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CTRI Number  CTRI/2026/03/105342 [Registered on: 05/03/2026] Trial Registered Prospectively
Last Modified On: 04/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Oncosurgical patient post op pain management satisfaction 
Scientific Title of Study   Post Operative Pain Management in Oncosurgerical Patients:An Observational Analysis of Outcome And Satisfaction 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nirali Paanchal 
Designation  Professional of department of Anaesthesiology  
Affiliation  Pramukh Swami Medical College,Bhaikaka University  
Address  Department of Anesthesiology,Pramukh Swami Medical College,Shree krishna Hospital,Karamsad,Anand,Gujarat.

Anand
GUJARAT
388325
India 
Phone  9825031808  
Fax    
Email  dr.niralipanchal@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Nirali Paanchal 
Designation  Professional of department of Anaesthesiology  
Affiliation  Pramukh Swami Medical College,Bhaikaka University  
Address  Department of Anesthesiology,Pramukh Swami Medical College,Shree krishna Hospital,Karamsad,Anand,Gujarat.

Anand
GUJARAT
388325
India 
Phone  9825031808  
Fax    
Email  dr.niralipanchal@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Elisha Patel  
Designation  1st year resident 
Affiliation  Pramukh Swami Medical College,Bhaikaka University  
Address  Department of Anesthesiology,Pramukh Swami Medical College,Shree krishna Hospital,Karamsad,Anand,Gujarat.

Anand
GUJARAT
388325
India 
Phone  8849325142  
Fax    
Email  elishapatel1508@gmail.com  
 
Source of Monetary or Material Support  
Department of Anesthesiology,Pramukh Swami Medical College,Shree krishna Hospital,Karamsad,Anand,Gujarat.  
 
Primary Sponsor  
Name  Shree krishna hospital  
Address  Shree Krishna Hospital, Karamsad, Anand, Gujarat, India ,388325  
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nirali Panchal  shree Krishna Hospital  Department of Anesth esiology,Surgical operation theater complex Anand, GUJARAT
Anand
GUJARAT 
9825031808

dr.niralipanchal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE-2 Bhaikaka University,Karamsad,Anand,Gujarat- 388325  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms, (2) ICD-10 Condition: R458||Other symptoms and signs involvingemotional state,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  patients posted for oncosurgeries 
 
ExclusionCriteria 
Details  Patients remain intubated
Patients undergoing emergency surgery
Patients undergoing neurosurgical oncology procedures
Patients with life-threatening illness
Patients with impaired cognition
Patients with a history of substance abuse Patients currently on antiepileptic medications 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effectiveness of postoperative pain management in oncosurgery patients using the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), focusing on patient-reported pain intensity and relief,evaluate the impact of pain on . physical function, emotional well-being, and sleep quality  24 hours postoperative 
 
Secondary Outcome  
Outcome  TimePoints 
To identify the incidence & nature of pain-related side effects
To explore associations between pain outcomes & demographic or clinical factors
To assess patient satisfaction with postoperative pain management 
24 hours postoperative 
 
Target Sample Size   Total Sample Size="385"
Sample Size from India="385" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Postoperative pain (POP) remains a significant global healthcare challenge. Despite advancements in surgical techniques and pharmacological options, many patients continue to experience moderate to severe pain after surgery. This has been linked to inconsistent pain assessment, limited availability or underuse of opioids, lack of provider training, and absence of structured pain protocols, particularly in resource-limited settings [1,2,3]. These deficiencies not only impair patient comfort but also contribute to complications, prolonged hospital stays, and reduced satisfaction with care [2,4]. International studies have shown that effective POP management improves substantially with the use of validated pain assessment tools and structured feedback systems. Institutions that have implemented such approaches report better pain relief outcomes and fewer side effects [3,4]. For instance, hospitals in Southeast Asia and North Africa have documented low opioid usage and inadequate analgesic practices due to regulatory constraints and lack of standardized protocols [1,3]. In India, similar issues persist. Although analgesics are generally available, pain is often under-assessed due to the absence of consistent documentation and language-appropriate tools. Studies in tertiary care centers have found variable practices and low patient satisfaction linked to this inconsistency [6,7]. To address the language barrier, the APS-POQ-R tool has been recently translated and validated in Hindi and Marathi, providing a reliable, culturally relevant instrument for Indian patients [8]. However, its routine use in clinical settings, especially for cancer surgery patients, is still limited. Acute Pain Services (APS) are structured, multidisciplinary teams aimed at providing consistent, effective, and patient-centered pain management. These services include regular assessment, personalized analgesic regimens, patient education, and outcome monitoring. While APS has demonstrated success in improving postoperative outcomes globally, its adoption in India remains sporadic and often lacks standardization [10]. The need for structured pain assessment is especially important in oncosurgery patients, who typically undergo more extensive procedures, often with pre-existing cancer-related pain. Inadequate postoperative pain control in this group can lead to poor functional recovery, immune suppression, psychological distress, and delays in starting chemotherapy or radiotherapy. Additionally, patients may underreport pain or accept it as inevitable, masking the actual burden [5]. The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) is a validated tool that captures various aspects of the pain experience, including intensity, functional interference, side effects, and satisfaction with treatment [9]. Applying this tool specifically in oncosurgical patients can help assess current practices, identify shortcomings, and support the development of evidence-based Acute Pain Services tailored to oncology care in India.  
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