A prospective cohort study comparing early opioid requirement between Chinese from Hong Kong and Caucasian Australians after major abdominal surgery

Abstract

Chinese patients in Hong Kong required less opioid and experienced greater pain intensity and pruritus than Caucasian patients. Clinicians should consider differences in the side-effect profile of morphine and patient expectations related to pain control when planning postoperative analgesia for patients of Chinese ethnicity.

A Cross-Sectional Exploratory Survey of Knowledge, Attitudes and Daily Self-Reported Pain Assessment Practice among Nurses in Mainland China

“…This is likely to reflect knowledge deficit but may also be influenced by specific cultural beliefs. It is known that Chinese patients from Hong Kong compared to Caucasian patients from Australia are more likely to expect severe pain after major surgery and are more comfortable if others control their pain management in the setting of patient controlled analgesia . This is in keeping with observations that Chinese patients are passive and tend to not complain of severe pain.…”

“…This is in keeping with observations that Chinese patients are passive and tend to not complain of severe pain. Chinese nurses from Hong Kong, compared with nurses from Australia are also more likely to expect severe pain in their patients after major surgery . This may be a reflection of current circumstances in China where pain is inadequately managed.…”

Thoracic Paravertebral Block and Its Effects on Chronic Pain and Health-Related Quality of Life After Modified Radical Mastectomy

“…The latter may explain why early postoperative pain scores were comparable among the groups in this study. Ethnic or racial differences in pain perception, 18 analgesic consumption, 18 and gene polymorphism for the Data are presented as mean (SD). Chronic pain score at rest at all sites was different between the 3 study groups (P = 0.009) but not different over the operated site only (P = 0.15) over time.…”

Effect of cultural background and healthcare environment on postoperative opioid requirement

“…[2][3][4][5] Our group have recently reported findings from a prospective cohort comparing opioid requirement and postoperative pain in a matched group of 136 Chinese patients from Hong Kong and Caucasian patients in Melbourne who received major surgery. 8 Although Chinese patients from Hong Kong required less morphine, they rated their intensity of pain significantly higher than Australian Caucasians. Chinese patients also reported more pruritus and were equally satisfied with pain management.…”