Recovery 3 and 12 months after hysterectomy: epidemiology and predictors of chronic pain, physical functioning, and global surgical recovery
| Autor: | Fleur Tournois, Jacques W.M. Maas, Hans A van Suijlekom, Hans-Fritz Gramke, Jan Schepers, Madelon L. Peters, Maurice Theunissen, Marco A. E. Marcus |
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| Přispěvatelé: | MUMC+: MA Anesthesiologie (9), Section Experimental Health Psychology, RS: FPN CPS I, FPN Methodologie & Statistiek, RS: FPN M&S I, Obstetrie & Gynaecologie, Anesthesiologie, RS: MHeNs - R3 - Neuroscience, RS: CARIM - R1.04 - Clinical thrombosis and haemostasis |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Time Factors
Pfannenstiel incision medicine.medical_treatment Cohort Studies 0302 clinical medicine 030202 anesthesiology Epidemiology Medicine postoperative Prospective Studies hysterectomy CHRONIC POSTSURGICAL PAIN Prospective cohort study Pain Postoperative Chronic pain General Medicine HEALTH SURVEY Middle Aged Prognosis 3. Good health Neuropathic pain ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female chronic pain Psychosocial Cohort study Research Article medicine.medical_specialty OUTCOME-DOMAINS Observational Study predictor KNEE ARTHROPLASTY PROSPECTIVE-COHORT 03 medical and health sciences recovery Humans physical functioning BREAST-CANCER PFANNENSTIEL INCISION Hysterectomy ACUTE POSTOPERATIVE PAIN business.industry Recovery of Function medicine.disease CANCER-SURGERY Physical therapy RISK-FACTORS business 030217 neurology & neurosurgery |
| Zdroj: | Medicine, 95(26):e3980. LIPPINCOTT WILLIAMS & WILKINS Medicine |
| ISSN: | 0025-7974 |
| Popis: | Supplemental Digital Content is available in the text Chronic postsurgical pain (CPSP) is 1 important aspect of surgical recovery. To improve perioperative care and postoperative recovery knowledge on predictors of impaired recovery is essential. The aim of this study is to assess predictors and epidemiological data of CPSP, physical functioning (SF-36PF, 0–100), and global surgical recovery (global surgical recovery index, 0–100%) 3 and 12 months after hysterectomy for benign indication. A prospective multicenter cohort study was performed. Sociodemographic, somatic, and psychosocial data were assessed in the week before surgery, postoperatively up to day 4, and at 3- and 12-month follow-up. Generalized linear model (CPSP) and linear-mixed model analyses (SF-36PF and global surgical recovery index) were used. Baseline data of 468 patients were collected, 412 (88%) patients provided data for 3-month evaluation and 376 (80%) patients for 12-month evaluation. After 3 and 12 months, prevalence of CPSP (numeric rating scale ≥ 4, scale 0–10) was 10.2% and 9.0%, respectively, SF-36PF means (SD) were 83.5 (20.0) and 85.9 (20.2), global surgical recovery index 88.1% (15.6) and 93.3% (13.4). Neuropathic pain was reported by 20 (5.0%) patients at 3 months and 14 (3.9%) patients at 12 months. Preoperative pain, surgery-related worries, acute postsurgical pain on day 4, and surgery-related infection were significant predictors of CPSP. Baseline level, participating center, general psychological robustness, indication, acute postsurgical pain, and surgery-related infection were significant predictors of SF-36PF. Predictors of global surgical recovery were baseline expectations, surgery-related worries, American Society of Anesthesiologists classification, type of anesthesia, acute postsurgical pain, and surgery-related infection. Several predictors were identified for CPSP, physical functioning, and global surgical recovery. Some of the identified factors are modifiable and optimization of patients’ preoperative pain status and psychological condition as well as reduction of acute postsurgical pain and surgery-related infection may lead to improvement of outcome. |
| Databáze: | OpenAIRE |
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