Brief Assessment of Patient Phenotype to Explain Variability in Postsurgical Pain and Opioid Consumption after Cesarean Delivery: Performance of a Novel Brief Questionnaire Compared to Long Questionnaires
Authors' conclusion
The brief questionnaire may be more clinically feasible than longer validated questionnaires, while still performing better and integrating a more comprehensive psychosocial assessment than the three-item questionnaire.
Study context
- Population
- Women undergoing cesarean delivery
- Participants
- 545 women
- Exposure
- Brief and long questionnaire models vs 3-item questionnaire model
- Outcome
- Explanatory ability (model fit, linear regression) for postoperative pain and opioid consumption
- Follow-up
- 48 h after surgery
Main finding
As reported in the abstract
Variability explained in postoperative pain and opioid consumption
- A modest amount of variability was explained by each of the three models
- Brief and long questionnaire models performed better than the 3-item questionnaire but were statistically indistinguishable
Observational data: associations, not effects.
Further findings
Items independently associated with pain and opioid consumption
- Anticipated postsurgical pain medication requirement, surgical anxiety, poor sleep, pre-existing pain, catastrophic thinking about pain
Quantitative sensory test (pain during local anesthetic skin wheal)
- Independently associated with pain across models but only modestly improved models for postoperative pain
Original publication
Brief Assessment of Patient Phenotype to Explain Variability in Postsurgical Pain and Opioid Consumption after Cesarean Delivery: Performance of a Novel Brief Questionnaire Compared to Long Questionnaires. Anesthesiology. Published 11 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →