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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Lagged effect of Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance on subacute
Krista B Highland1,2, James Parry3, Michael Kent4
1Department of Anesthesiology, Uniformed Services University, Bethesda, Maryland, USA.
Summary
Sleep disturbance before and after orthopedic surgery is linked to worse pain and sleep outcomes. Addressing sleep issues may improve recovery after sports surgery.
Area of Science:
- Orthopedics
- Sleep Medicine
- Rehabilitation Science
Background:
- Sleep disturbance is a modifiable risk factor impacting postsurgical recovery.
- A bidirectional relationship exists between pain and sleep both before and after surgery.
Purpose of the Study:
- To investigate the uni- or bidirectional relationships between sleep disturbances and pain behavior in patients undergoing sports orthopedic surgery.
- To analyze these relationships in active duty service members.
Main Methods:
- Observational, longitudinal cohort study of 296 adult active duty service members undergoing shoulder or knee surgery.
- Utilized PROMIS Sleep Disturbance and Pain Behavior computer adaptive testing pre-surgery, 6 weeks, and 3 months post-surgery.
- Employed nonparametric bivariate statistics and autoregressive/cross-lagged structural equation modeling.
Main Results:
- Presurgical and 2-week postsurgical sleep disturbance positively correlated with subsequent sleep disturbance and pain behavior.
- Sleep disturbance demonstrated a significant association with pain-related functioning and quality of life post-surgery.
Conclusions:
- Sleep disturbance may negatively influence pain-related outcomes and quality of life following sports orthopedic surgery.
- Further research with multidimensional patient-reported outcomes is needed to confirm the efficacy of sleep-targeted interventions for improving surgical outcomes.
Keywords:
knee arthroscopypain managementshoulder arthroscopysleep disturbancesports orthopedics surgeryMore Related Videos
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