Persistent pain is common 1–2 years after shoulder replacement

Bjørnholdt, Karen Toftdahl; Brandsborg, Birgitte; Søballe, Kjeld; Nikolajsen, Lone

doi:10.3109/17453674.2014.987065

Cited by 50 publications

(41 citation statements)

References 26 publications

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“…Regardless of the calculation differences, especially for the Constant-Murley test, improved scores after the intervention were observed in the results of the studies reviewed. The results show that an improvement in pain could be relevant, even at short-term follow-ups after arthroplasty, which is contrary to results suggested by a previous study proposing that improvement in the short-term may not be as evident as in longer-term follow-ups [63].…”

Section: Discussioncontrasting

confidence: 99%

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

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The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.

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Section: Discussioncontrasting

confidence: 99%

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

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“…Closely related, but not identical, data on the prevalence of CPSP in patients after joint arthroscopy have been published. 26 – 28 It should be taken into account that arthroscopic knee surgery is a relatively minor outpatient procedure, which causes less tissue damage and no or even shorter hospital admission compared to joint arthroplasty. Nevertheless, the prevalence of CPSP after joint arthroplasty, varying between 37.5% 6 months after total hip replacement, 50.5% 3 months after total knee replacement, and 37.5% 1 year after total shoulder replacement, does not significantly differ from our data in patients after arthroscopic knee surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the prevalence of CPSP after joint arthroplasty, varying between 37.5% 6 months after total hip replacement, 50.5% 3 months after total knee replacement, and 37.5% 1 year after total shoulder replacement, does not significantly differ from our data in patients after arthroscopic knee surgery. 26 – 28 This might indicate that, in the case of orthopedic surgery, the extent of tissue damage and the duration of hospital admission are no reliable predictors for CPSP compared to other variables.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Predictive Factors of Chronic Postsurgical Pain and Global Surgical Recovery 1 Year After Outpatient Knee Arthroscopy

Hoofwijk¹,

Fiddelers²,

Emans

et al. 2015

Medicine

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Outpatient knee arthroscopy is one of the most commonly performed surgical procedures. Previous research has demonstrated that chronic postsurgical pain (CPSP) after outpatient surgery is prevalent. Our objective was to determine the prevalence and predictive factors of CPSP and Global Surgical Recovery (GSR) 1 year after knee arthroscopy.A prospective longitudinal cohort study was performed. Patients were included during an 18-month period. Data were collected by using 3 questionnaires: at 1 week preoperatively, 4 days postoperatively, and 1 year postoperatively. A value of >3 on an 11-point numeric rating scale (NRS) was defined as moderate to severe pain. A score of ≤80% on the Global Surgical Recovery Index was defined as poor GSR. Stepwise logistic regression analysis was performed to determine which variables were predictors for CPSP and poor GSR.The prevalence of moderate to severe preoperative pain in patients undergoing knee arthroscopy (n = 104) was 71.2%, of acute postsurgical pain 37.5%, and of CPSP 32.7%. Risk factors for CPSP were the presence of preoperative pain and preoperative analgesic use, with odds ratios of 6.31 (1.25–31.74) and 4.36 (1.58–12.07), respectively. The prevalence of poor GSR 1 year after outpatient knee arthrosocpy was 50.0%. Poor GSR 4 days after the surgery was a risk factor with an odds ratio of 8.38 (0.92–76.58) and quality of life 4 days after surgery was a protective factor with and odds ratio of 0.10 (0.02–0.64).Both CPSP and poor GSR are common 1 year after knee arthroscopy. Patients at risk for CPSP can be identified during the preoperative phase. Prediction of poor GSR 1 year after surgery is mainly related to early postoperative recovery.

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“…Risk factors for CPOP were severe pain during the first postoperative week, use of a hemiprosthesis in osteoarthritis patients (as compared to a total prosthesis), and a history of previous fracture fixation and pain elsewhere in fracture patients 36 . In 2015, Coronado et al .…”

Section: Incidence and Risk Factorsmentioning

confidence: 99%

Chronic postoperative pain: recent findings in understanding and management

Correll

2017

F1000Res

111

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Chronic postoperative pain is a poorly recognized potential outcome from surgery. It affects millions of patients every year, with pain lasting for months to years, resulting in patient suffering and ensuing economic consequences. The operations with the highest incidence of chronic postoperative pain are amputations, thoracotomies, cardiac surgery, and breast surgery. Other risk factors include preoperative pain, psychological factors, demographics, and the intensity of acute postoperative pain. Attempts to prevent chronic postoperative pain have often led to debatable results. This article presents data from recently published studies examining the incidence, risk factors, mechanisms, treatment options, and preventive strategies for chronic postoperative pain in adults. In summary, many of the previously identified risk factors for chronic postoperative pain have been confirmed and some novel ones discovered, such as the importance of the trajectory of acute pain and the fact that catastrophizing may not always be predictive. The incidence of chronic postoperative pain hasn’t changed over time, and there is limited new information regarding an effective preventive therapy. For example, pregabalin may actually cause more harm in certain surgeries. Further research is needed to demonstrate whether multimodal analgesic techniques have the best chance of significantly reducing the incidence of chronic postoperative pain and to determine which combination of agents is best for given surgical types and different patient populations.

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Persistent pain is common 1–2 years after shoulder replacement

Cited by 50 publications

References 26 publications

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Prevalence and Predictive Factors of Chronic Postsurgical Pain and Global Surgical Recovery 1 Year After Outpatient Knee Arthroscopy

Chronic postoperative pain: recent findings in understanding and management

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