Gutenberg Open Science: Prevalence of pain 6 months after surgery : a prospective observational study

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7764

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DC Field	Value	Language
dc.contributor.author	Laufenberg-Feldmann, Rita	-
dc.contributor.author	Kappis, Bernd	-
dc.contributor.author	Mauff, Susanne	-
dc.contributor.author	Schmidtmann, Irene	-
dc.contributor.author	Ferner, Marion	-
dc.date.accessioned	2022-09-14T08:43:43Z	-
dc.date.available	2022-09-14T08:43:43Z	-
dc.date.issued	2016
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/7779	-
dc.description.abstract	Background Pain after surgery is a major issue for patient discomfort and often associated with delayed recovery. The aim of the present study was to evaluate the prevalence of pain and requirement for analgesics up to 6 months after elective surgery, independent if new pain symptoms occurred after surgery or if preoperative pain persisted in the postoperative period. Methods A prospective observational single center cohort study was conducted between January 2012 and August 2013. Eligible patients were scheduled to undergo elective surgical interventions including joint (hip, knee arthroplasty), back (nucleotomy, spondylodesis), or urological surgery (cystectomy, prostatectomy, nephrectomy). Pain was assessed on an 11-point numerical rating scale (NRS) before, on postoperative day 2 and 6 months after surgery. Clinical information was collected with structured questionnaires and by telephone interview. Results Six hundred and forty-four patients gave informed consent, including 54.4 % men (mean age 62.2, SD 14.3). Higher preoperative pain scores were found in patients undergoing joint (mean 7.6; 95 % confidence interval [CI]: 7.2–8.0) and back surgery (mean 7.1, CI: 6.8–7.5) than in patients prior to urological surgery (mean 2.3; CI: 1.8–2.8). After 6 months, about 50 % of patients after joint or back surgery indicated pain levels ≥3/10, compared to 15.9 % of patients after urological surgery (p < .001). 35.3 % of the patients after joint surgery and 41.3 % after back surgery still use pain medication 6 months postoperatively, in contrast to 7.3 % of patients after urological surgery. 13.6 % of patients who underwent back surgery indicated the regular intake of opioids. Conclusions Our results reveal that a significant percentage of patients undergoing procedures in joint or back surgery still need pain medication up to 6 months postoperatively due to ongoing pain symptoms. Improved monitoring of pain management is warranted, especially after discharge from hospital, to improve long-term results.	en_GB
dc.description.sponsorship	DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin	de
dc.language.iso	eng	de
dc.rights	CC BY	*
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Prevalence of pain 6 months after surgery : a prospective observational study	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-7764	-
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	BMC anesthesiology	de
jgu.journal.volume	16	de
jgu.journal.issue	1	de
jgu.pages.alternative	Art. 91	de
jgu.publisher.year	2016	-
jgu.publisher.name	BioMed Central	de
jgu.publisher.place	S.l.	de
jgu.publisher.uri	http://dx.doi.org/10.1186/s12871-016-0261-7	de
jgu.publisher.issn	1471-2253	de
jgu.organisation.place	Mainz	-
jgu.subject.ddccode	610	de
opus.date.modified	2018-08-23T08:46:25Z
opus.subject.dfgcode	00-000
opus.organisation.string	FB 04: Medizin: Klinik für Anästhesiologie	de_DE
opus.organisation.string	FB 04: Medizin: Institut für Med. Biometrie, Epidemologie und Informatik	de_DE
opus.identifier.opusid	56389
opus.institute.number	0418
opus.institute.number	0424
opus.metadataonly	false
opus.type.contenttype	Keine	de_DE
opus.type.contenttype	None	en_EN
opus.affiliated	Laufenberg-Feldmann, Rita
opus.affiliated	Schmidtmann, Irene
opus.affiliated	Ferner, Marion
jgu.publisher.doi	10.1186/s12871-016-0261-7	de
jgu.organisation.ror	https://ror.org/023b0x485	-
Appears in collections:	DFG-OA-Publizieren (2012 - 2017)

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