Gender and pain upon movement are associated with the requirements for postoperative patient-controllediv analgesia: a prospective survey of 2,298 Chinese patients

Chia, Yuan-Yi; Chow, Lok-Hi; Hung, Chun Chieh; Liu, Kang; Ger, Luo Ping; Wang, Pei Ning

doi:10.1007/bf03020523

Cited by 155 publications

(95 citation statements)

References 23 publications

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“…Ethnic influences in the postoperative morphine consumption that may be another reason for this difference. So, ethnic influences can be a contributing factor because our patient's requirements were comparable with the Asian studies conducted on Chinese patients by Tsui et al, [8] and Chia et al, [9]. Tsui et al, had found that the mean morphine consumption in the first 16 h and 17-41 h postoperatively were 25.7 and 17.8 mg respectively.…”

Section: Discussionsupporting

confidence: 79%

Influences of Gender on Postoperative Morphine Consumption

Periasamy

Poovathai

Pondiyadanar

2014

JCDR

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Section: Discussionsupporting

confidence: 79%

Influences of Gender on Postoperative Morphine Consumption

Periasamy

Poovathai

Pondiyadanar

2014

JCDR

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“…However, in adolescent patients using PCA morphine in the postoperative period, no difference was seen between male and female patients in average daily pain ratings (Logan & Rose, 2004 Level III-2). In a study of Chinese patients, females consumed significantly less morphine than males (Chia et al, 2002 Level III-2).…”

Section: Gendermentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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“…Abdominal hysterectomies have been associated with higher acute postsurgical pain than vaginal hysterectomies, 32 as open abdominal surgeries are among the most painful surgical procedures. 15,35 Vaginal route 42,78 or laparoscopic 14,24,52 approaches to hysterectomy should be considered when possible.…”

Section: Demographic and Clinical Baseline Predictorsmentioning

confidence: 99%

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

Pinto

McIntyre

Nogueira‐Silva

et al. 2012

The Journal of Pain

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Persistent postsurgical pain (PPSP) is a major clinical problem with significant individual, social, and healthcare costs. The aim of this study was to examine the role of demographic, clinical, and psychological risk factors in the development of PPSP after hysterectomy due to benign disorders. In a prospective study, a consecutive sample of 186 women was assessed 24 hours before surgery (T1), 48 hours after surgery (T2), and 4 months after surgery (T3). Regression analyses were performed to identify predictors of PPSP. Four months after hysterectomy, 93 (50%) participants reported experiencing pain (numerical rating scale >0). Age, pain due to other causes, and type of hysterectomy emerged as significant predictive factors. Baseline presurgical psychological predictors identified were anxiety, emotional illness representation of the condition leading to surgery, and pain catastrophizing. Among the identified psychological predictors, emotional illness representation emerged as the strongest. Acute postsurgical pain frequency and postsurgical anxiety also revealed a predictive role in PPSP development. These results increase the knowledge on PPSP predictors and point healthcare professionals toward specific intervention targets such as anxiety (presurgical and postsurgical), pain catastrophizing, emotional illness representations, and acute pain control after surgery.Perspective: This study found that presurgical anxiety, emotional illness representations, and pain catastrophizing are risk factors for PPSP 4 months after hysterectomy, over and above age and clinical variables. These findings improve knowledge on PPSP and highlight potential intervention targets for healthcare professionals.

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Gender and pain upon movement are associated with the requirements for postoperative patient-controllediv analgesia: a prospective survey of 2,298 Chinese patients

Cited by 155 publications

References 23 publications

Influences of Gender on Postoperative Morphine Consumption

Influences of Gender on Postoperative Morphine Consumption

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

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

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