Universität zu Köln

Simanski, Christian J. P., Althaus, Astrid, Hoederath, Sascha, Kreutz, Kerry W., Hoederath, Petra, Lefering, Rolf, Pape-Koehler, Carolina and Neugebauer, Edmund A. M. (2014). Incidence of Chronic Postsurgical Pain (CPSP) after General Surgery. Pain Med., 15 (7). S. 1222 - 1230. OXFORD: OXFORD UNIV PRESS. ISSN 1526-4637

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Abstract

Objective. This study investigated the incidence and determinants of chronic postsurgical pain (CPSP) in a general surgical patient population. Design. This is a prospective cross-sectional study at a university-affiliated clinic/level 1 trauma center. Patients were followed at least 1 year postoperatively. By surgical discipline, procedures were 50% orthopedic/trauma, 33% general (abdominal/visceral), and 17% vascular. Setting. All patients admitted during one year (N = 3020) were eligible. Exclusion criteria were cognitive impairment, communication/language barrier, nonoperative treatment, and refusal to participate. A CPSP questionnaire was completed. Step-by-step analysis followed with a 2nd questionnaire to detect CPSP with numeric rating scale (NRS) pain intensity >= 3. Finally, individual follow-up examinations were performed. Results. 911 patients responded (30.2%). 522 complained of pain intensity >= 3 on NRS (scale 0-10). The second step identified 214 patients with chronic pain (NRS >= 3, mean 29 months postoperatively). On final examination, 83 CPSP patients (14.8%) were identified. By surgical discipline, 28% were general, 15% vascular, and 57% trauma/orthopedic surgery. Most oftenly cited pain sites were joint (49.4%), incisional/scar (37.7%), and nerve pain (33.7%). By procedure, patients underwent pelvic surgery, colon surgery, laparoscopies, inguinal herniorrhaphies, arthroscopies, and hardware extractions. All patients in the laborer and unemployed categories reported chronic pain. Conclusion. Bias due to study design and/or heterogeneity of patients is possible, but there was a high CPSP rate after 2 years both generally and particularly in orthopedic/trauma (57%) patients. Both major and minor surgical procedures led to CPSP.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Simanski, Christian J. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Althaus, Astrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoederath, Sascha UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreutz, Kerry W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoederath, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Pape-Koehler, Carolina UNSPECIFIED UNSPECIFIED UNSPECIFIED Neugebauer, Edmund A. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-434391
DOI:	10.1111/pme.12434
Journal or Publication Title:	Pain Med.
Volume:	15
Number:	7
Page Range:	S. 1222 - 1230
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1526-4637
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTOPERATIVE PAIN; RISK-FACTORS; THORACIC-SURGERY; CARDIAC-SURGERY; PREDICTORS; TRANSITION; MANAGEMENT; MODERATE Multiple languages Anesthesiology; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43439