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Menstrual Phase and Postoperative Pain

Primary Purpose

Acute Postoperative Pain, Chronic Postoperative Pain

Status
Completed
Phase
Early Phase 1
Locations
Turkey
Study Type
Interventional
Intervention
HAD scale
The SF 12 test
Visual analogue score
Sponsored by
Aydin Adnan Menderes University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Acute Postoperative Pain focused on measuring chronic postoperative pain, menstrual cycle

Eligibility Criteria

18 Years - 60 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women with a negative urine pregnancy test

Exclusion Criteria:

  • Patients with pre-existing pain syndromes
  • Patients using routinely using opioids
  • Patients using hormone preparations in the last 6 months
  • Patients with hysterectomy
  • Patients breastfeeding in the previous 6 months
  • Patients with body mass index >35 kg/m2

Sites / Locations

  • Adnan Menderes University Medical Faculty, Anesthesiology and Reanimation Department

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

follicular phase

luteal phase

Arm Description

Visual anlogue score vas used to evaluate pain. The anxiety/depression scale (HAD) was used to assess anxiety and depression. The SF 12 test (SHORT FORM 12) was used to evaluate quality of life.

Visual anlogue score vas used to evaluate pain. The anxiety/depression scale (HAD) was used to assess anxiety and depression. The SF 12 test (SHORT FORM 12) was used to evaluate quality of life.

Outcomes

Primary Outcome Measures

Persistent surgical pain after laparoscopic cholecystectomy assessed by VAS scale

Secondary Outcome Measures

The anxiety and depression was evaluated with Hospital anxiety and depression scale.

Full Information

First Posted
May 12, 2014
Last Updated
May 12, 2014
Sponsor
Aydin Adnan Menderes University
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1. Study Identification

Unique Protocol Identification Number
NCT02137135
Brief Title
Menstrual Phase and Postoperative Pain
Official Title
The Influence of the Menstrual Cycle on Acute and Persistent Pain After Laparoscopic Cholecystectomy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
August 2012 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Aydin Adnan Menderes University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Fluctuations of female sex hormones during the menstrual cycle influence pain perception. Endogenous pain is pronounced in the follicular phase of the menstrual cycle. The investigators tested the primary hypothesis that the women having surgery during their follicular phase have more acute pain and require more opioids than those in the luteal phase, and secondarily the investigators tested that women who have surgery during their follicular phase have more incisional pain at 3 month postoperatively.
Detailed Description
127 adult females having laparoscopic cholecystectomy were randomized to have surgery during the luteal or follicular phase of their menstrual cycle. Standardized anesthesia and pain management regimen was given to all patients. Pain and analgesic consumption were evaluated in PACU and every four hours in first 24 hours. Adverse effects were also questioned every four hours. Time to oral intake and ambulation were recorded. Post-surgical pain, hospital anxiety and depression scale, and SF-12 questionnaire were also evaluated at 1- and 3-month visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Postoperative Pain, Chronic Postoperative Pain
Keywords
chronic postoperative pain, menstrual cycle

7. Study Design

Primary Purpose
Prevention
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
follicular phase
Arm Type
Experimental
Arm Description
Visual anlogue score vas used to evaluate pain. The anxiety/depression scale (HAD) was used to assess anxiety and depression. The SF 12 test (SHORT FORM 12) was used to evaluate quality of life.
Arm Title
luteal phase
Arm Type
Active Comparator
Arm Description
Visual anlogue score vas used to evaluate pain. The anxiety/depression scale (HAD) was used to assess anxiety and depression. The SF 12 test (SHORT FORM 12) was used to evaluate quality of life.
Intervention Type
Other
Intervention Name(s)
HAD scale
Other Intervention Name(s)
The anxiety/depression scale
Intervention Description
The anxiety/depression scale (HAD) was used to assess anxiety and depression.
Intervention Type
Other
Intervention Name(s)
The SF 12 test
Other Intervention Name(s)
SHORT FORM 12
Intervention Description
The SF 12 test (SHORT FORM 12) was used to evaluate quality of life.
Intervention Type
Other
Intervention Name(s)
Visual analogue score
Other Intervention Name(s)
VAS score
Intervention Description
Visual analogue score vas used to evaluate pain.
Primary Outcome Measure Information:
Title
Persistent surgical pain after laparoscopic cholecystectomy assessed by VAS scale
Time Frame
3 months
Secondary Outcome Measure Information:
Title
The anxiety and depression was evaluated with Hospital anxiety and depression scale.
Time Frame
3 months
Other Pre-specified Outcome Measures:
Title
Quality of life was evaluated with SF 12 test.
Time Frame
3 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women with a negative urine pregnancy test Exclusion Criteria: Patients with pre-existing pain syndromes Patients using routinely using opioids Patients using hormone preparations in the last 6 months Patients with hysterectomy Patients breastfeeding in the previous 6 months Patients with body mass index >35 kg/m2
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Betul Kozanhan, Specialist Doctor
Organizational Affiliation
Konya Education and Research Hospital, Anesthesiology and Reanimation Department, Konya; Turkey
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ayse Ilksen Egilmez, Specialist Doctor
Organizational Affiliation
Konya Education and Research Hospital, Anesthesiology and Reanimation Department, Konya; Turkey
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Aykut Soyder, Assistant Professor
Organizational Affiliation
Adnan Menderes University Medical Faculty, General Surgery Department, Aydin; Turkey
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Fabrizio Galimberti, Medical Student
Organizational Affiliation
Cleveland ClinicLernerCollege of Medicine, Cleveland, Ohio
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel I. Sessler, Professor and Ch
Organizational Affiliation
Department of Outcomes Research, Cleveland Clinic
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Alparslan Turan, Associate Professor
Organizational Affiliation
Associate Professor of Anesthesiology, Department of Outcomes Research, Cleveland Clinic
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Osman Nuri Aydın, Professor
Organizational Affiliation
Adnan Menderes University Medical Faculty, Anesthesiology and Reanimation Department, Aydin; Turkey
Official's Role
Principal Investigator
Facility Information:
Facility Name
Adnan Menderes University Medical Faculty, Anesthesiology and Reanimation Department
City
Aydin
ZIP/Postal Code
09100
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
16023915
Citation
Kuba T, Quinones-Jenab V. The role of female gonadal hormones in behavioral sex differences in persistent and chronic pain: clinical versus preclinical studies. Brain Res Bull. 2005 Aug 15;66(3):179-88. doi: 10.1016/j.brainresbull.2005.05.009.
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Menstrual Phase and Postoperative Pain

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