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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
Postoperative Pain After Breast Cancer Surgery: Prevalence and Predictors
Ahmad Arraqap1,2,3, Esam Farhoud1,2,3, Laila Alhafez1,2,3
1Ahmad Arraqap, MBBS, is an Anesthesiology Consultant at the Jordanian Board of Anesthesia, King Hussein Cancer Center, Amman, Jordan.
Postoperative pain is common after breast cancer surgery in Jordan. Younger patients, those with chronic opioid use, and those not receiving preemptive analgesia reported higher pain levels.
Area of Science:
- Oncology
- Pain Management
- Surgical Outcomes
Background:
- Postoperative pain is a significant issue following breast cancer surgery.
- Effective pain management is crucial for patient recovery and quality of life.
Purpose of the Study:
- To investigate the prevalence and predictors of postoperative pain severity in Jordanian women undergoing breast cancer surgery.
- To identify factors influencing pain at rest and during movement within 24 hours post-surgery.
Main Methods:
- A survey was conducted with 212 women who underwent mastectomy or partial mastectomy for breast cancer in Jordan.
- Demographic and clinical data were collected, and postoperative pain was assessed within 24 hours.
- Multiple regression analysis was used to identify predictors of pain severity.
Main Results:
- Over 31% reported moderate to severe pain at rest, and 60.4% experienced moderate to severe pain with movement.
- Significant predictors of pain at rest included younger age, chronic opioid use, and lack of preemptive medication.
- Pain with movement was predicted by younger age, chronic opioid use, lack of preemptive medication, and non-use of nonsteroidal anti-inflammatory drugs.
Conclusions:
- Postoperative pain is a substantial concern for breast cancer patients in Jordan.
- Younger age, history of chronic opioid use, and absence of preemptive analgesia are associated with increased postoperative pain.
- Targeted pain management strategies are needed for high-risk patient groups.
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