Effect of perioperative pain neuroscience education in patients with post-mastectomy persistent pain: a retrospective, propensity score-matched study
| Autor: | Masahiro Manfuku, Akira Mibu, Katsuyoshi Tanaka, Kanamori Hiroe, Kazuhiro Sumiyoshi, Kazufumi Kitagaki, Ryota Imai, Tomohiko Nishigami, Hirofumi Yamashita |
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| Rok vydání: | 2020 |
| Předmět: |
Breast surgery
medicine.medical_treatment Pain medicine Breast Neoplasms 03 medical and health sciences 0302 clinical medicine Breast cancer Patient Education as Topic medicine Humans 030212 general & internal medicine Brief Pain Inventory Propensity Score Mastectomy Retrospective Studies business.industry Chronic pain Perioperative medicine.disease Oncology 030220 oncology & carcinogenesis Propensity score matching Pain catastrophizing Female Chronic Pain business Neuroscience |
| Zdroj: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 29(9) |
| ISSN: | 1433-7339 |
| Popis: | Central sensitization (CS)-related symptoms and pain catastrophizing contribute to persistent post-mastectomy pain (PPMP). Pain neuroscience education (PNE) is effective in reducing CS-related symptoms and pain catastrophizing in patients with chronic pain. However, to date, no intervention study of PNE has been conducted to patients with PPMP. This study was aimed to examine whether PNE is more effective than biomedical education (BME) for PPMP. In this retrospective case-control study, 118 patients were included. We intervened different patients at different times as follows: (1) a BME group (n = 58) of patients who received BME combined with physiotherapy and (2) a PNE group (n = 60) of patients who received PNE combined with physiotherapy. One year after surgery, we assessed pain intensity and interference (brief pain inventory [BPI]), CS-related symptoms (central sensitization inventory [CSI]), and pain catastrophizing (pain catastrophizing scale [PCS]). Propensity score matching was used to reduce or minimize selection bias and confounding biases and to make the number of cases in both groups match 1:1. Propensity score matching generated the BME group (n = 51) and the PNE group (n = 51). The BPI score, CSI score, and PCS score were statistically significantly lower in the PNE group than in the BME group (all, p < 0.05). The effect sizes for the BPI intensity (r = 0.31) were moderate. PNE resulted in a better outcome of pain management with less functional disability and CS-related symptoms compared to BME after breast surgery. |
| Databáze: | OpenAIRE |
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