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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Journal ArticleDOI
Chronic postsurgical pain: still a neglected topic?
Igor Kissin,Simon Gelman +1 more
TL;DR: Chronic postsurgical pain is still a neglected topic, except for pain after herniorrhaphy, and it was demonstrated that insufficient representation of this topic existed in 1981–2000, especially in surgical journals and textbooks.
Journal ArticleDOI
Persistent pain following common outpatient surgeries in children: A multicenter study in Italy.
Valeria Mossetti,Karen Boretsky,Marinella Astuto,Bruno Guido Locatelli,David Zurakowski,Rodolfo Lio,Roberta Nicoletti,Valter Sonzogni,Micol Maffioletti,Noemi Vicchio,Giorgio Ivani +10 more
TL;DR: The prevalence of persistent postsurgical pain in children is over 20% after major surgeries; however, data are scarce on the prevalence, character, and risk factors among children undergoing common ambulatory surgeries.
Journal ArticleDOI
Transitional Pain Medicine: novel pharmacological treatments for the management of moderate to severe postsurgical pain
TL;DR: Patients discharged with complex pain reflect gaps in care following surgery, andrelieved pain, hospital readmission, and persistent opioid use in patients discharged withcomplex pain reflect Gap in Care following surgery.
Journal ArticleDOI
Persistent Pain and Neurosensory Disturbance After Dental Implant Surgery: Prevention and Treatment
TL;DR: Insight is provided into the prevention and management of neurosensory deficits and chronic persistent neuropathic pain and considerations for patient referral.
Journal ArticleDOI
Development of a clinical risk score for pain and function following total knee arthroplasty: results from the TRIO study.
Joanna Shim,David J. McLernon,David F. Hamilton,Hamish A Simpson,Marcus Beasley,Gary J. Macfarlane +5 more
TL;DR: A clinical prediction model that can be used to identify patients at high risk of a poor outcome after total knee arthroplasty is developed and validated, and may be an aid to shared decision-making between patient and clinician.
References
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