Psychological predictors of acute postoperative pain after total knee and hip arthroplasty: A systematic review

Springborg, Anders H.; Visby, Lasse; Kehlet, Henrik; Foss, Nicolai B.

doi:10.1111/aas.14301

Cited by 11 publications

(2 citation statements)

References 52 publications

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“…Previous studies have also shown that PCS was significantly associated with both acute and chronic pain after surgery. 39 , 40 In addition, the emerging pattern of findings supports the view that the relationship between PCS and pain experience could be likely bidirectional, as the experience of pain could give rise to catastrophic thinking, contributing to adverse pain outcomes. 41 It has been shown that PCS was associated with greater acute pain intensity and increased risk of persistent pain after cesarean section.…”

Section: Discussionmentioning

confidence: 56%

Effect of Personality and Pain Catastrophizing on Postoperative Analgesia Following Cesarean Section: A Prospective Cohort Study

Ren,

Guo,

Tang

et al. 2024

JPR

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Purpose This study aimed to investigate the effects of different psychological personalities and pain catastrophizing levels on postoperative analgesia in patients undergoing cesarean section. Patients and Methods Puerperas who underwent cesarean section at our hospital between January and August 2023 were recruited into the study and assessed using the Eysenck Personality Questionnaire-Revised Short Scale (EPQRSC) and Pain Catastrophizing Scale (PCS). Data on the numerical pain intensity at rest and during activity 24 h after surgery, number and dosage of analgesia pumps, and satisfaction with analgesia were recorded. According to the numerical pain score during activity 24 h post-operation, the patients were divided into the analgesia incomplete group (≥4) and control group (<4). Univariate analysis, Spearman correlation analysis, and binary logistic regression analysis were used to evaluate the influence of personality characteristics and PCS on postoperative analgesia. Results A total of 778 women were included in the study. The incidence of inadequate analgesia was 89.8%. The satisfaction rate of analgesia was 66.8%. Univariate analysis showed that extraversion; neuroticism; PCS; numbers of previous cesarean delivery; ASA; analgesic satisfaction; and 24-h analgesia pump compressions and dosage were associated with postoperative analgesia after cesarean section ( P <0.05). Using binary logistic regression analysis, the first cesarean section (odds ratio [OR]=0.056, 95% confidence interval [CI]=1.913–19.174), the number of 24-h analgesic pump compressions (OR=8.464, 95% CI=0.356–0.604), extraversion (OR=0.667, 95% CI=0.513–0.866), neuroticism (OR=1.427, 95% CI=1.104–1.844), and PCS (OR=7.718, 95% CI=0.657–0.783) were factors affecting postoperative analgesia. Conclusion The incidence of inadequate analgesia after a cesarean section was high (89.8% on the first day after surgery). Formulating accurate analgesia programs for women undergoing cesarean section with extraversion, neuroticism personality characteristics, and pain catastrophizing behaviors is necessary for improving their postoperative analgesia effects and satisfaction and promoting postpartum comfort.

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Section: Discussionmentioning

confidence: 56%

Effect of Personality and Pain Catastrophizing on Postoperative Analgesia Following Cesarean Section: A Prospective Cohort Study

Ren,

Guo,

Tang

et al. 2024

JPR

View full text Add to dashboard Cite

show abstract

“…The current and earlier literature indicates that preoperative pain predisposes to a complicative postoperative pain experience. Moreover, personal characteristics such as distinct pain catastrophizing, anxiety, and habits such as smoking or an elevated body mass index (BMI) can lead to complex pain scenarios and increased incidence of chronic pain [25][26][27][28][29]. In particular, smoking and preoperative anxiety were found to be independent risk factors for postoperative pain in anophthalmic surgery [30].…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain Following Eye Enucleation: A Prospective Observational Study

