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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Toward Identifying Moderators of Associations Between Presurgery Emotional Distress and Postoperative Pain Outcomes: A Meta-Analysis of Longitudinal Studies
TL;DR: A meta-analysis indicates presurgery emotional distress has significant associations with postoperative outcomes but specific methodological factors and sample characteristics contribute to effect size variability in the literature.
Journal ArticleDOI
Acute pain trajectories and the persistence of post-surgical pain: a longitudinal study after total hip arthroplasty
M. Gabrielle Pagé,Joel Katz,Kathryn Curtis,Noga Lutzky-Cohen,E. Manolo Romero Escobar,Hance Clarke +5 more
TL;DR: During the postoperative period patients differed in terms of pain intensity profiles and that these differences were associated with outcomes for up to 6 weeks following surgery, but pain trajectories were not predictive of persistent postoperative pain status at 6 months.
Journal ArticleDOI
Continuous regional anaesthesia provides effective pain management and reduces opioid requirement following major lower limb amputation
Oliver Ayling,Janice Montbriand,Jiao Jiang,Salima S.J. Ladak,Lindsay Love,Naomi Eisenberg,Joel Katz,Joel Katz,Hance Clarke,Graham Roche-Nagle +9 more
TL;DR: Continuous perineural infusions of local anesthetic are a safe and effective method for reducing post-amputation opioid analgesic medications after major lower limp amputation.
Journal ArticleDOI
Preoperative cognitive-behavioural intervention improves in-hospital mobilisation and analgesic use for lumbar spinal fusion patients.
Nanna Rolving,Claus Vinther Nielsen,Finn B. Christensen,Randi Holm,Cody Bünger,Lisa Gregersen Oestergaard,Lisa Gregersen Oestergaard +6 more
TL;DR: Participation in a preoperative CBT intervention appeared to facilitate mobility in the acute postoperative phase, despite equally high levels of self-reported acute postsurgical pain in the two groups, and a slightly lower intake of rescue analgesics in the CBT group.
Journal ArticleDOI
Prädiktoren für chronische Schmerzen nach Operationen
A. Schnabel,E. Pogatzki-Zahn +1 more
TL;DR: In this paper, the authors focus on the identification of Schmerzchronifizierung beizutragen, e.g., patienten, die sich einer Thorakotomie, Brust- or Leistenhernienoperation unterziehen mussen.
References
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Comparison of Upper Gastrointestinal Toxicity of Rofecoxib and Naproxen in Patients with Rheumatoid Arthritis
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