Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain.
Authors
Hickey, Oonagh TBurke, 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.ukIssue Date
2010-09MeSH
AdultAged
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
Metadata
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Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain. 2010, 26 (7):556-60 Clin J PainJournal
The Clinical journal of painDOI
10.1097/AJP.0b013e3181dee988PubMed ID
20639740Abstract
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
ArticleLanguage
enISSN
1536-5409ae974a485f413a2113503eed53cd6c53
10.1097/AJP.0b013e3181dee988
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