Prevalence and Predictive Factors of Chronic Postsurgical Pain and Poor Global Recovery 1 Year After Outpatient Surgery
- PMID: 25565589
- DOI: 10.1097/AJP.0000000000000207
Prevalence and Predictive Factors of Chronic Postsurgical Pain and Poor Global Recovery 1 Year After Outpatient Surgery
Abstract
Objectives: To prospectively describe the prevalence and predictive factors of chronic postsurgical pain (CPSP) and poor global recovery in a large outpatient population at a university hospital, 1 year after outpatient surgery.
Materials and methods: A prospective longitudinal cohort study was performed. During 18 months, patients presenting for preoperative assessment were invited to participate. Outcome parameters were measured by using questionnaires at 3 timepoints: 1 week preoperatively, 4 days postoperatively, and 1 year postoperatively. A value of >3 on an 11-point numeric rating scale was considered to indicate moderate to severe pain. A score of ≤80% on the Global Surgical Recovery Index was defined as poor global recovery.
Results: A total of 908 patients were included. The prevalence of moderate to severe preoperative pain was 37.7%, acute postsurgical pain 26.7%, and CPSP 15.3%. Risk factors for the development of CPSP were surgical specialty, preoperative pain, preoperative analgesic use, acute postoperative pain, surgical fear, lack of optimism, and poor preoperative quality of life. The prevalence of poor global recovery was 22.3%. Risk factors for poor global recovery were recurrent surgery because of the same pathology, preoperative pain, preoperative analgesic use, surgical fear, lack of optimism, poor preoperative and acute postoperative quality of life, and follow-up surgery during the first postoperative year.
Discussion: Moderate to severe CPSP after outpatient surgery is common, and should not be underestimated. Patients at risk for developing CPSP can be identified during the preoperative phase.
Similar articles
-
Prevalence and Predictive Factors of Chronic Postsurgical Pain and Global Surgical Recovery 1 Year After Outpatient Knee Arthroscopy: A Prospective Cohort Study.Medicine (Baltimore). 2015 Nov;94(45):e2017. doi: 10.1097/MD.0000000000002017. Medicine (Baltimore). 2015. PMID: 26559300 Free PMC article.
-
Recovery 3 and 12 months after hysterectomy: epidemiology and predictors of chronic pain, physical functioning, and global surgical recovery.Medicine (Baltimore). 2016 Jun;95(26):e3980. doi: 10.1097/MD.0000000000003980. Medicine (Baltimore). 2016. PMID: 27367998 Free PMC article.
-
Chronic postsurgical pain in Europe: An observational study.Eur J Anaesthesiol. 2015 Oct;32(10):725-34. doi: 10.1097/EJA.0000000000000319. Eur J Anaesthesiol. 2015. PMID: 26241763
-
Risk factors and early pharmacological interventions to prevent chronic postsurgical pain following cardiac surgery.Am J Cardiovasc Drugs. 2014 Oct;14(5):335-42. doi: 10.1007/s40256-014-0083-2. Am J Cardiovasc Drugs. 2014. PMID: 24934698 Review.
-
Pain following hysterectomy: epidemiological and clinical aspects.Dan Med J. 2012 Jan;59(1):B4374. Dan Med J. 2012. PMID: 22239844 Review.
Cited by
-
Prevalence and Predictive Factors of Chronic Postsurgical Pain and Global Surgical Recovery 1 Year After Outpatient Knee Arthroscopy: A Prospective Cohort Study.Medicine (Baltimore). 2015 Nov;94(45):e2017. doi: 10.1097/MD.0000000000002017. Medicine (Baltimore). 2015. PMID: 26559300 Free PMC article.
-
Validity and time course of surgical fear as measured with the Surgical Fear Questionnaire in patients undergoing cataract surgery.PLoS One. 2018 Aug 9;13(8):e0201511. doi: 10.1371/journal.pone.0201511. eCollection 2018. PLoS One. 2018. PMID: 30092085 Free PMC article.
-
Poorly controlled postoperative pain: prevalence, consequences, and prevention.J Pain Res. 2017 Sep 25;10:2287-2298. doi: 10.2147/JPR.S144066. eCollection 2017. J Pain Res. 2017. PMID: 29026331 Free PMC article. Review.
-
Factors contributing to persistent shoulder pain after arthroscopic rotator cuff repair: Protocol for a scoping review.F1000Res. 2024 Dec 6;13:1236. doi: 10.12688/f1000research.156193.2. eCollection 2024. F1000Res. 2024. PMID: 39790171 Free PMC article.
-
Strength Back - A qualitative study on the co-creation of a positive psychology digital health intervention for spinal surgery patients.Front Psychol. 2023 Apr 21;14:1117357. doi: 10.3389/fpsyg.2023.1117357. eCollection 2023. Front Psychol. 2023. PMID: 37151334 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical