Patients pain perceptions in forefoot surgery
Research type
Research Study
Full title
A triangulated double-blinded, prospective, study on perceptions of pain in patients with Hallux Valgus and/or Hallux Rigidus
IRAS ID
203613
Contact name
An Murty
Contact email
Sponsor organisation
Northumbria Healthcare NHS Foundation Trust
Duration of Study in the UK
4 years, 5 months, 1 days
Research summary
Previous research has identified that patients who present with pain catastrophizing (PC) symptoms experience an increased pain severity and other psychological and emotional factors, and increased pain intensity following surgery. It has therefore been suggested that it may be beneficial for some musculoskeletal conditions to control for PC symptoms before undergoing surgery. The main study is an observational study, the aim of which is to assess PC and its influence on post-operative pain outcome in forefoot surgery. Outcome measures will be used which include the Pain Catastrophzing Scale (PCS) and patient reported outcome measures (PROMs). PROMS include; the Manchester Oxford Foot Questionnaire (MoxFQ), EQ-5D-3L and a visual analogue scale (VAS). Patients will be asked to complete the PCS and PROMs before they receive their surgery and at 3, 6 and 12 months following surgery. We plan to recruit 230 patients over 36 months recruited from referrals to the Northumbria Healthcare NHS Foundation Trust foot and ankle clinic. Alongside the main study, the sub-study will recruit approximately 36 patients. The patients included in the sub-study will be recruited from either the main study population (230 patients) or as there may be a small number of patients who receive a surgical opinion for surgery but may not actually undergo a surgical procedure for their foot problem these patients will also be considered for participation. All patients will be asked to participate in a semi-structured interview at 4 time intervals along with completing additional outcome measures to assess; personality, depression, anxiety, stress, coping, social support, self-efficacy, health behaviours and quality of life. Life grids will also be used to aid the interview process. The non-surgical patients will be considered for participation as currently there is no understanding of the healthcare services they access in relation to their foot problem and how this then affects their pain experience (outcomes).
REC name
South Central - Oxford B Research Ethics Committee
REC reference
17/SC/0264
Date of REC Opinion
31 May 2017
REC opinion
Further Information Favourable Opinion