher D, Fermanian C, Mardaye A, Aegerter P; Pain and regional anesthesia committee of the French Anesthesia and Intensive Care Society (SFAR). A patient-based national survey on postoperative pain management in France reveals significant achievements and persistent challenges. Pain. 2008 Jul 15;137(2):441-451. doi: 10.1016/j.pain.2008.02.026. Epub 2008 Apr 15.
citation: Aubrun F, Langeron O, Quesnel C, Coriat P, Riou B. Relationships between measurement of pain using visual analog score and morphine requirements during postoperative intravenous morphine titration. Anesthesiology. 2003 Jun;98(6):1415-21. doi: 10.1097/00000542-200306000-00017.
citation: Memtsoudis SG, Poeran J, Zubizarreta N, Cozowicz C, Morwald EE, Mariano ER, Mazumdar M. Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study. Anesthesiology. 2018 May;128(5):891-902. doi: 10.1097/ALN.0000000000002132.
citation: Beloeil H, Sion B, Rousseau C, Albaladejo P, Raux M, Aubrun F, Martinez V; SFAR research network. Early postoperative neuropathic pain assessed by the DN4 score predicts an increased risk of persistent postsurgical neuropathic pain. Eur J Anaesthesiol. 2017 Oct;34(10):652-657. doi: 10.1097/EJA.0000000000000634.
citation: Fletcher D, Stamer UM, Pogatzki-Zahn E, Zaslansky R, Tanase NV, Perruchoud C, Kranke P, Komann M, Lehman T, Meissner W; euCPSP group for the Clinical Trial Network group of the European Society of Anaesthesiology. Chronic postsurgical pain in Europe: An observational study. Eur J Anaesthesiol. 2015 Oct;32(10):725-34. doi: 10.1097/EJA.0000000000000319.
citation: Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006 May 13;367(9522):1618-25. doi: 10.1016/S0140-6736(06)68700-X.
citation: Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000 Oct;93(4):1123-33. doi: 10.1097/00000542-200010000-00038. No abstract available.
citation: Gerbershagen HJ, Aduckathil S, van Wijck AJ, Peelen LM, Kalkman CJ, Meissner W. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013 Apr;118(4):934-44. doi: 10.1097/ALN.0b013e31828866b3.