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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Dor crônica persistente pós‐operatória: o que sabemos sobre prevenção, fatores de risco e tratamento?
Durval Campos Kraychete,Rioko Kimiko Sakata,Leticia de Oliveira Carvalho Lannes,Igor D. Bandeira,Eduardo Jun Sadatsune +4 more
TL;DR: A dor cronica persistente pos‐operatoria e uma entidade complexa e de etiologia ainda nao esclarecida, that interfere intensamente na vida do sujeito, continuam desafiantes e inapropriados.
Journal ArticleDOI
Neurobiological Effects of Morphine after Spinal Cord Injury
Michelle A. Hook,Sarah A. Woller,Eric A. Bancroft,Miriam Aceves,Miriam Aceves,Mary Katherine Funk,John J. Hartman,Sandra M. Garraway +7 more
TL;DR: This study explores whether IV morphine also increases lesion size after a spinal contusion (T12) injury and quantifies the cell types that are affected by early opioid administration and quantified the expression of neuron, astrocyte, and microglial markers at the injury site.
Journal ArticleDOI
The Psychological Predictors of Acute and Chronic Pain in Women Following Breast Cancer Surgery: A Systematic Review.
TL;DR: Anxiety and psychological robustness emerged as significant predictors of acute pain and distress, and the relationship between depression and chronic postsurgical pain was, at best, mixed.
Journal ArticleDOI
Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery.
Hance Clarke,Varuna Manoo,Emily Pearsall,Akash Goel,Akash Goel,Adina E. Feinberg,Aliza Weinrib,Jenny Chiu,Bansi R Shah,Salima S.J. Ladak,Salima S.J. Ladak,Sarah E. Ward,Sarah E. Ward,Sanjho Srikandarajah,Savtaj S. Brar,Savtaj S. Brar,Robin S. McLeod +16 more
TL;DR: This consensus statement encourages health care providers to use nonopioid therapies and reduce the prescription of opioids so that fewer opioid pills are available for diversion and educate patients and their families/caregivers about pain management options after surgery to optimize quality of care for postoperative pain.
Journal ArticleDOI
Prevention of chronic post-surgical pain: the importance of early identification of risk factors
TL;DR: This review will focus on providing context to the challenging problem of CPSP, and the possible role of both the surgeon and anesthesiologist in reducing the incidence of this problem will be explored.
References
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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
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