Liver biopsy: Is the pain for real or is it only the fear of it?

Akay, Sinem; Karasu, Zeki; Noyan, Adnan; Pala, Sai Priya; Musoğlu, Ahmet; İlter, Tankut; Batur, Yücel

doi:10.1016/j.acpain.2007.04.006

Cited by 6 publications

(11 citation statements)

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“…Pain may be more common in those with a history of narcotic dependence but does not appear to be related to approach (i.e., subcostal versus intercostal) 161, 162. Interestingly, patients expect the pain associated with standard percutaneous liver biopsy to be greater than it really is (especially women) 163. When present, pain can usually be managed with small amounts of narcotics, typically codeine.…”

Section: Complicationsmentioning

confidence: 99%

Liver biopsy

et al. 2008

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Section: Complicationsmentioning

confidence: 99%

Liver biopsy

et al. 2008

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“…This tool has been used extensively for patients undergoing biopsy. 7,9,10,14,15 Fi-nally, patient satisfaction was determined postprocedure in terms of willingness to undergo another needle biopsy if it were medically necessary, a technique used in similar studies. 7,10,14,16 The response options in the survey were: (1) "Yes, unconditionally," which was designated as completely satisfied; (2) "Yes, but only with more pain medication/anesthesia," which was designated as somewhat satisfied; and (3) "No," which was designated as not satisfied.…”

Section: Methodsmentioning

confidence: 99%

“…pain than expected. [7][8][9][10][11][12] The study also investigated the increasing body of knowledge about the relationship between preoperative anxiety and experienced pain. 12 Finally, survey data were compared with demographic and clinical characteristics to determine whether certain subsets of patients are more likely to experience greater pain or anxiety with percutaneous biopsy.…”

mentioning

confidence: 99%

Patient Anxiety, Pain, and Satisfaction With Image-Guided Needle Biopsy

Humbyrd¹,

Miller²,

Skolasky³

et al. 2016

Orthopedics

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Image-guided percutaneous needle biopsy has become the preferred diagnostic modality for bone and soft tissue tumors. However, to the authors' knowledge, the levels of patient anxiety, pain, and satisfaction before and after the procedure have not been studied. Sixty-five patients undergoing image-guided needle biopsy of a possible bone or soft tissue tumor were prospectively surveyed to quantify preprocedure and postprocedure levels of anxiety and pain and to determine demographic and clinical correlates of anxiety, pain, and satisfaction. Anxiety was measured with the Spielberger State-Trait Anxiety Inventory, pain was measured with a visual analog scale, and satisfaction was measured by patient willingness to repeat the procedure if necessary. Statistical analysis was performed with Student's t test, Fisher's exact test, and linear regression analysis. Compared with preprocedure values, trait anxiety (defined as the underlying level of anxiety, P<.0011), state anxiety (defined as the current level of situational anxiety, P<.001), and pain (P<.05) decreased significantly postprocedure. The relationship between changes in pain and state anxiety was significant (r=0.31, P=.014), whereas no relationship was seen between changes in pain and trait anxiety (r=0.13, P=.28). Patients who were somewhat satisfied with the procedure reported higher levels of postprocedure pain than those who were completely satisfied (5.24±2.19 cm vs 1.70±2.08 cm, respectively; P<.001). In other words, lower levels of experienced pain correlated with patient satisfaction. Older age was inversely correlated with postprocedure pain (r=0.41, P=.001), and there was a trend toward increasing dissatisfaction among younger patients.

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“…4 The most common complication of a percutaneous liver biopsy is discomfort or pain, but it has been shown that patients expect the pain to be worse than it actually is. 5 The more important complication is that of severe bleeding, occurring anywhere from 1 in 2500 to 1 in 10,000 biopsies for an intercostal, percutaneous approach. 4 When put in perspective, this is much lower than the bleeding that can occur during a screening colonoscopy (1 in 600-1250) 6 or paracentesis (1 in 500-1000).…”

Section: Nash Is a Histological Diagnosismentioning

confidence: 99%