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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
07:14

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Published on: January 18, 2018

Chronic pain after cardiac surgery: a prospective study.

K H Gjeilo1, P Klepstad, A Wahba

  • 1St Elisabeth Department of Cardiothoracic Surgery, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. kari.hanne.gjeilo@stolav.no

Acta Anaesthesiologica Scandinavica
|August 18, 2009
PubMed
Summary

Chronic pain affects over 10% of patients post-cardiac surgery, impacting their health-related quality of life (HRQOL). This prospective study highlights chronic pain as a significant healthcare concern following cardiac procedures.

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07:14

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Published on: January 18, 2018

Area of Science:

  • Cardiology
  • Pain Medicine
  • Surgical Outcomes

Background:

  • Chronic pain is a known complication following cardiac surgery, with previous studies reporting highly variable prevalence rates (18-61%).
  • Existing research often lacks methodological rigor, utilizing retrospective designs, non-validated pain assessments, or focusing solely on sternal pain.
  • This study addresses the need for robust data on chronic pain and its impact on health-related quality of life (HRQOL) after cardiac surgery.

Purpose of the Study:

  • To prospectively assess the prevalence of chronic pain after cardiac surgery.
  • To evaluate the impact of chronic pain on health-related quality of life (HRQOL) in this patient population.
  • To identify factors associated with chronic pain development post-cardiac surgery.

Main Methods:

  • A prospective, population-based study involving 534 patients undergoing cardiac surgery.
  • Assessment of chronic pain using the Brief Pain Inventory and HRQOL using the Short-Form 36 (SF-36) at baseline, 6 months, and 12 months post-surgery.
  • Analysis of patient demographics and clinical data to identify predictors of chronic pain.

Main Results:

  • A total of 521 patients survived to 12 months post-surgery, with high response rates at 6 and 12 months (89%).
  • The prevalence of chronic pain was 11% at both 6 and 12 months post-surgery, lower than previously reported.
  • Younger age was significantly associated with chronic pain at 12 months (OR 0.7). Patients with chronic pain reported significantly lower HRQOL across seven of eight SF-36 domains.

Conclusions:

  • This study demonstrates a lower prevalence of chronic pain after cardiac surgery compared to prior literature.
  • Despite the lower prevalence, over 10% of patients experience chronic pain, underscoring its significance as a post-operative complication.
  • Chronic pain demonstrably diminishes health-related quality of life, emphasizing the need for targeted interventions and management strategies in cardiac surgery patients.