A retrospective study of chronic post-surgical pain following thoracic surgery: prevalence, risk factors, incidence of neuropathic component, and impact on qualify of life

Thoracic surgeries including thoracotomy and VATS are some of the highest risk procedures that often lead to CPSP, with or without a neuropathic component. This retrospective study aims to determine retrospectively the prevalence of CPSP following thoracic surgery, its predicting risk factors, the i...

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Bibliographic Details
Published in:PloS one 2014-02, Vol.9 (2), p.e90014-e90014
Main Authors: Peng, Zhiyou, Li, Huiling, Zhang, Chong, Qian, Xiang, Feng, Zhiying, Zhu, Shengmei
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Anesthesiology
Batteries
Care and treatment
Chronic Pain - etiology
Chronic Pain - physiopathology
Chronic Pain - psychology
Consent
Female
Hospitals
Humans
Hypertension
Incidence
Infections
Joint surgery
Male
Medical personnel
Medical research
Medicine
Medicine, Experimental
Middle Aged
Ostomy
Pain
Pain management
Pain Measurement
Pain, Postoperative
Pain, Postoperative - etiology
Pain, Postoperative - physiopathology
Pain, Postoperative - psychology
Patients
Quality of life
Quality of Life - psychology
Questionnaires
Regression analysis
Retrospective Studies
Risk analysis
Risk Factors
Sex Factors
Studies
Surgery
Surveys and Questionnaires
Task forces
Thoracic surgery
Thoracic Surgical Procedures - adverse effects
Thorax
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Summary:Thoracic surgeries including thoracotomy and VATS are some of the highest risk procedures that often lead to CPSP, with or without a neuropathic component. This retrospective study aims to determine retrospectively the prevalence of CPSP following thoracic surgery, its predicting risk factors, the incidence of neuropathic component, and its impact on quality of life. Patients who underwent thoracic surgeries including thoracotomy and VATS between 01/2010 and 12/2011 at the First Affiliated Hospital, School of Medicine, Zhejiang University were first contacted and screened for CPSP following thoracic surgery via phone interview. Patients who developed CPSP were then mailed with a battery of questionnaires, including a questionnaire referenced to Maguire's research, a validated Chinese version of the ID pain questionnaire, and a SF-36 Health Survey. Logistic regression analyses were subsequently performed to identify risk factors for CPSP following thoracic surgery and its neuropathic component. The point prevalence of CPSP following thoracic surgery was 24.9% (320/1284 patients), and the point prevalence of neuropathic component of CPSP was 32.5% (86/265 patients). CPSP following thoracic surgery did not improve significantly with time. Multiple predictive factors were identified for CPSP following thoracic surgery, including age
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0090014