Leister,

Löser,

Gostian

et al. 2024

Medicina

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Background and Objectives: Enucleation of an eye is the most invasive procedure in ophthalmologic surgery. It can be the result of various diseases (malignant/chronic/trauma/infection) and is nevertheless relatively rare, but leads to the loss of a strongly innervated neuronal organ. This study systematically evaluates postoperative pain levels following enucleation of the eye globe. Materials and Methods: This prospective single-center study enrolled twenty-four patients undergoing enucleation of the eye globe. Perioperatively all patients completed (preoperative day, day of surgery, 1st, 2nd, and 3rd day following surgery) standardized questionnaires concerning their pain experience and treatment-related side-effects (internal protocol, QUIPS, painDETECT®). Patients received usual pain therapy in an unstandardized individual manner. Results: Preoperatively, mean average pain intensity of all included patients was 3.29 ± 2.46 (range, 0–8), 3.29 ± 3.24 (range, 0–8) on the day of surgery, 4.67 ± 1.90 (range, 2–10) on day 1, 3.25 ± 1.39 (range, 1–6) on day 2, and 2.71 ± 1.30 (range, 1–6) on day 3 after surgery. Mean maximum pain intensity was 4.71 ± 3.28 (range, 0–10) preoperatively, 4.04 ± 3.78 (range, 0–10) on the day of surgery, 5.75 ± 2.01 (range, 2–10) on day 1, 4.25 ± 1.89 (range, 2–10) on day 2, and 3.88 ± 1.54 (range, 2–8) on day 3 after surgery. Nineteen patients (79.2%) stated that they would have preferred more pain therapy. Conclusions: Patients undergoing eye enucleation report pain sensations in need of intervention in this university hospital. Thus, effective standardized pain treatment concepts are now a high priority to be established in an interdisciplinary manner containing standardized regimens and continuous regional procedures. Awareness of this problem in the medical team should be sharpened through targeted training and information.

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Predictors of subacute postoperative pain after total knee arthroplasty: A secondary analysis of two randomized trials

Springborg,

Kehlet,

Nielsen

et al. 2024

European Journal of Pain

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BackgroundMethods for identifying high‐pain responders undergoing total knee arthroplasty remain important to improve individualized pain management. This study aimed at evaluating pre‐ and perioperative predictors of pain on Days 2–7 after total knee arthroplasty.MethodsThis is a secondary analysis of data from 227 patients participating in two randomized trials. Pain outcomes were mean pain during walking on Days 2–7 and on Days 2, 4 and 7. Multivariable linear and logistic regressions were carried out in two steps. First, only preoperative available variables including demographics, comorbidities, pain catastrophizing scale and preoperative pain were evaluated while controlling for trial intervention and recruitment site. In the second step, perioperative variables and pain during walking 24 h postoperatively were added.ResultsThe model with only preoperative predictors for mean pain Days 2–7 showed preoperative pain (R‐squared 0.097) as the only predictor. In the second model, adding postoperative available variables, only pain 24 h postoperatively (R‐squared 0.248) was significant, with a significant main effect of recruitment site. Results for the separate day analysis similarly showed preoperative pain and pain during walking 24 h postoperatively as predictors. The overall best sensitivity (60%) and specificity (74%) for predicting a high‐subacute postoperative pain response on Days 2–7 was with cut‐off values of VAS 45.5 (out of 100) for pain during walking 24 h postoperatively.ConclusionsPostoperative pain during walking at 24 h is predictive of subacute postoperative pain on Days 2–7 after total knee arthroplasty, while preoperative pain was only a weak predictor.Significance StatementThis study investigated factors associated with pain after total knee arthroplasty beyond the immediate postoperative period. The analysis revealed significant associations between preoperative pain levels and, particularly, pain 24 h postoperatively, with subsequent subacute pain the following week. These findings can assist in identifying patients who would benefit from enhanced, individualized analgesic interventions to facilitate postoperative recovery.

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Psychological predictors of acute postoperative pain after total knee and hip arthroplasty: A systematic review

Cited by 11 publications

References 52 publications

Effect of Personality and Pain Catastrophizing on Postoperative Analgesia Following Cesarean Section: A Prospective Cohort Study

Effect of Personality and Pain Catastrophizing on Postoperative Analgesia Following Cesarean Section: A Prospective Cohort Study

Postoperative Pain Following Eye Enucleation: A Prospective Observational Study

Predictors of subacute postoperative pain after total knee arthroplasty: A secondary analysis of two randomized trials

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