scholarly journals Development of a screening instrument for risk factors of persistent pain after breast cancer surgery

2012 ◽  
Vol 107 (9) ◽  
pp. 1459-1466 ◽  
Author(s):  
R Sipilä ◽  
A-M Estlander ◽  
T Tasmuth ◽  
M Kataja ◽  
E Kalso

Pain Medicine ◽  
2019 ◽  
Vol 20 (9) ◽  
pp. 1803-1814
Author(s):  
Daniel L C Chiang ◽  
David A Rice ◽  
Nuala A Helsby ◽  
Andrew A Somogyi ◽  
Michal T Kluger

Abstract Objective Few Australasian studies have assessed persistent pain after breast cancer surgery. This study aims to evaluate the prevalence, impact, and risk factors of moderate to severe persistent pain after breast cancer surgery in a New Zealand population. Methods Retrospective cross-sectional study of patients who underwent breast cancer surgery between six and 48 months previously. Validated questionnaires were used to assess pain prevalence and impact, psychological distress, and upper limb function. Patients’ clinical records were assessed for potential risk factors. Results Of the 375 patients who were sent questionnaires, 201 were included in the study. More than half of the patients (N = 111, 55%) reported breast surgery related–persistent pain, with 46 (23%) rating the pain as moderate to severe. Neuropathic pain was reported by 21 (46%) patients with moderate to severe pain. Pain interference, upper limb dysfunction, and psychological distress were significantly higher in patients with moderate to severe pain (P < 0.001). Non-European ethnicity (odds ratio [OR] = 5.02, 95% confidence interval [CI] = 2.05–12.25, P < 0.001), reconstruction surgery (OR = 4.10, 95% CI = 1.30–13.00, P = 0.02), and axillary node dissection (OR = 4.33, 95% CI = 1.19–15.73, P < 0.03) were identified as risk factors for moderate to severe pain by multivariate logistic regression analysis. Conclusions Moderate to severe persistent pain after breast cancer surgery affects many New Zealand patients, and is associated with impaired daily life activities, physical disability, and psychological distress. Large numbers of patients undergo breast cancer surgery annually. This study emphasizes the importance of identification and management of these patients perioperatively.



Author(s):  
Abdulrahman Alosaimi ◽  
Naif Alosaimi ◽  
Sami Alosaimi ◽  
Anmar Muhaysin ◽  
Khalid Althobaiti


2006 ◽  
Vol 7 (9) ◽  
pp. 626-634 ◽  
Author(s):  
Ellen L. Poleshuck ◽  
Jennifer Katz ◽  
Carl H. Andrus ◽  
Laura A. Hogan ◽  
Beth F. Jung ◽  
...  




2019 ◽  
Vol 26 (4) ◽  
pp. 825-828 ◽  
Author(s):  
Chul‐Hyun Cho ◽  
Kyoung‐Lak Lee ◽  
Jihyoung Cho ◽  
Duhan Kim


PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0166601 ◽  
Author(s):  
Noud van Helmond ◽  
Monique A. Steegers ◽  
Gertie P. Filippini-de Moor ◽  
Kris C. Vissers ◽  
Oliver H. Wilder-Smith


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