Pain medicine

Chronic postsurgical pain: A European survey

Eur J AnaesthesiolPublished Prospective observational study

Authors' conclusion

Unfortunately, our findings do not offer a new CPSP predictive score.

Study context

Population
Patients undergoing breast cancer surgery, sternotomy, endometriosis surgery or total knee arthroplasty (TKA) in 18 European hospitals2,494 followed up 6 months
Participants
3,297 patients
Exposure
Sternotomy vs Breast surgery vs TKA vs Endometriosis
Outcome
Scoring system to predict CPSP
Follow-up
6 months after surgery
Methodological detailsmulticentre, international survey, Standardised questionnaires at 1, 3 and 7 days and 1, 3 and 6 months after surgery
  • Multicentre
  • International survey
  • Standardised questionnaires at 1, 3 and 7 days and 1, 3 and 6 months after surgery

Main finding

As reported in the abstract

CPSP predictive score · 6 months
  • No overarching chronic postsurgical pain (CPSP) risk factors identified; no new predictive score

Observational data: associations, not effects.

Further findings

Incidence of CPSP · 6 months

Neuropathic characteristics · 6 months

Incidence of CPSP — Mean incidence of CPSP, all surgery
10.5%

Time course of CPSP

One-third of patients had CPSP at both 3 and 6 months

Pre-operative pain

Frequent for TKA (leg) and endometriosis (abdomen); frequency and intensity reduced after surgery

Consequences of CPSP

Severe CPSP and neuropathic component decreased psychological and functional wellbeing and quality of life

Original publication

Chronic postsurgical pain: A European survey. Eur J Anaesthesiol. Published 27 February 2024. doi:10.1097/eja.0000000000001974

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