Pain and disability 1 year after knee arthroscopic procedures

Rosseland, Leiv Arne; Solheim, Nina; Stubhaug, Audun

doi:10.1111/j.1399-6576.2007.01541.x

Cited by 28 publications

(17 citation statements)

References 20 publications

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“…This difference is no longer found at 1 year postoperatively while there is a prevalence of the most important pain in the elderly over 50 years old. In addition, the reduction in quality of life associated with this pain is most important in women at 1 year postoperatively (Rosseland et al, 2008). While the prevalence of pain appears to be greater in women in many areas, pharmacological response (Gear et al, 1999) and non-pharmacological response (Krogstad et al, 1996) to the pain are more important, in particular in the orofacial field.…”

Section: Discussionmentioning

confidence: 99%

ENPP1 and ESR1 genotypes influence temporomandibular disorders development and surgical treatment response in dentofacial deformities

Nicot

Vieira

Raoul

et al. 2016

Journal of Cranio-Maxillofacial Surgery

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Dentofacial deformities are dys-morpho-functional disorders involving the temporomandibular joints (TMJ). Many authors have report a TMJ improvement in dysfunctional subjects with malocclusion after orthodontic or combined orthodontic and surgical treatment particularly for the relief of pain. In particular, few studies have highlighted the demographic and clinical predictors of response to surgical treatment. To date, no genetic factor has yet been identified as a predictor of response to surgical treatment. The aim of this cohort study is therefore to identify single-nucleotide polymorphisms associated with postoperative temporomandibular disorders (TMD) or with TMJ symptoms after orthognathic surgery. Here, we found the AA genotype of SNP rs1643821 (ESR1 gene) as a risk factor for dysfunctional worsening after orthognathic surgery. In addition, we have identified TT genotype of SNP rs858339 (ENPP1 gene) as a protective factor against TMD in a population of patients with dentofacial deformities. Conversely, the heterozygous genotype AT was identified as a risk factor of TMD with respect to the rest of our population. All these elements are particularly important to bring new screening strategies and tailor future treatment.

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Section: Discussionmentioning

confidence: 99%

ENPP1 and ESR1 genotypes influence temporomandibular disorders development and surgical treatment response in dentofacial deformities

Nicot

Vieira

Raoul

et al. 2016

Journal of Cranio-Maxillofacial Surgery

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“…In terms of sex and gender differences in pain response after orthopaedic procedures and/or surgery, studies show less conclusive results, somewhat due to lack of standardization in the measurement of pain [14]. However, there is some evidence that women report more pain postoperatively, more intense pain overall, and reduced activities of daily living due to pain compared to men [45,47]. Whether this difference is due to real differences in actual physical response to pain, due to delays in seeking treatment, or due to the influence of social and psychologic factors (ie, men are supposed to tolerate pain better than women) is unknown [25,31,57].…”

Section: Why Are Sex and Gender Important In Research?mentioning

confidence: 97%

Examining Sex and Gender Disparities in Total Joint Arthroplasty

Novicoff

Saleh

2011

Clinical Orthopaedics &Amp; Related Research

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Background Total joint arthroplasty (TJA) is remarkably successful for treating osteoarthritis: most patients see substantial gains in function. However, there are considerable geographic, racial, and gender variations in the utilization of these procedures. The reasons for these differences are complex. Questions/purposes We examined sex and gender disparities in TJA. Methods Through Medline/PubMed searches, we identified 632 articles and from these selected 61 for our review. Where are we now? A number of factors might explain sex and gender disparities in TJA: underrepresentation in clinical trials, differences in willingness to undergo surgery, pain responses to underlying disease and treatment, patient-physician relationships, treatment preferences, provider-level factors such as physician-patient communication style, and system-level factors such as access to specialist care. Since women have a higher prevalence of arthritis and degenerative joint diseases and overall demand for these procedures will continue to grow, the need to understand why there is a gap in utilization based on gender is imperative. Where do we need to go? Understanding what exactly is meant by ''disparity'' is essential because it is possible anatomic factors may have different impacts on utilization from cultural factors. Ideally, information about these factors should be integrated into the decision-making process so that patients and providers can make the most informed choice about whether or not to undergo the procedure. How do we get there? To better understand all of the potential reasons for how anatomic and cultural factors related to sex and gender might impact decision-making and overall utilization of TJA, more research focusing on these factors must be designed and carried out.

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“…A survey of studies examining sex differences in post-operative and/or procedural pain (including outpatient surgery [18], knee arthroscopic repair [83, 84], and cholecystectomy [26]) reported either no sex difference or greater sensitivity in females [31]. Rarely is it reported that males display increased sensitivity.…”

Section: Sex Differences In Pain and Morphine Analgesiamentioning

confidence: 99%

The neuroanatomy of sexual dimorphism in opioid analgesia

Loyd

Murphy

2014

Experimental Neurology

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The influence of sex has been neglected in clinical studies on pain and analgesia, with the vast majority of research conducted exclusively in males. However, both preclinical and clinical studies indicate that males and females differ in both the anatomical and physiological composition of central nervous system circuits that are involved in pain processing and analgesia. These differences influence not only the response to noxious stimuli, but also the ability of pharmacological agents to modify this response. Morphine is the most widely prescribed opiate for the alleviation of persistent pain in the clinic; however, it is becoming increasingly clear that morphine is less potent in women compared to men. This review highlights recent research identifying neuroanatomical and physiological dimorphisms underlying sex differences in pain and opioid analgesia, focusing on the endogenous descending pain modulatory circuit.

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Pain and disability 1 year after knee arthroscopic procedures

Abstract: Persistent pain after knee arthroscopy may be a significant health care problem. Age and female gender are independent risk factors for pain and disability 1 year after surgery.

Cited by 28 publications

References 20 publications

ENPP1 and ESR1 genotypes influence temporomandibular disorders development and surgical treatment response in dentofacial deformities

ENPP1 and ESR1 genotypes influence temporomandibular disorders development and surgical treatment response in dentofacial deformities

Examining Sex and Gender Disparities in Total Joint Arthroplasty

The neuroanatomy of sexual dimorphism in opioid analgesia

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