UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042963
Receipt number R000049047
Scientific Title Prospective observational study investigating the association between post surgical chronic pain and cardiopulmonary bypass among patients undergoing coronary artery bypass graft.
Date of disclosure of the study information 2021/01/10
Last modified on 2024/07/16 23:31:35

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Basic information

Public title

Prospective observational study investigating the association between post surgical chronic pain and cardiopulmonary bypass among patients undergoing coronary artery bypass graft.

Acronym

Prospective observational study investigating the association between post surgical chronic pain and cardiopulmonary bypass among patients undergoing coronary artery bypass graft.

Scientific Title

Prospective observational study investigating the association between post surgical chronic pain and cardiopulmonary bypass among patients undergoing coronary artery bypass graft.

Scientific Title:Acronym

Prospective observational study investigating the association between post surgical chronic pain and cardiopulmonary bypass among patients undergoing coronary artery bypass graft.

Region

Japan


Condition

Condition

Coronary artery disease

Classification by specialty

Surgery in general Vascular surgery Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the association between post surgical chronic pain and culdiopulmonary bypass induced inflammation.

Basic objectives2

Others

Basic objectives -Others

To investigate the association between post surgical chronic pain and culdiopulmonary bypass induced inflammation.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The difference of Numerical rating scale

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients undergoing bypass surgery for coronary artery disease

Key exclusion criteria

Stroke, porcelain aorta, creatinine>=2.0, severe hiver dysfunction, LVEF<30%, COPD, redo surgery,

Target sample size

167


Research contact person

Name of lead principal investigator

1st name Kimito
Middle name
Last name Minami

Organization

National cerebral and cardiovascular center

Division name

Department of Surgical Intensive Care

Zip code

564-8565

Address

6-1 Kishibeshinmachi, Suita

TEL

0661701070

Email

k.minami@ncvc.go.jp


Public contact

Name of contact person

1st name Kimito
Middle name
Last name Minami

Organization

National cerebral and cardiovascular center

Division name

Department of surgical intensive care

Zip code

564-8565

Address

6-1 Kishibeshinmachi, Suita

TEL

0661701070

Homepage URL


Email

k.minami@ncvc.go.jp


Sponsor or person

Institute

National cerebral and cardiovascular center

Institute

Department

Personal name



Funding Source

Organization

National cerebral and cardiovascular center

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National cerebral and cardiovascular center

Address

6-1 Kishibeshinmachi, Suita

Tel

0661701070

Email

k.minami@ncvc.go.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

R19031

Org. issuing International ID_1

National cerebral and cardiovascular center

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 01 Month 10 Day


Related information

URL releasing protocol

https://link.springer.com/article/10.1007/s00540-023-03202-7

Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1007/s00540-023-03202-7

Number of participants that the trial has enrolled

104

Results

Ordinal logistic regression showed that the NRS response for current pain (odds ratio [OR] 2.34; 95% CI 1.12-4.92; P = 0.024) and the NRS response for peak pain in the last 4 weeks (OR 2.71; 95% CI 1.35-5.42; P = 0.005) were significantly higher in patients who underwent on-pump CABG surgery than in those who underwent off-pump CABG.

Logistic regression showed that on-pump CABG surgery was an independent predictor of CPSP (OR 2.59; 95% CI 1.06-6.31; P = 0.036).

Results date posted

2024 Year 07 Month 16 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The questionnaire was answered at a median of 16.9 years postoperatively. Among 167 participants, 32 patients were lost to follow-up. Of the 135 patients contacted, 104 answered the questionnaire (77.0%).

Participant flow

This prospective, observational study was performed on a cohort from a randomized trial (on-pump CABG: 81 patients, off-pump CABG: 86 patients). A questionnaire about the severity of surgical wound pain that evaluated pain with the numerical rating scale (NRS) was filled out by the patients.

Adverse events

None.

Outcome measures

The main outcomes were the severity of CPSP as evaluated using the NRS and the prevalence of CPSP. CPSP was defined as pain with an NRS score > 0. Differences in severity between groups were analyzed using multivariate ordinal logistic regression models adjusted for age and sex, and differences in prevalence between groups were analyzed using multivariate logistic regression models adjusted for age and sex.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2019 Year 06 Month 06 Day

Date of IRB

2019 Year 06 Month 06 Day

Anticipated trial start date

2019 Year 06 Month 06 Day

Last follow-up date

2021 Year 01 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Investigate the difference in NRS score between on pump CABG versus off pump CABG


Management information

Registered date

2021 Year 01 Month 10 Day

Last modified on

2024 Year 07 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049047