Severity of acute pain after breast surgery is associated with the likelihood of subsequently developing persistent pain

The Clinical Journal of Pain
Oonagh T HickeyGeorge Declan Shorten

Abstract

Persistent postsurgical pain (PPSP) after surgery for breast cancer has a prevalence of 20% to 52%. Neuroplastic changes may play a role in the aetiology of this pain. The principal objective of this study was to examine the relationship between acute pain after surgery for breast cancer and the likelihood of subsequently developing PPSP. Twenty-eight women undergoing surgery for breast cancer completed visual analogue scales for pain and anxiety, the McGill Pain Questionnaire (long form) and the Hospital Anxiety and Depression Scale. Analgesic requirements and adverse effects of analgesic therapy were noted. Quantitative sensory testing was carried out perioperatively using an electrical stimulus, and the sensation perception, pain perception, and pain tolerance thresholds were measured bilaterally at the T4 dermatomes and at the contralateral L5 dermatome. Patients with and without PPSP 3 months postoperatively were compared in terms of these parameters. Eight participants (28.6%) reported PPSP. Those who subsequently developed PPSP reported greater pain scores on the McGill Pain Questionnaire 5 days postoperatively than those that did not (pain rating index, P=0.014; present pain intensity, P=0.032). None had sought medical ...Continue Reading

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Citations

May 15, 2012·Current Pain and Headache Reports·Nancy L Wells, Victoria Sandlin
Apr 11, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Christian J P SimanskiEdmund A M Neugebauer
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Dec 7, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Patrick James TigheRoger Fillingim
May 21, 2013·The Journal of Pain : Official Journal of the American Pain Society·Anne Masselin-DuboisSophie Baudic
Apr 21, 2012·The Journal of Pain : Official Journal of the American Pain Society·Birha McCannBradley E Aouizerat
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Oct 28, 2017·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Muska KhpalDelilah Hassanally

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