A Cross-Sectional Survey on Prevalence and Risk Factors for Persistent Postsurgical Pain 1 Year After Total Hip and Knee Replacement
| Autor: | James P. Rathmell, Mahendrakumar Shah, Yan Ma, Craig J. Della Valle, Ashley J. Pope, Monica J. Wood, Spencer S. Liu, Smith C. Manion, James J. Bae, Asokumar Buvanendran, Stephen Perros, Mona Sawhney, Colin J. L. McCartney, Mario Moric, Naomi S. Shin, Lazaros Poultsides, Thomas P. Sculco |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Cross-sectional study Arthroplasty Replacement Hip medicine.medical_treatment Knee replacement Hip replacement (animal) Risk Factors Recall bias Internal medicine Prevalence medicine Humans Risk factor Arthroplasty Replacement Knee Aged Response rate (survey) Pain Postoperative business.industry General Medicine Odds ratio Middle Aged Arthroplasty Cross-Sectional Studies Anesthesiology and Pain Medicine Physical therapy Female business |
| Zdroj: | Regional Anesthesia and Pain Medicine. 37:415-422 |
| ISSN: | 1098-7339 |
| Popis: | Background and Objectives There is a paucity of large multi-institutional surveys to determine the prevalence of and risk factors for persistent pain after total hip (THR) and knee (TKR) replacements. We surveyed a variety of practices and patients and also correlated persistent pain with health-related quality-of-life outcomes. Methods From October 10, 2007, to March 15, 2010, patients who had undergone primary THR or TKR with a minimum follow-up of 1 year were identified. A previously published questionnaire to identify persistent postsurgical pain that included a 36-item Short Form Health Survey was mailed to this group. Independent risk factors for persistent pain were identified with logistic regression. Results Responses from 1030 patients who underwent surgery at some point in time between June 13, 2006, and June 24, 2009, were analyzed (32% response rate). Forty-six percent of patients reported persistent pain (38% after THR and 53% after TKR) with a median average pain score of 3 of 10 and worst pain score of 5. Independent risk factors for persistent pain were female sex (odds ratio [OR], 1.23), younger age (OR, 0.97), prior surgery on hip or knee (OR, 1.39), knee versus hip replacement (OR, 1.65), lower-quality postsurgical pain control (OR, 0.9), and presence of pain in other areas of the body (OR, 2.09). All scores in the 36-item Short Form Health Survey were worse (8%–28% decrease) in patients with persistent postsurgical pain (P Conclusions Persistent postsurgical pain is common after THR and TKR and is associated with reduced health-related quality of life, although our survey may be biased by the low response rate and retrospective recall bias. Nonmodifiable risk factors may lead to risk stratification. Severity of acute postoperative pain may be a modifiable risk factor. |
| Databáze: | OpenAIRE |
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