Biopsychosocial correlates of persistent postsurgical pain in women with endometriosis

Carey, Erin T.; Martin, Caitlin E.; Siedhoff, Matthew T.; Bair, Eric; As‐Sanie, Sawsan

doi:10.1016/j.ijgo.2013.07.033

Cited by 65 publications

(33 citation statements)

References 25 publications

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“…When evaluating differences in pain intensity within the postoperative setting, it is important to consider the multiple variables that influence the pain experience, including preoperative pain, psychological status, pain modulatory function, the degree of tissue injury posed by the surgery, and the patient's response to analgesic interventions [7,[30][31][32][33][34]. All of these factors (and more) interact within an individual patient to generate a rating of pain intensity, which can generate skepticism regarding the value of simple self-report measures of pain, such as the NRS.…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in the Incidence of Severe Pain Events Following Surgery: A Review of 333,000 Pain Scores

2014

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Objective/Background Prior work has not addressed sex differences in the incidence of severe postoperative pain episodes. The goal of this study was to examine sex differences in clinical postoperative pain scores across an array of surgical procedures using direct comparisons of numeric rating scale pain scores as well as using the incidence of severe pain events (SPEs). Design/Setting Retrospective cohort study of over 300,000 clinical pain score observations recorded from adult patients undergoing nonambulatory surgery at a tertiary care academic medical center over a 1-year period. Methods/Patients To test the hypothesis that the number of SPE on postoperative day (POD) 1 differed by sex after controlling for procedure, we calculated Cochran–Mantel–Haenszel statistics of sex by count of SPE, controlling for type of surgery. Assessment Tools/Outcomes Pain scores were collected from clinical nursing records where they were documented using the numeric rating scale. Results In female patients, 10,989 (25.09%) of 43,806 POD 1 pain scores were considered SPE compared with 10,786 (22.45%) of 48,055 POD 1 pain scores in male patients. This produced an overall odds ratio of 1.16 (99% confidence interval 1.11–1.20) for females vs males to report an SPE for a pain score on POD 1. Estimates of the odds that a given pain observation represents an SPE for female vs male patients after controlling for type of surgery yielded an odds ratio of 1.14 (99% confidence interval, 1.10–1.19). Conclusion Female patients experience greater mean pain scores, as well as a higher incidence of SPE, on POD 1 for a variety of surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Sex Differences in the Incidence of Severe Pain Events Following Surgery: A Review of 333,000 Pain Scores

2014

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“…96 Any such PROM should include measures of other factors contributing to the pain experience such as psychological state and pain catastrophizing as these have also been shown to contribute to perceived quality of life 97,98 and success of treatment. 99,100 Two new animal models have been used to investigate the link between estrogen and pain. Evidence that estrogenic ligands may directly regulate factors such as Slits 101 and production of inflammatory factors by macrophages 102 known to regulate nerve cell migration has been obtained using the new mouse model, demonstrating its potential as a platform for basic research and testing of potential therapies to treat endometriosis-associated pain using Von Frey and other techniques.…”

Section: Painmentioning

confidence: 99%

Research Priorities for Endometriosis: Recommendations From a Global Consortium of Investigators in Endometriosis

et al. 2017

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The 3rd International Consensus Workshop on Research Priorities in Endometriosis was held in São Paulo on May 4, 2014, following the 12th World Congress on Endometriosis. The workshop was attended by 60 participants from 19 countries and was divided into 5 main sessions covering pathogenesis/pathophysiology, symptoms, diagnosis/classification/prognosis, disease/ symptom management, and research policy. This research priorities consensus statement builds on earlier efforts to develop research directions for endometriosis. Of the 56 research recommendations from the 2011 meeting in Montpellier, a total of 41 remained unchanged, 13 were updated, and 2 were deemed to be completed. Fifty-three new research recommendations were made at the 2014 meeting in Sao Paulo, which in addition to the 13 updated recommendations resulted in a total of 66 new recommendations for research. The research recommendations published herein, as well as those from the 2 previous papers from international consensus workshops, are an attempt to promote high-quality research in endometriosis by identifying and

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“…Vinte e um estudos avaliaram depressão e ansiedade em pacientes com endometriose, sendo que 11 avaliaram simultaneamente depressão e ansiedade (Cavaggioni et al, 2014;Eriksen et al, 2008;Friedl et al, 2015;Klein et al, 2014;Li, Zhang, Zhu, Hu, & Qu, 2014;Melis et al, 2015;Sepulcri & Amaral, 2009;Smorgick, Marsh, As-Sanie, Smith, & Quint, 2013;Souza et al, 2011;Vercelini et al, 2013;Zhao et al, 2012), nove analisaram depressão isoladamente (Carey, Martin, Siedhoff, Bair, As-Sanie, 2014;Figueiredo & Nascimento, 2008;Fourquet et al, 2010;Guzick, Huang, Broadman, Nealon, & Hornstein, 2011;Lorençatto, Petta, Navarro, Bahamondes, & Matos, 2006;Lorençatto, Vieira, Marques, Pinto, & Petta, 2007;Roth, Punch, & Bachman, 2011;Siedentopf, Tariverdian, Rücke, Kentenich, & Arck, 2008;Broeck et al, 2013) e um apenas ansiedade (Garalejic et al, 2010).…”

Section: Resultsunclassified

“…Outras pesquisas investigaram a associação de ansiedade e/ou depressão com infertilidade (n = 2, Garalejíc et al, 2010; Siedentopf et al, 2008) e dor pélvica (n = 6, Carey et al, 2014;Eriksen et al, 2008;Lorençatto et al, 2006;Lorençatto et al, 2007;Roth et al, 2011;Souza et al, 2011) em mulheres com endometriose. Os níveis de ansiedade também foram medidos em 87 mulheres inférteis com ou sem endometriose em três períodos distintos (um dia antes da operação, na manhã antes da operação e no segundo dia pós-operatório).…”

Section: Resultsunclassified

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Depressão e Ansiedade em Mulheres com Endometriose: Uma Revisão Crítica da Literatura

2016

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Depression and anxiety in women with endometriosis: an critical review This review aims to present the results of studies evaluating the prevalence and / or levels of depression and anxiety in women with endometriosis. For this a literature search was performed in PubMed, LILACS and Web of Science and 21 articles were selected for reading. Of these, eleven analyzed anxiety and depression, simultaneously, only nine depression and one anxiety. It was observed that patients with endometriosis exhibit high levels of depression and anxiety, probably due to frequent pain, infertility, delayed diagnosis and disease recurrence. It is concluded that psychological counseling should be offered to women with endometriosis and this is, therefore, an essential component for the treatment of this gynecological condition.

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Biopsychosocial correlates of persistent postsurgical pain in women with endometriosis

Cited by 65 publications

References 25 publications

Sex Differences in the Incidence of Severe Pain Events Following Surgery: A Review of 333,000 Pain Scores

Sex Differences in the Incidence of Severe Pain Events Following Surgery: A Review of 333,000 Pain Scores

Research Priorities for Endometriosis: Recommendations From a Global Consortium of Investigators in Endometriosis

Depressão e Ansiedade em Mulheres com Endometriose: Uma Revisão Crítica da Literatura

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