Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery

Marisa R Buchakjian; Andrew B Davis; Sebastian J Sciegienka; Nitin A Pagedar; Steven M Sperry

doi:10.1177/0003489417723034

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Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery

Journal article

Peer reviewed

Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery

Marisa R Buchakjian, Andrew B Davis, Sebastian J Sciegienka, Nitin A Pagedar and Steven M Sperry

Annals of otology, rhinology & laryngology, Vol.126(9), pp.646-653

09/2017

DOI: 10.1177/0003489417723034

PMID: 28770621

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Abstract

To evaluate perioperative pain in patients undergoing major head and neck cancer surgery and identify associations between preoperative and postoperative pain characteristics. Patients undergoing head and neck surgery with regional/free tissue transfer were enrolled. Preoperative pain and validated screens for symptoms (neuropathic pain, anxiety, depression, fibromyalgia) were assessed. Postoperatively, patients completed a pain diary for 4 weeks. Twenty-seven patients were enrolled. Seventy-eight percent had pain prior to surgery, and for 38%, the pain had neuropathic characteristics. Thirteen patients (48%) completed at least 2 weeks of the postoperative pain diary. Patients with moderate/severe preoperative pain report significantly greater pain scores postoperatively, though daily pain decreased at a similar linear rate for all patients. Patients with more severe preoperative pain consumed greater amounts of opioids postoperatively, and this correlated with daily postoperative pain scores. Patients who screened positive for neuropathic pain also reported worse postoperative pain. Longitudinal perioperative pain assessment in head and neck patients undergoing surgery suggests that patients with worse preoperative pain continue to endorse worse pain postoperatively and require more narcotics. Patients with preoperative neuropathic pain also report poor pain control postoperatively, suggesting an opportunity to identify these patients and intervene with empiric neuropathic pain treatment.

Adult

Aged

Aged, 80 and over

Ameloblastoma - complications

Ameloblastoma - surgery

Analgesics, Opioid - therapeutic use

Anxiety - psychology

Cancer Pain - etiology

Cancer Pain - physiopathology

Cancer Pain - psychology

Carcinoma, Adenoid Cystic - complications

Carcinoma, Adenoid Cystic - surgery

Carcinoma, Squamous Cell - complications

Carcinoma, Squamous Cell - surgery

Depression - psychology

Female

Head and Neck Neoplasms - complications

Head and Neck Neoplasms - surgery

Humans

Linear Models

Longitudinal Studies

Male

Melanoma - complications

Melanoma - secondary

Melanoma - surgery

Middle Aged

Neuralgia - etiology

Neuralgia - physiopathology

Neuralgia - psychology

Otorhinolaryngologic Surgical Procedures

Pain Measurement

Pain, Postoperative - drug therapy

Pain, Postoperative - epidemiology

Pain, Postoperative - physiopathology

Pain, Postoperative - psychology

Parotid Neoplasms - complications

Parotid Neoplasms - surgery

Perioperative Period

Preoperative Period

Severity of Illness Index

Skin Neoplasms - complications

Skin Neoplasms - pathology

Skin Neoplasms - surgery

Squamous Cell Carcinoma of Head and Neck

Details

Title: Subtitle: Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery
Creators: Marisa R Buchakjian - University of Iowa
Andrew B Davis - University of Iowa Hospitals and Clinics
Sebastian J Sciegienka - Roy J. and Lucille A. Carver College of Medicine
Nitin A Pagedar - University of Iowa
Steven M Sperry - University of Iowa
Resource Type: Journal article
Publication Details: Annals of otology, rhinology & laryngology, Vol.126(9), pp.646-653
DOI: 10.1177/0003489417723034
PMID: 28770621
ISSN: 0003-4894
eISSN: 1943-572X
Language: English
Date published: 09/2017
Academic Unit: Otolaryngology
Record Identifier: 9984311445102771

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