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CTRI Number  CTRI/2022/09/046071 [Registered on: 30/09/2022] Trial Registered Prospectively
Last Modified On: 13/09/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   effect of stress (before operation) on pain and improvement after operation in surgery for breast cancer 
Scientific Title of Study   Effect of preoperative anxiety on postoperative pain and quality of recovery after modified radical mastectomy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ankhila Dattatray Hamand 
Designation  Junior Resident first year 
Affiliation  Department of Anaesthesia Lokmanya Tilak municipal medical college hospital 
Address  lokmanya tilak municipal medical college and hospital sion ,mumbai

Mumbai
MAHARASHTRA
400022
India 
Phone  9321806977  
Fax    
Email  hamandankhila22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Preeti Rustagi  
Designation  Associate Professor  
Affiliation  Department of Anaesthesia,Lokmanya Tilak municipal medical college hospital 
Address  lokmanya tilak municipal medical college and hospital sion ,mumbai

Mumbai
MAHARASHTRA
400022
India 
Phone  9769215359  
Fax    
Email  drpreetirustagi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ankhila Dattatray Hamand 
Designation  Junior Resident first year 
Affiliation  Lokmanya Tilak municipal medical college hospital 
Address  lokmanya tilak municipal medical college and hospital sion ,mumbai

Mumbai
MAHARASHTRA
400022
India 
Phone  9321806977  
Fax    
Email  hamandankhila22@gmail.com  
 
Source of Monetary or Material Support  
Lokmanya tilak muncipal and medical college,mumai 
 
Primary Sponsor  
Name  Lokmanya tilak municipal medical college 
Address  LOkmanya tilak municipal medical college,sion ,mumbai 
Type of Sponsor  Government 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 Ankhila Hamand  lokmanya tilak municipal medical college & hospital  Surgery ot,ward building ,3rd floor.
Mumbai
MAHARASHTRA 
9321806977

hamandankhila22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee lokmanya tilak municipal medical college.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  female patients undergoing modeified radical mastectomy, between 18 years to 65 years of ASA CLASS | and ‖. 
 
ExclusionCriteria 
Details  patients 1 Ot giving consent
2 With chronic pain
3 With chronic non steroidal anti
inflammatory drugs/opoid use
4 With psychiatric illness 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Relationship between preoperative anxiety and postoperative pain.  Assessment of anxiety with APAIS(Amsterdam preoperative anxiety and information scale) one day prior and postoperative pain with Visual Analogue scale at 2nd,4th,8th ,12th and 24th hours. 
 
Secondary Outcome  
Outcome  TimePoints 
Analyze the effect of preoperative anxiety on postoperative analgesic
consumption after surgery
(MRM)
Analyze effect of preoperative anxiety on recovery by Quality of recovery -15 questionnaire.

Analyze the effect of preoperative anxiety on quality of recovery after surgery(MRM) 
2,4,8, 12, 24 hours after surgery  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   30/10/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  13/10/2022 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   After satisfying all inclusion and exclusion criteria and written valid consent taken ,one day prior to operation patient’s anxiety will be assessed using APAIS scale .Question will be translated to local language .Surgery will be performed under general anesthesia with intraoperative pain management including injection fentanyl and dexmedetomidine .All patient’s are administered injection paracetamol 30 minute prior to extubation for postoperative pain relief .Total dose of intraoperative pain relievers will be recorded .Then postoperative pain severity will be measured using VAS  scale quality of recovery will be assessed .scale and depend on scale  score ,if VAS score >3 injection tramadol 1mg/kg administered intravenously as rescue analgesic and patient will be observed if further doses required total dose of tramadol .Then 24hours postoperatively QOR15 will be used to asses quality of recovery and depend on QOR15 
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