- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00466830
Psychological and Social Factors and Risk Chronic Pain After Surgery in Women With Breast Cancer (SDPM)
Study of Psychological and Sociological Predisposing the Development of Chronic Pain After Surgery in Women With Resectable Breast Cancer
Certain psychological and social factors may increase the risk of developing chronic pain after surgery. Evaluating these factors over time in patients who have undergone surgery for breast cancer may help doctors plan treatment and improve patients' quality of life.
This clinical trial is studying the psychological and social factors that may increase the risk of developing chronic pain after surgery in women with breast cancer .
Study Overview
Status
Detailed Description
OBJECTIVES:
Primary : Determine the psychological and sociological factors that predispose post-mastectomy pain syndrome after surgery in women with resectable breast cancer.
Secondary
- Determine the psychological and sociological factors that predispose post-surgical pain in these patients.
- Evaluate emotional distress over time in these patients.
- Evaluate the acute and chronic pain over time in these patients.
This is a multicenter study. Patients complete multiple questionnaires, including Hospital Anxiety and Depression Scale (HAD), Maudsley Personality Inventory (MPI), PCS, and QLQ-C30, to evaluate psychological variables (alexithymia, neurosis, repression of negative emotions, solicitude, dramatization, emotional distress) and quality of life.
Post-mastectomy chronic pain (PMCP) syndrome is measured immediately after surgery and at 24 hours, day 6, and 5 months post-surgery.
A subgroup of patients (20 with PMCP and 20 without PMCP) are followed at months 5 and 6 months post-surgery for medication use, pathological problems, morbid events, family history, and environmental factors.
Study Type
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
DISEASE CHARACTERISTICS:
- Diagnosis of breast cancer
- Mastectomy or lumpectomy, including axillary lymph node dissection, planned
Analgesic fixed (or ordered) the morning of surgery
- No stage III analgesic planned
- Hormone receptor status not specified
PATIENT CHARACTERISTICS:
- Female
- Menopausal status not specified
- WHO performance status 0-2
- Other prior malignancy allowed
- No American Society of Anesthesiologists' class IV
- No contraindication or drug addiction
No uncontrolled conditions, including any of the following:
- Diabetes
- Thyroid disease
- Neuropsychiatric disease
- Infection
- Insufficient coronary function
- NYHA class III-IV heart disease
PRIOR CONCURRENT THERAPY:
- No recent major surgery
- No participation in another medical or surgical clinical trial in the past 30 days
- Prior breast surgery for a benign lesion or malignant lesion allowed
Study Plan
How is the study designed?
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Presence of post-mastectomy pain syndrome
Time Frame: At 3 months after surgery
|
Pain is measured using a visual analog scale (VAS), ranging from 0 (no pain) to 100 (worst pain ever). A participant is considered to have pain syndrome if VAS score is >= 70. |
At 3 months after surgery
|
Secondary Outcome Measures
Outcome Measure |
|---|
|
Rate of post-surgical pain
|
|
Rate of emotional distress
|
|
Rate of acute and chronic pain
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Florence Dixmerias, MD, Institut Bergonie
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neurologic Manifestations
- Neoplasms by Site
- Neoplasms
- Skin Diseases
- Breast Diseases
- Pathological Conditions, Signs and Symptoms
- Skin and Connective Tissue Diseases
- Signs and Symptoms
- Pain
- Breast Neoplasms
- Therapeutics
- Health Services
- Health Care Facilities Workforce and Services
- Rehabilitation
- Psychiatric Rehabilitation
Other Study ID Numbers
- IB-2005-31
- INCA-RECF0143
- IB-SDPM
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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