One half of patients reports persistent pain three months after orthopaedic surgery

Fuzier, Régis; Rousset, Julien; Bataille, B.; Salces-y-Nédéo, Arnaud; Magues, J. P.

doi:10.1016/j.accpm.2014.09.006

Cited by 41 publications

(35 citation statements)

References 39 publications

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“…Persistent postsurgical pain was defined as NRS ≥1 at rest 3 months after surgery, and the information about the neuropathic pain was obtained from the DN4 interview. 13 The prevalence of PPSP in our study was lower, presumably reflecting a longer follow-up period and stricter definition. However, it can be argued that the follow-up period of 3 months used in the other study is too short to evaluate the true presence of PPSP after surgical procedures, because full recuperation cannot be expected so quickly even after uncomplicated surgical procedures.…”

Section: Discussioncontrasting

confidence: 48%

Persistent pain is common 1 year after ankle and wrist fracture surgery: a register-based questionnaire study

Friesgaard

Gromov

Knudsen

et al. 2016

British Journal of Anaesthesia

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Persistent postsurgical pain 1 yr after wrist and ankle fracture surgery is frequent, and a large proportion of patients experience symptoms suggestive of neuropathic pain and CRPS. Patients should be informed about the substantial risk of developing persistent postsurgical pain. Future studies investigating risk factors for persistent postsurgical pain that include both surgically and conservatively treated fractures are required.

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Section: Discussioncontrasting

confidence: 48%

Persistent pain is common 1 year after ankle and wrist fracture surgery: a register-based questionnaire study

Friesgaard

Gromov

Knudsen

et al. 2016

British Journal of Anaesthesia

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“…The time interval was a variable inconsistently used in previous publications, thus explaining some of the variance in reported incidence of CPSP [13,21,36]. Some working groups defined CPSP as any pain (NRS/VAS >0), resulting in high proportions of patients affected by CPSP [7,10,11,16]. Others used NRS ≥3 or NRS ≥4 as cut-offs [1,9,14,27,37].…”

Section: Cpsp: Previous Researchmentioning

confidence: 99%

Pain-related functional interference in patients with chronic neuropathic postsurgical pain: an analysis of registry data

Stamer

Ehrler

Meißner

et al. 2019

PAIN

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Although chronic postsurgical pain (CPSP) is a major health care problem, pain-related functional interference has rarely been investigated. Using the PAIN OUT registry we evaluated patients' pain-related outcomes on the first postoperative day, and their pain-related interference with daily living (Brief Pain Inventory) and neuropathic symptoms (DN4: douleur neuropathique en 4 questions) at six months after surgery. Endpoints were pain interference total scores (PITS) and their association with pain and DN4 scores. Furthermore, possible risk factors associated with impaired function at M6 were analyzed by ordinal regression analysis with PITS groups (no to mild, moderate and severe interference) as a dependent three-stage factor. Odds ratios (OR) with 95% confidence intervals (CI) were calculated. Of 2,322 patients, 15.3% reported CPSP with an average pain score ≥3 (NRS 0-10). Risk for a higher PITS group increased by 190% (OR (95%-CI): 2.9 (2.7-3.2); p<0.001) in patients with, compared to without CPSP. A positive DN4 independently increased risk by 29% (1.3 (1.12-1.45), p<0.001). Pre-existing chronic pain (3.6 (2.6-5.1); p<0.001), time spent in severe acute pain (2.9 (1.3-6.4); p=0.008), neurosurgical back surgery in males (3.6 (1.7-7.6); p<0.001) and orthopedic surgery in females (1.7 (1.0-3.0); p=0.036) were the variables with strongest association with PITS. PITS might provide more precise information about patients' outcomes than pain scores only. As neuropathic symptoms increase PITS, a suitable instrument for their routine assessment should be defined.

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“…Post-surgical pain arising after orthopaedic procedures has a high incidence, which can reach nearly half of the patients after three and six months from surgery [ 1 , 2 ]. This constitutes a major issue for patients, for health professionals and for the society, as it might lead to long-lasting disability, reduced quality of life and healthcare-related costs [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study

et al. 2020

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Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facilitate the transition to chronic post-surgical pain. A longitudinal cohort study was implemented. Patients listed for orthopaedic surgery were enrolled. Variables measured before surgery were pain intensity, the sensory, affective, cognitive and mixed components of pain, state and trait variables associated with the psychological status of the patient, fear of movement, pain catastrophizing, visual attention and cognitive flexibility. Pain intensity and the components of pain were re-evaluated after surgery and after three months. A linear mixed model was used to assess the predictors of pain intensity, and a multivariate linear mixed model was used to assess the predictors of the pain components. 167 patients were enrolled. Controlling for sex, age, pain duration and surgical procedure, catastrophizing and visual attention were predictors of pain intensity at follow-up. The sensory component of pain was predicted by state anxiety, healthcare-related fears, pain catastrophizing and visual attention. Anxiety and catastrophizing were predictors of the affective and evaluative components of pain. The mixed component of pain was predicted by state anxiety, healthcare-related fears and pain catastrophizing. Executive functions, along with psychological risk factors, shape the course of post-surgical pain. The efficacy of preventive and rehabilitation treatment could be possibly enhanced if these factors are treated.

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One half of patients reports persistent pain three months after orthopaedic surgery

Cited by 41 publications

References 39 publications

Persistent pain is common 1 year after ankle and wrist fracture surgery: a register-based questionnaire study

Persistent pain is common 1 year after ankle and wrist fracture surgery: a register-based questionnaire study

Pain-related functional interference in patients with chronic neuropathic postsurgical pain: an analysis of registry data

The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study

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