“…[29] A similar trend in patient trajectories was found within the TPS at TGH. [8] For this reason, we utilize the revised Canadian chronic neuropathic pain guidelines [30] for patients who have significant acute neuropathic pain in the immediate postoperative time period.…”
Section: Economic Impact From the Development Of Chronic Postsurgicalsupporting
“…[29] A similar trend in patient trajectories was found within the TPS at TGH. [8] For this reason, we utilize the revised Canadian chronic neuropathic pain guidelines [30] for patients who have significant acute neuropathic pain in the immediate postoperative time period.…”
Section: Economic Impact From the Development Of Chronic Postsurgicalsupporting
“…Although data remain scarce, some studies have shown that neuropathic pain can be detected very early after surgery [9,15,18]. In one of those studies, Martinez et al [15] demonstrated the predictive value of a positive DN4 score at 48 hours for the development of neuropathic pain after iliac crest bone harvest.…”
BackgroundPersistent postsurgical pain is a major source of dissatisfaction after knee arthroplasty. Postoperative pain trajectories allow a dynamic view of pain resolution after surgery and might help to identify patients at risk for persistent pain.
“…Neuropathic pain (pain arising as a direct consequence of a lesion or disease affecting the somatosensory system) [2] has been implicated as a major contributor to the development of neuropathic pain [3,4]. A prospective longitudinal study examining patients that experienced intense neuropathic pain in the acute hospital period found that 56Vo of these patients reported chronic neuropathic pain I year postdischarge [5].…”
Purpose Much remains unknown about the relationship between acute postoperative pain and the development of pathologic chronic postsurgical pain (CPSP)
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