Consequences of persistent pain after lung cancer surgery: a nationwide questionnaire study
| Autor: | Wildgaard, K, Ravn, Jesper Bohsen, Nikolajsen, L, Jakobsen, Erik, Jensen, Troels Staehelin, Kehlet, H |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Zdroj: | Wildgaard, K, Ravn, J B, Nikolajsen, L, Jakobsen, E, Jensen, T S & Kehlet, H 2011, ' Consequences of persistent pain after lung cancer surgery: a nationwide questionnaire study ', Acta Anaesthesiologica Scandinavica, vol. 55, no. 1, pp. 60-68 . https://doi.org/10.1111/j.1399-6576.2010.02357.x |
| Popis: | Background: Post-thoracotomy pain syndrome (PTPS) and its social consequences have been inconsistently investigated as most studies were either small sized, focused on a limited number of risk factors or included heterogeneous surgical procedures. The current objectives were to obtain detailed information on the consequences of PTPS after thoracotomy and video-assisted thoracic surgery (VATS) from homogenous unselected nationwide data, and to suggest mechanisms for the development of PTPS. Methods: Data from 1327 patients were collected using a prospective national database and combined with a detailed questionnaire. Results: The response rate was 81.5%, resulting in 546 patients without prior thoracic surgery for the final analysis. Follow-up was 22 months (range 12-36). PTPS occurred in 33% thoracotomy patients and 25% VATS patients. Clinically relevant pain was present in 11-18% of the patients and severe pain in 4-12% depending on the level of physical activity. In PTPS patients, 64% also had pain from other locations on the body. Perceived sensory changes in the thoracic area were present in 63% of PTPS patients vs. 25% in pain-free patients (P |
| Databáze: | OpenAIRE |
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