Pain medicine

From pain level to pain experience: redefining acute pain assessment to enhance understanding of chronic postsurgical pain

Br J AnaesthPublished Secondary analysis of a multicentre randomised clinical trial

Primary result · Independent predictors of CPSP at day 90 (multivariate analysis)Result — go to the resultOdds ratio 6.45 95% CI 1.65–25.26

Authors' conclusion

This study underscores the role of patient-reported outcomes, specifically the pain experience dimension captured by the EVAN-G scale, in prediction of CPSP 90 days after surgery.

Study context

Population
Patients undergoing ambulatory orthopaedic surgery in an RCT of continuous perineural analgesia vs single-injection nerve block219 with complete data
Participants
294 patients
Comparison
Poor vs better pain experience as predictor of chronic postsurgical pain (CPSP)
Primary endpoint
CPSP
Follow-up
90 days after surgery
Methodological detailsexploratory prognostic analysis, univariate and multivariate analyses
  • Exploratory prognostic analysis
  • Univariate and multivariate analyses

Primary result

As reported in the abstract

Independent predictors of CPSP at day 90 (multivariate analysis)

Odds ratio

6.45

95% CI 1.65–25.26

P < 0.01

Poor vs better pain experience (EVAN-G pain dimension, POD 2) as predictor of CPSP
odds ratio 6.45 (95% CI 1.65–25.26); P < 0.01
CPSP at day 90
63 (29%)

Original publication

From pain level to pain experience: redefining acute pain assessment to enhance understanding of chronic postsurgical pain. Br J Anaesth. Published 26 September 2024. doi:10.1016/j.bja.2024.08.003

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