Risk factors for long-term pain after hernia surgery
| Autor: | Pär Nordin, Ulf Fränneby, Olof Nyrén, Gabriel Sandblom, Ulf Gunnarsson |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Population Iatrogenic Disease MEDLINE Pain Hernia Inguinal Hernia surgery Postoperative Complications Risk Factors Prevalence Medicine Humans Surgical Wound Infection Hernia Longitudinal Studies Risk factor education Aged Aged 80 and over Sweden education.field_of_study Hematoma Pain Postoperative business.industry Public health Chronic pain Age Factors Original Articles Middle Aged medicine.disease Hernia Femoral Treatment Outcome Population Surveillance Physical therapy Residual pain Surgery Female business Follow-Up Studies |
| Zdroj: | Annals of surgery. 244(2) |
| ISSN: | 0003-4932 |
| Popis: | To estimate the prevalence of residual pain 2 to 3 years after hernia surgery, to identify factors associated with its occurrence, and to assess the consequences for the patient.Iatrogenic chronic pain is a neglected problem that may totally annul the benefits from hernia repair.From the population-based Swedish Hernia Register 3000 patients aged 15 to 85 years were sampled from the 9280 patients registered as having undergone a primary groin hernia operation in the year 2000. Of these, the 2853 patients still alive in 2003 were requested to fill in a postal questionnaire.After 2 reminders, 2456 patients (86%), 2299 men and 157 women responded. In response to a question about "worst perceived pain last week," 758 patients (31%) reported pain to some extent. In 144 cases (6%), the pain interfered with daily activities. Age below median, a high level of pain before the operation, and occurrence of any postoperative complication were found to significantly and independently predict long-term pain in multivariate logistic analysis when "worst pain last week" was used as outcome variable. The same variables, along with a repair technique using anterior approach, were found to predict long-term pain with "pain right now" as outcome variable.Pain that is at least partly disabling appears to occur more often than recurrences. The prevalence of long-term pain can be reduced by preventing postoperative complications. The impact of repair technique on the risk of long-term pain shown in our study should be further assessed in randomized controlled trials. |
| Databáze: | OpenAIRE |
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