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Prediction of Pain After Breast Cancer Surgery With EEG

26. november 2013 opdateret af: Carine Vossen, Maastricht University Medical Center

EEG as a Predictor for Postoperative Pain and the Development of Chronic Postsurgical Pain After Breast Cancer Surgery

  1. Rationale The inter-individual pain experience immediately after surgery is considerable. In addition, a number of patients develop chronic post surgery pain (CPSP). Patients undergoing surgery for breast cancer are at risk of developing both acute post surgical pain as well as CPSP. Recently, in a group of patients with chronic back pain, it was demonstrated how subjectively reported pain is associated with specific electroencephalography (EEG) parameters, namely the N2 and P3 components of the pain event-related potential (ERP). It was concluded that ERP was associated with self-reported pain in daily life up to two weeks after the measurement. This resulted in the current hypothesis that EEG may be a predictor for postoperative pain.
  2. Study design Prospective cohort study. Within 2 weeks before surgery, 150 patients will undergo an EEG measurement with five 'vulnerability' tasks. The experiment will be repeated 6 months postoperatively.

    Study population: Female patients with breast cancer who will undergo breast surgery, between the ages of 18 to 65 years.

  3. Main study parameters/endpoints Primary outcome is postoperative pain, measured in a pain diary 4 days postoperatively. Secondary outcomes are development of chronic post surgery pain and quality of life. The main goal is to develop a comprehensive prediction model for acute and chronic postoperative pain after breast cancer surgery, based on the EEG results of the five vulnerability experiments.

Studieoversigt

Status

Afsluttet

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Limburg
      • Maastricht, Limburg, Holland, 6200 MD
        • Maastricht UMC

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

One hundred and fifty female patients undergoing elective breast cancer surgery in day-case surgery.

Beskrivelse

Inclusion Criteria:

  • Age 18 - 65 years.
  • ASA 1-2.
  • Sufficient comprehension of the Dutch spoken and written language.
  • Elective curative breast cancer surgery, both mastectomy and breast- conserving therapy
  • Stage I and II breast cancer.
  • Written informed consent is obtained

Exclusion Criteria:

  • Previous breast surgery, both ipsilateral and contralateral.
  • Stage III-IV breast cancer.
  • Chronic pain (>3months) with an average severity of at least a VAS score 4 during the last two weeks.
  • Chronic pain for which invasive treatment is needed.
  • Use of (weak / strong) opioids in the last week.
  • A history of opioid addiction.
  • Regular use of the following medications in the last year:

antiepileptics,antipsychotics and anxiolytics.

  • ASA 3 or higher.
  • Consumption of alcohol (>4 units) and / or drugs the evening before.
  • Alcohol consumption (>= 5 units/day).
  • Illiteracy, problems with self expression, language barrier.
  • Serious vision and / or hearing problems, interfering the performance of the experimental tasks.
  • A history of psychiatric complaints and/or epilepsy .
  • A medical history of CVA or TIA.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Acute postoperative pain
Tidsramme: during 4 days after surgery
VAS measured in a daily pain diary
during 4 days after surgery

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Quality of Life
Tidsramme: within 2 weeks before surgery and at 3,6 and 12 months postoperatively
Quality of Life measured with SF-36
within 2 weeks before surgery and at 3,6 and 12 months postoperatively
Development of chronic pain
Tidsramme: at 3,6 and 12 months postoperatively
Brief Pain Inventory
at 3,6 and 12 months postoperatively

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: M. A Marcus, Prof. Dr., Maastricht University Medical Center
  • Ledende efterforsker: J. van Os, Prof. Dr., Maastricht University Medical Center

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juli 2011

Primær færdiggørelse (Faktiske)

1. februar 2012

Studieafslutning (Faktiske)

1. februar 2012

Datoer for studieregistrering

Først indsendt

1. juni 2011

Først indsendt, der opfyldte QC-kriterier

11. juli 2011

Først opslået (Skøn)

12. juli 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

28. november 2013

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

26. november 2013

Sidst verificeret

1. november 2013

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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