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Related Experiment Videos

Predictors and consequences of multiple persistent postmastectomy pains.

Ian Kudel1, Robert R Edwards, Sharon Kozachik

  • 1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.

Journal of Pain and Symptom Management
|July 17, 2007
PubMed
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Persistent postmastectomy pain is common. Reporting multiple pain types, especially "other mastectomy-related pain," significantly increases disability and distress in breast cancer survivors.

Area of Science:

  • Oncology
  • Pain Medicine
  • Rehabilitation

Background:

  • Persistent postmastectomy pain affects many breast cancer survivors.
  • Previous research has limited understanding of predictors and functional impacts of multiple pain types.

Purpose of the Study:

  • To investigate predictors and functional impact of multiple postmastectomy pain types.
  • To assess the relationship between pain types, disability, and distress.

Main Methods:

  • Surveyed 278 women years after mastectomy.
  • Assessed phantom breast pain, scar pain, and other mastectomy-related pain.
  • Measured pain-related physical function and psychosocial distress.

Main Results:

  • All three pain types were highly correlated.

Related Experiment Videos

  • Increased number of pain types correlated with greater disability and distress.
  • "Other mastectomy-related pain" uniquely predicted disability and distress.

    • Conclusions:

    • Formal assessment of multiple postmastectomy pain types is recommended.
    • Focusing on "other mastectomy-related pains" may improve outcomes.
    • The number of pain types reported is a key predictor of functional outcomes.