Gender differences in postoperative pain after laparoscopic cholecystectomy

Uchiyama, Kazuhisa; Kawai, Manabu; Tani, Masaji; Ueno, Masaki; Hama, Takashi; Yamaue, Hiroki

doi:10.1007/s00464-005-0406-0

Cited by 55 publications

(44 citation statements)

References 21 publications

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“…It has been described that females have lower pain threshold and tolerance; however it is questioned if this could be due to better females' verbalization and to differences in female endogenous opioid system, which might have lower sensitivity as compared to males and supports our results where 28.57% of females referred postoperative pain as compared to 18.92% of males 5 . Females also refer more severe pain, as found by a different study 7 . The correlation between age and postoperative pain is shown by the literature as inversely proportional 8 , which differs from our findings where the upper age extreme has referred more pain as compared to mean age (40 years).…”

Section: Discussionmentioning

confidence: 79%

Analgesia no pós-cirúrgico: panorama do controle da dor

Moreira¹,

Truppel²,

Kozovits³

et al. 2013

Rev. dor

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Section: Discussionmentioning

confidence: 79%

Analgesia no pós-cirúrgico: panorama do controle da dor

Moreira¹,

Truppel²,

Kozovits³

et al. 2013

Rev. dor

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“…With regard to drugs used, patients receiving opioids had lower prevalence of pain (57%) as compared to those not receiving opioids (63%). However, this correlation was not statistically significant, which may be associated to the fact that different surgical procedures with different nociceptive stimulations were evaluated 18 . In addition, every patient has a different sensitivity to pain and may report different pain intensities for a same procedure 21 .…”

mentioning

confidence: 78%

“…The prevalence of postoperative pain varies widely 18 . Studies have shown that up to 90% of patients submitted to surgical procedures have some type of pain in the first 24 postoperative hours and, if intensity is considered, 40 to 60% of patients report moderate to severe pain 1,2 .…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesia by non-specialists in pain

Bidese¹,

Sakuma²,

Júnior³

et al. 2014

Revista Dor

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BACKGROUND AND OBJECTIVES:Postoperative analgesia is often administered by the assistant physician non-specialist in pain management. This study aimed at evaluating the efficacy of immediate postoperative period analgesia with drugs prescribed by the assistant physician, non-specialist in pain. METHODS: This is a prospective, descriptive and observational study carried out by means of interviews with 186 patients operated in Hospital Santa Cruz. Postoperative pain was evaluated after 12 and 24 hours, in addition to drugs used and possible adverse effects. RESULTS: In the first evaluation, 12 hours after surgery, prevalence of pain was 59%, being 35% from moderate to severe. In the second evaluation, 24 hours after surgery, prevalence of pain was 22% being 12% from moderate to severe. Variables "type of surgery" and "drugs used" have not influenced pain intensity in the postoperative period of 12 hours. However, "type of surgery" has influenced pain intensity (p=0.02) in the postoperative period of 24 hours, being that patients submitted to orthopedic procedures were more likely to report pain (49.57%) as compared to other types of surgery. Opioids had significant association with the presence of adverse effects in the first evaluation (p=0.0001). CONCLUSION: Our data have shown that analgesia with drugs prescribed by physicians non-specialists in pain management was effective when compared to other studies not using specialized pain services. However, a multimodal approach to acute pain management, coordinated by a specialized service, could further decrease this prevalence.

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“…A influência do sexo do paciente na DPO é também destacada em outros estudos (12,16,23,24) , em que normalmente se evidenciam uma maior prevalência para o sexo feminino, mas sob um único tipo de cirurgia e tendo em conta a possibilidade das mulheres verbalizarem a dor com mais facilidade e alegarem com mais facilidade a dor severa (2,16,24) . No presente estudo, houve associações significativas entre o sexo e local ou intensidade da dor, mas não com a prevalência.…”

Section: Discussionunclassified

“…Os pacientes entrevistados e avaliados quanto à analgesia pós-operatória responderam a um questionário individual, semiestruturado (elaborado pelos pesquisadores) e baseado em variáveis de interesse, conforme reportado na literatura (2,11,12,22,23) . Aplicado em local reservado, por um único pesquisador e em voz alta, objetivando-se evitar interpretações errôneas.…”

Section: Métodosunclassified

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

Franco

Sugai

Silva

et al. 2017

RBPS

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Thaís de Carvalho da SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberta Bessa Veloso SilvaUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Roberto Salvador de Souza Guimarães Universidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil Cláudio Daniel Cerdeira Universidade Federal de Alfenas -UNIFAL -Alfenas -(MG) -Brasil Gérsika Bittencourt SantosUniversidade José do Rosário Vellano -UNIFENAS -Alfenas -(MG) -Brasil RESUMOObjetivo: Avaliar a prevalência, os fatores influentes e a magnitude da dor pós-operatória (DPO) em pacientes atendidos em um hospital universitário. Métodos: Realizou-se estudo prospectivo e transversal envolvendo 100 pacientes submetidos a diferentes procedimentos cirúrgicos, no período de março a maio de 2016, entrevistados nas primeiras 24 horas do pós-operatório e avaliados através de uma escala visual numérica (EVN). Resultados: As cirurgias mais comuns encontradas são: cesárea, apendicectomia, prostatectomia, tireoidectomia total e osteossíntese; e as anestesias: raquianestesia e geral balanceada, sendo a prevalência de DPO menor quando usada a raquianestesia. Dos pacientes, 43% (n = 43) declararam DPO, com prevalência de 44% (n = 14) para o sexo masculino e 43% (n = 29) para o feminino. Entre esses, 30% (n = 13) classificaram a DPO como de intensidade forte, 53,5% (n = 23) classificaram como moderada, e 14% (n = 6), leve. Houve maior prevalência de DPO nas faixas etárias de 25-34 e 55-64 anos, e relações causais significativas entre o sexo do paciente e as variáveis diagnóstico, tipo de cirurgia, local ou intensidade da dor. Além disso, o local da DPO relacionou-se com a faixa etária ou tipo de cirurgia, e a intensidade se relacionou com a faixa etária. Conclusão: A dor pós-operatória no hospital universitário em questão se apresentou prevalente em pacientes de ambos os sexos e dependente da faixa etária, da heterogeneidade de procedimentos cirúrgicos e de protocolos anestésicos, sendo a de intensidade moderada a mais identificada.Descritores: Dor; Cirurgia Geral; Prevalência; Epidemiologia.

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Gender differences in postoperative pain after laparoscopic cholecystectomy

Abstract: Early postoperative pain after LC was more severe in female patients, and patients with high VAS scores tended to use analgesics more frequently.

Cited by 55 publications

References 21 publications

Analgesia no pós-cirúrgico: panorama do controle da dor

Analgesia no pós-cirúrgico: panorama do controle da dor

Postoperative analgesia by non-specialists in pain

Dor pós-operatória em hospital universitário: perspectivas para promoção de saúde

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