Journal article
Incidence and severity of chronic pain at 3 and 6 months after thoracotomy: meta-analysis
The journal of pain, Vol.15(9), pp.887-897
09/2014
DOI: 10.1016/j.jpain.2014.06.005
PMID: 24968967
Abstract
This systematic review was performed to determine the incidence and the severity of chronic pain at 3 and 6 months after thoracotomy based on meta-analyses. We conducted MEDLINE, Web of Science, and Google Scholar searches of databases and references for English articles; 858 articles were reviewed. Meta-regression analysis based on the publication year was used to examine if the chronic pain rates changed over time. Event rates and confidence intervals with random effect models and Freeman-Tukey double arcsine variance-stabilizing transformation were obtained separately for the incidence of chronic pain based on 1,439 patients from 17 studies at 3 months and 1,354 patients from 15 studies at 6 months. The incidences of chronic pain at 3 and 6 months after thoracotomy were 57% (95% confidence interval [CI], 51-64%) and 47% (95% CI, 39-56%), respectively. The average severity of pain ratings on a 0 to 100 scale at these times were 30 ± 2 (95% CI, 26-35) and 32 ± 7 (95% CI, 17-46), respectively. Reported chronic pain rates have been largely stable at both 3 and 6 months from the 1990s to the present.
This systematic review's findings suggest that reported chronic pain rates are approximately 50% at 3 and 6 months and have been largely stable from the 1990s to the present. The severity of this pain is not consistently reported. Chronic pain after thoracotomy continues to be a significant problem despite advancing perioperative care.
Details
- Title: Subtitle
- Incidence and severity of chronic pain at 3 and 6 months after thoracotomy: meta-analysis
- Creators
- Emine Ozgur Bayman - Departments of Anesthesia and Biostatistics, University of Iowa, Iowa City, Iowa. Electronic address: emine-bayman@uiowa.eduTimothy J Brennan - Departments of Anesthesia and Biostatistics, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The journal of pain, Vol.15(9), pp.887-897
- DOI
- 10.1016/j.jpain.2014.06.005
- PMID
- 24968967
- NLM abbreviation
- J Pain
- ISSN
- 1526-5900
- eISSN
- 1528-8447
- Publisher
- United States
- Language
- English
- Date published
- 09/2014
- Academic Unit
- Biostatistics; Anesthesia
- Record Identifier
- 9983997311502771
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