Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic

Abstract

Surgery and trauma are recognised as important causes of chronic pain, although their overall contribution has not been systematically studied. This paper reports on the contribution of surgery and trauma to chronic pain among 5130 patients attending 10 outpatient clinics located throughout North Britain. Surgery contributed to pain in 22.5% of patients, and was particularly associated with the development of pain in the abdomen and with anal, perineal and genital pain. Trauma was a cause of pain in 18.7% of patients, and was most common in pain in the upper limb, the spine and the lower limb. Patients with chronic pain associated with trauma are on average younger than those with chronic post-surgical pain. Further, and unusually for pain conditions, the trauma patients show an excess of males over females. These findings indicate that it can be unhelpful for pain classification systems to combine surgery and trauma in a single category. The results also point to areas for potentially fruitful research into the aetiology of chronic pain. In particular, studies are needed to identify the operative procedures associated with the development of pain so that preventive measures can be implemented.

Prevention of chronic pain after surgery: new insights for future research and patient care

“…9,10 It is critical to recognize that a patient may report persistent pain (e.g., beyond two to three months) after surgery in several very different situations: 1) if the patient was previously pain free but has now developed a new chronic pain syndrome; 2) if previous pain at the site of surgery (e.g. low back, hip, knee) still remains; or 3) if the patient previously suffered from a chronic pain syndrome -unrelated to the surgery -and the pain persists.…”

Risk Factors for Persistent Postsurgical Pain in Women Undergoing Hysterectomy Due to Benign Causes: A Prospective Predictive Study

“…72 Although acute pain is an anticipated and expected outcome after surgery, individual, social, and healthcare costs. 37,62,77 This often underreported problem is sometimes considered a ''silent epidemy'' 87 and has recently been recognized as a possible and common consequence of several types of surgeries, 17,[49][50][51] leading to increasing research in this area. 50,76 Incidence rates of PPSP depend on the type of surgery and range from 10 to 60%.…”

Pencegahan nyeri kronis pasca operasi

“…Dalam sebuah studi yang dilakukan pada 5130 pasien pasca operasi dan trauma, sebanyak 22,5% pasien mengalami nyeri pasca operasi. 1 Salah satu jenis tindakan operasi yang paling sering menimbulkan terjadinya nyeri kronis pasca operasi adalah tindakan amputasi dengan insiden sebesar 85% diikuti dengan tindakan operasi di regio thoraks (sebesar 65%) dan regio jantung (sebesar 55%). 2 Nyeri kronis yang timbul pasca operasi berdampak pada timbulnya gangguan kesehatan mental dan menurunnya kualitas hidup yang signifikan.…”