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
Citations
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Evaluating the Association Between Acute and Chronic Pain After Surgery: Impact of Pain Measurement Methods.
TL;DR: Overall, evidence for an association between acute and chronic pain is moderate at best, however, closer attention to pain measurement methods will clarify the relationships between acute pain and CPSP.
Journal ArticleDOI
Pain characteristics and analgesic intake before and following cardiac surgery.
TL;DR: Study findings demonstrated a high prevalence of moderate to severe pain after cardiac surgery and insufficient analgesic administration, and patients were discharged from hospital with unrelieved pain and a potential risk for further postoperative complications.
Journal ArticleDOI
Acceptance and Commitment Therapy to manage pain and opioid use after major surgery: Preliminary outcomes from the Toronto General Hospital Transitional Pain Service
Muhammad Abid Azam,Aliza Weinrib,Janice Montbriand,Lindsay C Burns,Kayla McMillan,Hance Clarke,Joel Katz +6 more
TL;DR: Preliminary outcomes suggest that ACT was effective in reducing opioid use while pain interference and mood improved.
Journal ArticleDOI
Persistent pain and sensory changes following cosmetic breast augmentation
TL;DR: Sensory changes and persistent pain are common following cosmetic breast augmentation and may have a negative impact on daily activities and satisfaction after surgery, and findings suggest that neuropathic pain should be considered in these patients.
Journal ArticleDOI
Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery
Elizabeth G. VanDenKerkhof,Wilma M. Hopman,Michelle L. Reitsma,David H. Goldstein,Rosemary Wilson,Paul Belliveau,Ian Gilron +6 more
TL;DR: A substantial burden of persistent pain, healthcare utilization, and decreased HRQOL is suggested in this surgical population following abdominal gastrointestinal surgery.
References
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Journal ArticleDOI
Measuring the thickness of the human cerebral cortex from magnetic resonance images
Bruce Fischl,Anders M. Dale +1 more
TL;DR: An automated method for accurately measuring the thickness of the cerebral cortex across the entire brain and for generating cross-subject statistics in a coordinate system based on cortical anatomy is presented.
Journal ArticleDOI
A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man.
Gary J. Bennett,Y.-K. Xie +1 more
TL;DR: A peripheral mononeuropathy was produced in adult rats by placing loosely constrictive ligatures around the common sciatic nerve and the postoperative behavior of these rats indicated that hyperalgesia, allodynia and, possibly, spontaneous pain were produced.
Book
Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms
Journal ArticleDOI
Comparison of Upper Gastrointestinal Toxicity of Rofecoxib and Naproxen in Patients with Rheumatoid Arthritis
Claire Bombardier,Loren Laine,Alise S. Reicin,Deborah R. Shapiro,Ruben Burgos-Vargas,Barry R. Davis,Richard O. Day,Marcos Bosi Ferraz,Christopher J. Hawkey,Marc C. Hochberg,Tore K Kvien,Thomas J. Schnitzer +11 more
TL;DR: In patients with rheumatoid arthritis, treatment with rofecoxib, a selective inhibitor of cyclooxygenase-2, is associated with significantly fewer clinically important upper gastrointestinal events than treatment with naproxen, a nonselective inhibitor.
Journal ArticleDOI
Neuronal plasticity: increasing the gain in pain.
TL;DR: Here, a conceptual framework for the contribution of plasticity in primary sensory and dorsal horn neurons to the pathogenesis of pain is developed, identifying distinct forms of Plasticity, which are term activation, modulation, and modification, that by increasing gain, elicit pain hypersensitivity.