Acupuncture for Post-Operative Pain Control for Patients Undergoing Gynecological Surgery
18. juni 2019 oppdatert av: Icahn School of Medicine at Mount Sinai
The Role of Acupuncture in Post-Operative Pain Management in Gynecological Patients
This study investigates the role of acupuncture in controlling post-operative pain in patients who have undergone gynecological surgery.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
The goal of the study is to investigate acupuncture at the time of gynecological surgery as a way to decrease post-operative pain which would decrease narcotic intake and hospitalization time.
To do this, the researchers will recruit non-pregnant patients over the age of 18 who are undergoing laparoscopic surgery for a benign gynecological indication.
These patients will be randomized using a computer generated randomization system to receive either acupuncture or sham acupuncture pre-operatively after the induction of anesthesia.
The acupuncture points used will be points proven in the literature to be associated with decreasing general pain, pelvic pain and nausea and vomiting.
The needles will be placed by a anesthesiologist trained in acupuncture and they will be left in place for 15 minutes while the patient is prepped for the surgery.
The sham points will be on the hands and feet and chosen at random by the gynecologic surgeon who is not trained in acupuncture.
For both groups, the acupuncture needles will be removed before the first incision of the surgery.
All patients will be blinded to their group allocation.
Studietype
Intervensjonell
Registrering (Faktiske)
110
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
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New York
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New York, New York, Forente stater, 10029
- Icahn School of Medicine at Mount Sinai
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år til 80 år (Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Hunn
Beskrivelse
Inclusion Criteria:
- female patients
- over the age of 18
- scheduled for laparoscopic gynecological procedures for benign conditions of the uterus, fallopian tubes and/or adnexa
Exclusion Criteria:
- male patients
- pregnancy
- suspected or known malignant disease
- immunocompromised
- known or persistent abuse of medications, drugs or alcohol
- chronic pain for greater than 3 months
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Aktiv komparator: Acupuncture
Receives acupuncture during gynecological surgery at 5 known points for pain control.
Needles will be placed prior to the start of surgery by an anesthesiologist trained in acupuncture after induction of anesthesia and while the patient is prepped for surgery.
They will be in place for 15 minutes.
|
Acupuncture needles (29 and 30 gauge) used to perform the acupuncture
|
|
Sham-komparator: Sham acupuncture
Receives acupuncture during gynecological surgery at sham points not associated with pain control.
Needles will be placed by the gynecologic surgeon who is not trained in acupuncture after induction of anesthesia and prior to the start of the surgery.
The needles will be removed immediately after placement.
|
Acupuncture needles (29 and 30 gauge) used to perform the acupuncture
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Morphine Equivalent Usage While in the Hospital
Tidsramme: Intra-operative and 24 hours post-operatively
|
Effectiveness of intra-operative acupuncture in post-operative pain control as measured by narcotic use in the 24 hours post-operatively.
Narcotic use monitored either through hospital records if patient is still admitted to the hospital or over the phone if the patient is discharged home prior to 24 hours post-operative.
|
Intra-operative and 24 hours post-operatively
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Pain Medication Tablets Used at Home Post-Operatively
Tidsramme: 7 days post-operatively
|
Patients kept a log of pain medication use once they were discharged from the hospital for first 7 days post operatively.
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7 days post-operatively
|
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Number of Patients Readmitted to the Hospital
Tidsramme: 2 weeks post-operatively
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Effectiveness of intra-operative acupuncture in post-operative pain control as measured by re-admission to the hospital for pain management.
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2 weeks post-operatively
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Pain Score
Tidsramme: up to 4 hours post operatively
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Pain Score.
Patients asked to rate pain score total from 0-10 with higher score indicating more pain
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up to 4 hours post operatively
|
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Pain Score at Home Post-Operatively
Tidsramme: up to 7 days post operatively
|
Pain Score from 0-10 with higher score indicating more pain
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up to 7 days post operatively
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: Charles Ascher-Walsh, MD, Icahn School of Medicine at Mount Sinai
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
6. august 2016
Primær fullføring (Faktiske)
5. desember 2017
Studiet fullført (Faktiske)
5. desember 2017
Datoer for studieregistrering
Først innsendt
29. juli 2016
Først innsendt som oppfylte QC-kriteriene
1. august 2016
Først lagt ut (Anslag)
4. august 2016
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
25. juni 2019
Siste oppdatering sendt inn som oppfylte QC-kriteriene
18. juni 2019
Sist bekreftet
1. juni 2019
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- GCO 16-1120
Plan for individuelle deltakerdata (IPD)
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