Transition from acute to chronic postsurgical pain: risk factors and protective factors
Joel Katz,Ze'ev Seltzer +1 more
TLDR
It is argued that a focus on the transition from acute to chronic pain may reveal important cues that will help to predict who will go on to develop chronic pain and who will not and how to identify the risk factors and protective factors that predict the course of recovery.Abstract:
Most patients who undergo surgery recover uneventfully and resume their normal daily activities within weeks. Nevertheless, chronic postsurgical pain develops in an alarming proportion of patients. The prevailing approach of focusing on established chronic pain implicitly assumes that information generated during the acute injury phase is not important to the subsequent development of chronic pain. However, a rarely appreciated fact is that every chronic pain was once acute. Here, we argue that a focus on the transition from acute to chronic pain may reveal important cues that will help us to predict who will go on to develop chronic pain and who will not. Unlike other injuries, surgery presents a unique set of circumstances in which the precise timing of the physical insult and ensuing pain are known in advance. This provides an opportunity, before surgery, to identify the risk factors and protective factors that predict the course of recovery. In this paper, the epidemiology of chronic postsurgical pain...read more
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Journal ArticleDOI
Pilot Investigation of Somatosensory Functioning and Pain Catastrophizing in Pediatric Spinal Fusion Surgery.
Christine B. Sieberg,Claire E. Lunde,Cindy J. Wong,Juliana Manganella,Angela Starkweather,Navil F. Sethna,Mallory A. Perry-Eaddy +6 more
TL;DR: In this paper , a prospective study aimed to identify sensory, psychological, and demographic factors that may increase the risk of chronic post-surgical pain after spinal fusion surgery for children and adolescents with idiopathic scoliosis.
Journal ArticleDOI
Influential Factors and Personalized Prediction Model of Acute Pain Trajectories after Surgery for Renal Cell Carcinoma
TL;DR: Latent curve analysis identified influential factors of acute pain trajectories after RCC surgery that may help elucidate the complex relationships between the variations in pain intensity over time and their determinants, and guide personalized pain management after surgery for RCC.
Trends in Anaesthesia and Critical Care
TL;DR: Genetic polymorphisms, gender dependence and ethnicity regulating expression, or function of ion channels, homeostasis of biogenic amines, opioids, enzymes, growth factors or tyrosine kinases, are reviewed in pain pathology and determinants of drug response.
Book ChapterDOI
The Transition of Acute Postoperative Pain to Acute Persistent Pain to Chronic Pain: Assessing and Managing the Risks
TL;DR: The transition of acute pain to pathological chronic pain is a complex and poorly understood process and understanding the factors that contribute to the transition from acute, time-limited post-surgical pain to chronic pathological pain is essential to prevent CPSP.
References
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