- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05739747
Validation of the Gendolcat Score for the Prognosis of Chronic Postoperative Pain in Cesarean Section
July 23, 2023 updated by: Carles Espinos Ramírez, Consorci Sanitari de Terrassa
Validation of the Gendolcat Score for the Prognosis of Chronic Postoperative Pain in Cesarean Section.
Chronic post-surgical pain is a problem that has historically been underestimated.
Over the last few years there has been a search for strategies to both predict and prevent its occurrence in patients undergoing surgery.
The Gendolcat index is the only predictive model that uses only objective pre-surgical variables to assess the risk of suffering chronic post-surgical pain.
However, it is only validated for the following surgeries: thoracotomy, hysterectomy and open inguinal hernia.
Our aim is to test whether the Gendolcat model is also valid for cesarean section.
Study Overview
Status
Recruiting
Study Type
Observational
Enrollment (Estimated)
371
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Barcelona
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Badalona, Barcelona, Spain, 08916
- Recruiting
- Hospital Universitari Germans Trias i Pujol
-
Contact:
- Carles Espinós Ramírez
- Phone Number: 650125113
- Email: md071683@uic.es
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Sampling Method
Non-Probability Sample
Study Population
Patients undergoing elective cesarean section.
Description
Inclusion Criteria:
- Patients who underwent elective caesarean section.
- Patients who have previously signed the informed consent form.
Exclusion Criteria
- Urgent cesarean section.
- Patients with severe psychiatric pathology.
- Patients who require a different surgical approach than usual.
- Patients who refuse to take part in the study and/or to sign the informed consent form.
informed consent.
- Patients with a high language barrier.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Women undergoing cesarean section
This study is designed with a single cohort of women who will undergo a scheduled cesarean section
|
All patients should complete the following questionnaires: On the day of surgery:
The investigators should complete a questionnaire during the surgical procedure specifying the anesthetic technique used, drugs and doses used and record any incident during the surgical procedure
The investigators should complete a questionnaire 24 hours after surgery to assess the possible presence of postoperative pain as well as the intensity and need for rescue analgesia.
At 3 months, patients will be called and a structured questionnaire will be completed to assess the presence of chronic postoperative pain.
Those women who, after the telephone call, are considered to have chronic post-surgical pain will undergo a physical examination to confirm it.
The type of pain and its intensity will also be evaluated.
The impact on their daily physical activity and quality of life will be evaluated by means of a questionnaire.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gendolcat score
Time Frame: The Gendolcat score will be assessed on the day patients are included in the study
|
The Gendolcat score assesses the likelihood of suffering chronic post-surgical pain
|
The Gendolcat score will be assessed on the day patients are included in the study
|
|
Categoric Pain Scale
Time Frame: Done during physical examination will be performed 3 months after cesarean section.
|
These pain scales give people a simple way to rate their pain intensity using a verbal or visual descriptor of their pain.
|
Done during physical examination will be performed 3 months after cesarean section.
|
|
Numeric Pain Scale
Time Frame: Done during physical examination will be performed 3 months after cesarean section.
|
Patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity
|
Done during physical examination will be performed 3 months after cesarean section.
|
|
Short Edition of the Brief Pain Inventory
Time Frame: Done during physical examination will be performed 3 months after cesarean section.
|
Rapidly assesses the severity of pain and its impact on functioning
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Done during physical examination will be performed 3 months after cesarean section.
|
|
DN4 Questionnaire
Time Frame: Done during physical examination will be performed 3 months after cesarean section.
|
To estimate the probability of neuropathic pain
|
Done during physical examination will be performed 3 months after cesarean section.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- 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.
- Nikolajsen L, Sorensen HC, Jensen TS, Kehlet H. Chronic pain following Caesarean section. Acta Anaesthesiol Scand. 2004 Jan;48(1):111-6. doi: 10.1111/j.1399-6576.2004.00271.x.
- Montes A, Roca G, Sabate S, Lao JI, Navarro A, Cantillo J, Canet J; GENDOLCAT Study Group. Genetic and Clinical Factors Associated with Chronic Postsurgical Pain after Hernia Repair, Hysterectomy, and Thoracotomy: A Two-year Multicenter Cohort Study. Anesthesiology. 2015 May;122(5):1123-41. doi: 10.1097/ALN.0000000000000611.
- Schug SA, Lavand'homme P, Barke A, Korwisi B, Rief W, Treede RD; IASP Taskforce for the Classification of Chronic Pain. The IASP classification of chronic pain for ICD-11: chronic postsurgical or posttraumatic pain. Pain. 2019 Jan;160(1):45-52. doi: 10.1097/j.pain.0000000000001413.
- Althaus A, Hinrichs-Rocker A, Chapman R, Arranz Becker O, Lefering R, Simanski C, Weber F, Moser KH, Joppich R, Trojan S, Gutzeit N, Neugebauer E. Development of a risk index for the prediction of chronic post-surgical pain. Eur J Pain. 2012 Jul;16(6):901-10. doi: 10.1002/j.1532-2149.2011.00090.x. Epub 2011 Dec 23.
- Stuart AR, Kuck K, Naik BI, Saager L, Pace NL, Domino KB, Posner KL, Alpert SB, Kheterpal S, Sinha AK, Brummett CM, Durieux ME; the MPOG EOS Investigator Group. Multicenter Perioperative Outcomes Group Enhanced Observation Study Postoperative Pain Profiles, Analgesic Use, and Transition to Chronic Pain and Excessive and Prolonged Opioid Use Patterns Methodology. Anesth Analg. 2020 Jun;130(6):1702-1708. doi: 10.1213/ANE.0000000000004568.
- Mathes T, Pape-Kohler C, Moerders L, Lux E, Neugebauer EAM. External Validation and Update of the RICP-A Multivariate Model to Predict Chronic Postoperative Pain. Pain Med. 2018 Aug 1;19(8):1674-1682. doi: 10.1093/pm/pnx242.
- Meretoja TJ, Andersen KG, Bruce J, Haasio L, Sipila R, Scott NW, Ripatti S, Kehlet H, Kalso E. Clinical Prediction Model and Tool for Assessing Risk of Persistent Pain After Breast Cancer Surgery. J Clin Oncol. 2017 May 20;35(15):1660-1667. doi: 10.1200/JCO.2016.70.3413. Epub 2017 Mar 13.
- Montes A, Roca G, Cantillo J, Sabate S; GENDOLCAT Study Group. Presurgical risk model for chronic postsurgical pain based on 6 clinical predictors: a prospective external validation. Pain. 2020 Nov;161(11):2611-2618. doi: 10.1097/j.pain.0000000000001945.
- Jin J, Peng L, Chen Q, Zhang D, Ren L, Qin P, Min S. Prevalence and risk factors for chronic pain following cesarean section: a prospective study. BMC Anesthesiol. 2016 Oct 18;16(1):99. doi: 10.1186/s12871-016-0270-6.
- Sharma LR, Schaldemose EL, Alaverdyan H, Nikolajsen L, Chen D, Bhanvadia S, Komen H, Yaeger L, Haroutounian S. Perioperative factors associated with persistent postsurgical pain after hysterectomy, cesarean section, prostatectomy, and donor nephrectomy: a systematic review and meta-analysis. Pain. 2022 Mar 1;163(3):425-435. doi: 10.1097/j.pain.0000000000002361.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 1, 2023
Primary Completion (Estimated)
February 1, 2024
Study Completion (Estimated)
February 1, 2025
Study Registration Dates
First Submitted
February 5, 2023
First Submitted That Met QC Criteria
February 13, 2023
First Posted (Actual)
February 22, 2023
Study Record Updates
Last Update Posted (Actual)
July 25, 2023
Last Update Submitted That Met QC Criteria
July 23, 2023
Last Verified
July 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 02-23-270-003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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