E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
management of postoperative pain in ambulatory foot surgery that allows the realization of immediate rehabilitation and better functional results and personal satisfaction |
Manejo del dolor postoperatorio en cirugía ambulatoria de antepie que permita la realización de la rehabilitación inmediata y mejores resultados funcionales y de satisfacción personal |
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E.1.1.1 | Medical condition in easily understood language |
Pain management after outpatient foot surgery |
Control del dolor en la cirugía ambulatoria de pie |
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E.1.1.2 | Therapeutic area | Diseases [C] - Musculoskeletal Diseases [C05] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To control pain after outpatient forefoot surgery |
controlar de forma eficaz el dolor postoperatorio tras la cirugía ambulatoria de antepié |
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E.2.2 | Secondary objectives of the trial |
To improve the performance of immediate self-rehabilitation decrease the need to take rescue analgesia improve the degree of personal satisfaction and the final functional result of the patient demonstrate that there is no greater risk of complications compared to conventional oral analgesia |
mejorar la realización de la auto-rehabilitación inmediata disminuir la necesidad de tomar analgesia de rescate mejorar el grado de satisfacción personal y el resultado funcional final del paciente demostrar que no existe mayor riesgo de complicaciones respecto a al analgesia oral convencional |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Older than 18 years-old. Both genders. Types of surgery: Forefoot surgery that includes at least the performance of metatarsal or phalangeal osteotomies and capsular, tendinous or ligamentous soft tissue techniques. Surgeries performed under the Major Ambulatory Surgery regimen that meet the pain monitoring and monitoring criteria described. Patients who are operated by any of the 3 members of the foot and ankle unit in the two centers Hospital Son Llàtzer and Clinica Rotger. |
Mayor de 18 años. Ambos sexos. Tipos de cirugía: cirugía de antepié que incluya como mínimo la realización de osteotomía de metatarsianos o falanges y técnicas de partes blandas capsulares, tendinosas o ligamentosas. Cirugías realizadas en régimen de Cirugía Mayor Ambulatoria y que cumplan los criterios de seguimiento y monitorización del dolor descritos. Pacientes que sean intervenidos por alguno de los 3 miembros de la unidad de pie y tobillo en los dos centros Hospital Son Llàtzer y Clínica Rotger. |
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E.4 | Principal exclusion criteria |
Allergies or intolerances to the medication that is used habitually, making it impossible to administer it. History of alcoholism or drug abuse that may influence the effect of the analgesia used. History of known psychiatric diseases that may alter the correct collaboration and monitoring by the patient. Surgeries that require hospital admission. Obesity with Body Mass Index (BMI) greater than 35. Appearance of intraoperative or postoperative complications. Antecedents of diseases that occur with a decrease in pain threshold, hyperalgesia syndromes or regional anesthesia such as fibromyalgia, neurological or metabolic alterations of sensitivity ... Patients undergoing percutaneous forefoot surgery, where osteotomies are performed without the use of osteosynthesis material. |
Alergias o intolerancias a la medicación que se utiliza de forma habitual, haciendo imposible la administración de ésta. Antecedentes de alcoholismo o abuso de drogas que pueda influir en el efecto de la analgesia utilizada. Antecedentes de enfermedades psiquiátricas conocidas que puedan alterar la correcta colaboración y seguimiento por parte del paciente. Cirugías que requieran ingreso hospitalario. Obesidad con Índice de Masa Corporal (IMC) mayor a 35. Aparición de complicaciones intraoperatorias o postoperatorias. Antecedentes de enfermedades que cursen con disminución del umbral del dolor, síndromes de hiperalgesia o anestesia regional tales como fibromialgia, alteraciones neurológicas o metabólicas de la sensibilidad… Pacientes sometidos a cirugía percutánea de antepié, donde se realicen osteotomías sin uso de material de osteosíntesis. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Being a prospective study, the study will last the time necessary to recruit the required number of individuals. Subsequently these will be followed for a period of 3 months. Additionally, the analysis and the writing of the results will be carried out to write the article. It is expected to last approximately two years. |
Al tratarse de un estudio prospectivo, el estudio durará el tiempo necesario para reclutar el número requerido de individuos. Posteriormente éstos se seguirán durante un período de 3 meses. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Additionally, after the recruitment, the analysis and the writing of the results will be carried out to write the article. It is expected to last approximately two years. |
Adicionalmente, tras el reclutamiento, se procederá al análisis y a la redacción de los resultados para redactar el artículo. Se prevé una duración aproximada de unos dos años. |
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E.5.2 | Secondary end point(s) |
Subsequently, the analysis of the results will be carried out by a statistical expert and finally, the results will be drafted for presentation at national and / or international congresses and their possible publication in scientific journals. |
Posteriormente, se realizará el análisis de los resultados por un experto estadístico y finalmente, se procederá a la redacción de los resultados para su presentación en congresos de ámbito nacional y/o internacional y su posible publicación en revistas científicas. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
This will take between 6 months and a year approximately. |
Esto llevará entre 6 meses y un año aproximadamente. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The last visit of the patient that will be included in the trial is that of the control at three months, later, whether the patient is discharged or requires more clinical control in outpatient clinics, these data will not be taken into account in the results. of the study. Since the medium-term follow-up in our study is considered sufficient. |
La última visita del paciente que se incluirá en el ensayo es la del control a los tres meses, posteriormente, tanto si el paciente es dado de alta como si precisa más control clínico en consultas externas, estos datos no se tendrán en cuenta en los resultados del estudio. Ya que se considera suficiente el seguimiento a medio plazo en nuestro estudio. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |