Pain medicine

Levels of preoperative cerebrospinal fluid pro‐inflammatory mediators and chronic pain after total knee arthroplasty surgery

Acta Anaesthesiol ScandPublished Prospective cohort study

Authors' conclusion

We identified the CSF fractalkine level as a potential predictor for CPSP severity following TKA surgery.

Study context

Population
Patients undergoing elective total knee arthroplasty (TKA) for chronic knee arthralgiaanalysed
Participants
42 patients
Outcome
CPSP severity (brief pain inventory (BPI))
Follow-up
6 months postsurgery
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Association of preoperative CSF mediators with CPSP severity

Preoperative cerebrospinal fluid (CSF) fractalkine vs chronic postsurgical pain (CPSP) severity, Spearman's rho

−0.525

p = .002

Preoperative PCS score, independent predictor of CPSP severity (multivariate linear regression), standardized β (95% CI 0.06-0.16; p < .001)

.11

CSF fractalkine level, independent predictor of CPSP severity (multivariate linear regression), standardized β (95% CI −1.10 to −0.15; p = .012)

−.62

Observational data: associations, not effects.

Further findings

Preoperative CSF mediator levels vs preoperative pain profiles

No significant correlation

Original publication

Levels of preoperative cerebrospinal fluid pro‐inflammatory mediators and chronic pain after total knee arthroplasty surgery. Acta Anaesthesiol Scand. Published 16 May 2023. doi:10.1111/aas.14278

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