Form name | Contents |
---|---|
Baseline Medical Data Form | Height, weight, ECOG status, ASA grade, performance status, medical history, smoking status and history, lung function, |
Patient Completed Booklet Hospital Baseline | Pain questionnaires: VAS, BPI and SF-MPQ-2. QoL – EQ-5D-5L, HADS, |
Intervention Form | Analgesia administered in theatre and recovery, intraoperative monitoring, analgesic intervention performed, difficulties and complications with block, local anaesthetic administered |
Operation Details Form | Operation type, operator, side, approach, muscle/nerve sparing, rib resection or fractures, chest drainage, histology |
Acute Phase patient completed booklet (Day 1A, Day 2A, Day 3A) | Pain questionnaires: VAS and BPI |
Acute Day 0A Post Recovery Form | Management of LA block—top-ups, resiting and discontinuation. Analgesia administered. Return to theatre |
Acute Phase Up To Day 3A Form | Ward location. Management of LA block—top-ups, resiting and discontinuation. Analgesia administered. Complications and severity (Table 3), return to theatre |
Acute Phase Day 4 to Discharge Form | Postoperative analgesia administered. Complications and severity (Table 3), return to theatre |
Patient Completed Booklet Hospital Discharge | Patient satisfaction questionnaire. Pain questionnaires: VAS, BPI and SF-MPQ-2. QoL – EQ-5D-5L. HADS |
Chronic Phase patient completed booklet (3, 6 and 12 months) | Patient satisfaction questionnaire. Pain questionnaires: VAS, BPI and SF-MPQ-2. QoL – EQ-5D-5L. HADS |
Health Contacts Form (3, 6 and 12Â months) | NHS Care visits: A&E visits, hospital admissions and investigations received Private healthcare costs. Medications and equipment. Occupation and activities |