| Unique ID issued by UMIN | UMIN000055267 |
|---|---|
| Receipt number | R000063121 |
| Scientific Title | The Exploration of Neurological Foundations of Chronic Postoperative Pain |
| Date of disclosure of the study information | 2024/08/18 |
| Last modified on | 2024/08/15 22:10:58 |
The Exploration of Neurological Foundations of Chronic Postoperative Pain
The Exploration of Neurological Foundations of Chronic Postoperative Pain
The Exploration of Neurological Foundations of Chronic Postoperative Pain
The Exploration of Neurological Foundations of Chronic Postoperative Pain
| Japan |
Chronic postoperative pain
| Anesthesiology |
Others
NO
According to overseas studies, 20-30% of patients who undergo thoracic surgery or breast surgery experience prolonged postoperative pain, and 5-10% report severe pain with a Numerical Rating Scale (NRS) score of 5 or higher. Additionally, it is known that about half of chronic postoperative pain patients experience some form of disability due to the pain. However, there are very few studies that have investigated the actual prevalence of chronic postoperative pain in Japan.
Therefore, in this study, we aim to explore the actual prevalence of chronic postoperative pain in patients undergoing elective mastectomy or thoracic surgery at Keio University Hospital.
Others
Recently, changes in brain function have been pointed out as factors contributing to the intractability and chronification of pain. However, research examining changes in brain function related to chronic postoperative pain is scarce, and the mechanisms by which postoperative pain becomes chronic remain unclear, leading to insufficient evaluation and treatment. In this study, we will also explore the relationship between pain intensity and brain function at 1 month after operation, as well as the neurological foundations related to chronic postoperative pain.
Exploratory
The average NRS at 1 month and at 3-6 months after surgery.
Resting NRS at 3-6 months after surgery.
Movement-evoked NRS at 3-6 months after surgery.
Resting NRS at 1 month after surgery.
Movement-evoked NRS at 1 month after surgery.
Relationship between postoperative pain intensity and brain function at 3-6 months after surgery.
Relationship between postoperative pain intensity and brain function at 1 month after surgery.
Exploration of factors leading to Chronic Post Surgical Pain based on patient background and perioperative information.
Observational
| 15 | years-old | <= |
| 85 | years-old | >= |
Male and Female
Patients classified as ASA-PS Class 1 or 2 according to the American Society of Anesthesiologists' Physical Status Classification System.
Patients who provide written consent to participate in this study.
Patients who have any pain prior to surgery.
Patients undergoing surgery for pneumothorax or pectus excavatum in the Department of Respiratory Surgery.
Patients undergoing mastectomy with expander insertion.
Other patients who cannot undergo MRI imaging (e.g., those with claustrophobia or magnetic metallic implants in their body).
Patients currently involved in compensation claims related to pain (e.g., workers' compensation, welfare benefits) or ongoing litigation.
Patients deemed unsuitable for this study by the principal investigator or co-investigators.
300
| 1st name | Kenta |
| Middle name | |
| Last name | Wakaizumi |
Keio University School of Medicine
Department of Anesthesiology
160-0016
Shinanomachi 35, Shinjyuku-ku, Tokyo
03-5363-3810
kwaka@keio.jp
| 1st name | Saki |
| Middle name | |
| Last name | Takaoka |
Keio University School of Medicine
Department of Anesthesiology
160-0016
Shinanomachi 35, Shinjyuku-ku, Tokyo
03-5363-3810
saki.takaoka@keio.jp
Keio University
Kenta Wakaizumi
Japan Society for the Promotion of Science
Japanese Governmental office
Keio University School of Medicine Ethics Committee
Shinanomachi 35, Shinjyuku-ku, Tokyo
03-3353-1211
med-rinri-jimu@adst.keio.ac.jp
NO
| 2024 | Year | 08 | Month | 18 | Day |
Unpublished
Preinitiation
| 2024 | Year | 07 | Month | 30 | Day |
| 2024 | Year | 08 | Month | 20 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
None
| 2024 | Year | 08 | Month | 17 | Day |
| 2024 | Year | 08 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063121