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    Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain.

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    Authors
    Hickey, Oonagh T
    Burke, Siun M
    Hafeez, Parvaiz
    Mudrakouski, Aliaksandr L
    Hayes, Ivan D
    Shorten, George D
    Affiliation
    Department of Anaesthesia, Cork University Hospital and University College Cork, Wilton, Ireland. oonaghhickey@yahoo.co.uk
    Issue Date
    2010-09
    MeSH
    Adult
    Aged
    Anxiety
    Breast
    Breast Neoplasms
    Chronic Disease
    Depression
    Female
    Humans
    Mastectomy
    Middle Aged
    Pain Measurement
    Pain Threshold
    Pain, Postoperative
    Psychiatric Status Rating Scales
    Questionnaires
    Severity of Illness Index
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    Citation
    Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain. 2010, 26 (7):556-60 Clin J Pain
    Journal
    The Clinical journal of pain
    URI
    http://hdl.handle.net/10147/200241
    DOI
    10.1097/AJP.0b013e3181dee988
    PubMed ID
    20639740
    Abstract
    Persistent postsurgical pain (PPSP) after surgery for breast cancer has a prevalence of 20% to 52%. Neuroplastic changes may play a role in the aetiology of this pain. The principal objective of this study was to examine the relationship between acute pain after surgery for breast cancer and the likelihood of subsequently developing PPSP.
    Twenty-eight women undergoing surgery for breast cancer completed visual analogue scales for pain and anxiety, the McGill Pain Questionnaire (long form) and the Hospital Anxiety and Depression Scale. Analgesic requirements and adverse effects of analgesic therapy were noted. Quantitative sensory testing was carried out perioperatively using an electrical stimulus, and the sensation perception, pain perception, and pain tolerance thresholds were measured bilaterally at the T4 dermatomes and at the contralateral L5 dermatome. Patients with and without PPSP 3 months postoperatively were compared in terms of these parameters.
    Eight participants (28.6%) reported PPSP. Those who subsequently developed PPSP reported greater pain scores on the McGill Pain Questionnaire 5 days postoperatively than those that did not (pain rating index, P=0.014; present pain intensity, P=0.032). None had sought medical attention for their persistent pain. Patients with and without PPSP were similar in terms of mental status (anxiety and depression), analgesic consumption, adverse effects of analgesic therapy, and changes on QST.
    Patients who developed PPSP experienced pain of greater intensity on the fifth postoperative day than those that did not.
    Item Type
    Article
    Language
    en
    ISSN
    1536-5409
    ae974a485f413a2113503eed53cd6c53
    10.1097/AJP.0b013e3181dee988
    Scopus Count
    Collections
    Cork University Hospital

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