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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Chronic Postsurgical Pain.

Steven R Wooden

    Annual Review of Nursing Research
    |December 10, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Chronic postsurgical pain (CPSP) is a persistent pain state after surgery, often complex and not solely due to nerve injury. Research is advancing prevention and treatment strategies for this challenging condition.

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    Area of Science:

    • Pain Medicine
    • Surgical Outcomes
    • Neurology

    Background:

    • Chronic postsurgical pain (CPSP) is persistent pain >2 months post-op, unexplained by other factors.
    • CPSP complicates surgical recovery and is often linked to nerve injury, though identifiable injury occurs in only a third of cases.
    • The complexity of CPSP suggests mechanisms beyond simple surgical nerve damage.

    Purpose of the Study:

    • To explore the complex nature of chronic postsurgical pain.
    • To review current understanding of CPSP causes and contributing factors.
    • To highlight challenges and progress in CPSP prevention and treatment.

    Main Methods:

    • Literature review of studies on chronic postsurgical pain.
    • Analysis of factors contributing to CPSP incidence in various surgical procedures.
    • Synthesis of current research on pain mechanisms and patient outcomes.

    Main Results:

    • Identifiable nerve injury explains only one-third of CPSP cases, indicating multifactorial causes.
    • Certain surgical procedures have a high incidence of CPSP, aiding in identifying risk factors.
    • Preventative measures and definitive treatments for CPSP remain challenging but show some progress.

    Conclusions:

    • CPSP is a complex condition with multifactorial origins, not solely attributable to surgical nerve injury.
    • Further research is needed to elucidate the precise mechanisms and develop effective interventions.
    • Progress in prevention and treatment strategies for CPSP is ongoing.