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[Chronic postsurgical pain].

V Martinez1, S Baudic, D Fletcher

  • 1Service d'anesthésie-réanimation, hôpital Raymond-Poincaré, Assistance publique-Hôpitaux de Paris, 104, boulevard Raymond-Poincaré, 92380 Garches, France. valeria.martinez@rpc.aphp.fr

Annales Francaises D'Anesthesie Et De Reanimation
|June 11, 2013
PubMed
Summary
This summary is machine-generated.

Chronic postsurgical pain (CPSP) affects 10-50% of patients after surgery and is a significant public health issue. Early diagnosis, prevention strategies, and anesthesiologist involvement are crucial for managing CPSP.

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Area of Science:

  • Pain Medicine
  • Anesthesiology
  • Surgical Outcomes

Context:

  • Chronic postsurgical pain (CPSP) is a prevalent complication following various surgical procedures.
  • The incidence of CPSP ranges from 10% to 50% of patients, with severe cases affecting 5-10%.
  • CPSP is often underdiagnosed and undertreated, representing a significant public health concern.

Purpose:

  • To provide an updated review of the epidemiology, impact, predictive factors, and prevention of chronic postsurgical pain.
  • To synthesize current knowledge on the neurophysiological and psychological aspects of CPSP development.
  • To highlight the role of anesthesiologists in managing CPSP.

Summary:

  • The review analyzed English and French literature from 1998-2013 focusing on CPSP epidemiology, incidence, risk factors, and prevention.
  • Studies indicate CPSP affects a substantial patient population, with neuropathic pain being a significant component.
  • Advances in understanding risk factors and the potential for pharmacological prevention have emerged, though further research is needed.

Impact:

  • Improved understanding of CPSP risk factors and pathophysiology.
  • Enhanced strategies for the prevention and early detection of chronic postsurgical pain.
  • Emphasizes the critical role of anesthesiologists in the multidisciplinary approach to CPSP management.