Incidence and Risk Factors for Acute Postoperative Pain in Patients With Lung Cancer

Area of Science:

• Oncology
• Pain Management
• Thoracic Surgery

Background:

• Acute postoperative pain (APSP) is a common complication following lung cancer surgery.
• Effective pain management is crucial for patient recovery and quality of life.
• Understanding risk factors is essential for personalized analgesic strategies.

Purpose of the Study:

• To determine the incidence of APSP in lung cancer patients.
• To identify independent risk factors associated with APSP.
• To inform the development of precise and multimodal pain management plans.

Main Methods:

• Prospective case-control study involving 200 lung cancer patients.
• Data collection included demographics, psychological state (HADS, PSQI, PCS), and quantitative sensory testing.
• Risk factors for APSP (NRS ≥ 4) were analyzed using univariate and binary logistic regression.

Main Results:

• The incidence of APSP was 29.5% (59 out of 200 patients).
• Independent risk factors for APSP included female sex, drinking history, preoperative pain score, preoperative anxiety, and surgical history.
• Average age was 55.91 ± 10.42 years; average BMI was 23.17 ± 2.81 kg/m².

Conclusions:

• Female sex, drinking history, surgical history, preoperative pain, and anxiety are significant predictors of poor postoperative pain control.
• These factors should be actively managed to optimize pain management.
• Individualized analgesia incorporating preventive measures and perioperative care is recommended.