scholarly journals Classification of acute pain trajectory after breast cancer surgery identifies patients at risk for persistent pain: a prospective observational study

2018 ◽  
Vol Volume 11 ◽  
pp. 2197-2206 ◽  
Author(s):  
Akiko Okamoto ◽  
Masaki Yamasaki ◽  
Isao Yokota ◽  
Maiko Mori ◽  
Megumi Matsuda ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Observational Study ◽  
Acute Pain ◽  
Prospective Observational Study ◽  
Persistent Pain ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Patients At Risk

Risk factors for severe acute pain and persistent pain after surgery for breast cancer: a prospective observational study

2019 ◽  
Vol 44 (2) ◽  
pp. 192-199 ◽  
Author(s):  
Ashraf S Habib ◽  
Miklos D Kertai ◽  
Mary Cooter ◽  
Rachel A Greenup ◽  
Shelley Hwang
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Observational Study ◽  
Acute Pain ◽  
Prospective Observational Study ◽  
Pain Catastrophizing ◽  
Persistent Pain ◽  
Breast Cancer Surgery ◽  
Pain Scores ◽  
Duration Of Surgery

Background and objectivesThere are few prospective studies providing comprehensive assessment of risk factors for acute and persistent pain after breast surgery. This prospective observational study assessed patient-related, perioperative, and genetic risk factors for severe acute pain and persistent pain following breast cancer surgery.MethodsWomen presenting for elective breast cancer surgery completed State Trait Anxiety Inventory, Beck Depression Inventory, and Pain Catastrophizing Scale questionnaires preoperatively. Diffuse noxious inhibitory control and mechanical temporal summation were assessed. A blood sample was obtained for genetic analysis. Analgesic consumption and pain scores were collected in the post-anesthesia care unit, and at 24 and 72 hours. Patients were contacted at 1, 3, 6, and 12 months to assess persistent pain. Primary outcome was maximum acute pain score in first 72 hours and secondary outcome was persistent pain.ResultsOne hundred twenty-four patients were included in analysis. Increased duration of surgery, surgeon, and higher pain catastrophizing scores were associated with increased severity of acute pain, while preoperative radiotherapy was associated with reduced severity. Persistent pain was reported by 57.3% of patients. Postdischarge chemotherapy (OR 2.52, 95% CI 1.13 to 5.82), postdischarge radiation (OR 3.39, 95% CI 1.24 to 10.41), severe acute pain (OR 5.39, 95% CI 2.03 to 15.54), and moderate acute pain (OR 5.31, 95% CI 1.99 to 15.30) were associated with increased likelihood of persistent pain.ConclusionsIncreased duration of surgery, higher pain catastrophizing score, and surgeon were associated with increased severity of acute pain. Preoperative radiation was associated with lower acute pain scores. Postsurgery radiation, chemotherapy, and severity of acute pain were associated with increased likelihood of persistent pain.Trial registrationNCT03307525.

scholarly journals Pain Trajectories Identify Patients at Risk of Persistent Pain After Knee Arthroplasty: An Observational Study

2013 ◽  
Vol 472 (5) ◽  
pp. 1409-1415 ◽  
Author(s):  
Patricia M. Lavand’homme ◽  
Irina Grosu ◽  
Marie-Noëlle France ◽  
Emmanuel Thienpont
Keyword(s):  
At Risk ◽  
Observational Study ◽  
Knee Arthroplasty ◽  
Persistent Pain ◽  
Patients At Risk ◽  
Pain Trajectories
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