dc.contributor.author | Hetmann, Fredrik | |
dc.contributor.author | Kongsgaard, Ulf | |
dc.contributor.author | Sandvik, Leiv | |
dc.contributor.author | Bredal, Inger Schou | |
dc.date.accessioned | 2017-02-01T09:46:54Z | |
dc.date.available | 2017-02-01T09:46:54Z | |
dc.date.issued | 2015-04-23 | |
dc.identifier.citation | Hetmann, F., Kongsgaard, U. E., Sandvik, L., & Schou‐Bredal, I. (2015). Prevalence and predictors of persistent post‐surgical pain 12 months after thoracotomy. Acta Anaesthesiologica Scandinavica, 59(6), 740-748. | |
dc.identifier.issn | 1399-6576 | |
dc.identifier.other | FRIDAID 1249968 | |
dc.identifier.uri | https://hdl.handle.net/10642/3556 | |
dc.description.abstract | Background: Persistent post-surgical pain is recognised as a major problem. Prevalence after different surgical procedures has been reported to range from 5% up to 85%. Limb amputation and thoracotomy have the highest reported prevalence. Prediction of persistent post-surgical pain has over the last decade caught atten- tion. Several factors have been investigated, but in-depth knowl- edge is still scarce. The purpose of this study was to investigate the prevalence of persistent post-surgical pain, and predictive fac- tors for persistent post-surgical pain 12 months after thoracotomy. Methods: A prospective longitudinal study was conducted. One- hundred and seventy patients were recruited before scheduled thoracotomy, and asked to answer a questionnaire. One-hundred and six patients completed the same questionnaire at 12-month follow-up. Regression analysis was performed to explore vari- ables assumed predictive of persistent post-surgical pain. Results: One-hundred and six patients (62%) filled out the questionnaire at both time points. Preoperative, 34% reported muscle-skeletal related chronic pain. At 12-month follow-up, 50% of the patients reported persistent post-surgical pain. Of the vari- ables explored in the logistic regression model, only preoperative pain ( P < 0.001) and dispositional optimism ( P = 0.04) were sta- tistically significant. In this study, preoperative pain was a pre- dominant predictor for persistent postoperative pain (OR 6.97, CI 2.40 – 20.21), while dispositional optimism (OR 0.36, CI 0.14 – 0.96) seem to have protective properties. Conclusion: Our results show that preoperative pain is a pre- dominant predictor of future pain. This implies that patients pre- senting with a chronic pain condition prior to surgery should be assessed thoroughly preoperatively and have an individually tailored analgesic regimen. | |
dc.language.iso | en | language |
dc.rights | “NOTICE: this is the author’s version of a work that was accepted for publication in Acta Anaesthesiologica Scandinavica. Changes resulting from the publishing process, such as editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Hetmann, F., Kongsgaard, U. E., Sandvik, L., & Schou‐Bredal, I. (2015). Prevalence and predictors of persistent post‐surgical pain 12 months after thoracotomy. Acta Anaesthesiologica Scandinavica, 59(6), 740-748.” | language |
dc.subject | Persistent post-surgical pain | language |
dc.subject | Prevalence | language |
dc.subject | Predictive factors | language |
dc.subject | Thoracotomy | language |
dc.title | Prevalence and predictors of persistent post-surgical pain 12 months after thoracotomy | language |
dc.type | Journal article | language |
dc.type | Peer reviewed | language |
dc.description.version | acceptedVersion | language |
dc.identifier.doi | http://dx.doi.org/10.1111/aas.12532 | |
dc.source.journal | Acta anaesthesiologica Scandinavica | |