Journal article
A Prospective Study of Chronic Pain after Thoracic Surgery
Anesthesiology (Philadelphia), Vol.126(5), pp.938-951
05/2017
DOI: 10.1097/aln.0000000000001576
PMCID: PMC5395336
PMID: 28248713
Abstract
The goal of this study was to detect the predictors of chronic pain at 6 months after thoracic surgery from a comprehensive evaluation of demographic, psychosocial, and surgical factors.
Thoracic surgery patients were enrolled 1 week before surgery and followed up 6 months postsurgery in this prospective, observational study. Comprehensive psychosocial measurements were assessed before surgery. The presence and severity of pain were assessed at 3 and 6 months after surgery. One hundred seven patients were assessed during the first 3 days after surgery, and 99 (30 thoracotomy and 69 video-assisted thoracoscopic surgery, thoracoscopy) patients completed the 6-month follow-up. Patients with versus without chronic pain related to thoracic surgery at 6 months were compared.
Both incidence (P = 0.37) and severity (P = 0.97) of surgery-related chronic pain at 6 months were similar after thoracotomy (33%; 95% CI, 17 to 53%; 3.3 ± 2.1) and thoracoscopy (25%; 95% CI, 15 to 36%; 3.3 ± 1.7). Both frequentist and Bayesian multivariate models revealed that the severity of acute pain (numerical rating scale, 0 to 10) is the measure associated with chronic pain related to thoracic surgery. Psychosocial factors and quantitative sensory testing were not predictive.
There was no difference in the incidence and severity of chronic pain at 6 months in patients undergoing thoracotomy versus thoracoscopy. Unlike other postsurgical pain conditions, none of the preoperative psychosocial measurements were associated with chronic pain after thoracic surgery.
Details
- Title: Subtitle
- A Prospective Study of Chronic Pain after Thoracic Surgery
- Creators
- Emine Ozgur Bayman - From the Department of Anesthesia (E.O.B., T.J.B.), Department of Biostatistics (E.O.B.), Department of Cardiothoracic Surgery (K.R.P., J.K.), and Department of Pharmacology (T.J.B.), University of Iowa, Iowa City, Iowa; and Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey (A.S.)Kalpaj R ParekhJohn KeechAtakan SelteTimothy J Brennan
- Resource Type
- Journal article
- Publication Details
- Anesthesiology (Philadelphia), Vol.126(5), pp.938-951
- DOI
- 10.1097/aln.0000000000001576
- PMID
- 28248713
- PMCID
- PMC5395336
- NLM abbreviation
- Anesthesiology
- ISSN
- 0003-3022
- eISSN
- 1528-1175
- Publisher
- United States
- Grant note
- P30 DK054759 / NIDDK NIH HHS R03 NS080110 / NINDS NIH HHS
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Anatomy and Cell Biology; Biostatistics; Surgery; Anesthesia
- Record Identifier
- 9983997301702771
Metrics
22 Record Views