Personalized Postoperative Pain Management Following Thoracic Surgery in Adults

Description

The proposed research is an important extension of an ongoing perioperative personalized analgesia and intravenous opioid pharmacogenetic research. This research focuses on two of the most commonly used oral opioid analgesics, oxycodone, and methadone, in adults following thoracic surgery. Major inpatient thoracic surgeries (TS) for lung disease are common and extremely painful surgeries and are associated with sever post-surgical pain, high incidence of chronic post-surgical pain (CPSP), excess opioid use, costly immediate postoperative opioid adverse events (AEs), and long hospital stays. This study is aiming to develop proactive risk prediction algorithms for precision surgical pain relief in adult TS patients through comparison of actual clinical outcomes with standard of care to predicted outcomes based on personalized risk assessments.

Conditions

Thoracic Surgery, Pneumonectomy, Lobectomy, Segmentectomy

Study Overview

Study Details

Study overview

The proposed research is an important extension of an ongoing perioperative personalized analgesia and intravenous opioid pharmacogenetic research. This research focuses on two of the most commonly used oral opioid analgesics, oxycodone, and methadone, in adults following thoracic surgery. Major inpatient thoracic surgeries (TS) for lung disease are common and extremely painful surgeries and are associated with sever post-surgical pain, high incidence of chronic post-surgical pain (CPSP), excess opioid use, costly immediate postoperative opioid adverse events (AEs), and long hospital stays. This study is aiming to develop proactive risk prediction algorithms for precision surgical pain relief in adult TS patients through comparison of actual clinical outcomes with standard of care to predicted outcomes based on personalized risk assessments.

Pharmacogenetics and Pharmacokinetics of Oxycodone to Personalize Postoperative Pain Management Following Thoracic Surgery in Adults

Personalized Postoperative Pain Management Following Thoracic Surgery in Adults

Condition
Thoracic Surgery
Intervention / Treatment

-

Contacts and Locations

Pittsburgh

UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania, United States, 15213

Pittsburgh

UPMC Mercy Hospital, Pittsburgh, Pennsylvania, United States, 15219

Pittsburgh

UPMC Shadyside Hospital, Pittsburgh, Pennsylvania, United States, 15232

Pittsburgh

UPMC Passavant Hospital, Pittsburgh, Pennsylvania, United States, 15237

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * \>18 years
  • * American Society of Anesthesiologists (ASA) Physical Status 1, 2, 3
  • * Undergoing thoracic surgery (TS; pneumonectomy, lobectomy and segmentectomy)
  • * Children (\<18 years)
  • * Pregnant women
  • * American Society of Anesthesiologists (ASA) Physical Status 4 or above
  • * Non-English speaking
  • * Outpatient surgery
  • * Concomitant additional surgical procedures
  • * Significant liver and kidney dysfunction
  • * Significant cardiorespiratory compromise
  • * Patients with polysubstance use (e.g., cocaine, marijuana, amphetamine, etc.)

Ages Eligible for Study

18 Years to 99 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

OpalGenix, Inc,

Kathirvel Subramaniam, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Pittsburgh

Study Record Dates

2028-03-01