Pain medicine

Preoperative pain sensitivity and its correlation with postoperative acute and chronic pain: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis of prospective observational studies

Authors' conclusion

Lower PPT and EPT, and higher TSP are associated with acute postoperative pain while only TSP is associated with chronic postoperative pain.

Study context

Population
Surgical patients with preoperative pain sensitivity assessment70 studies
Outcome
Correlation between preoperative pain sensitivity and postoperative pain
Methodological detailsrandom-effects model, subgroup analyses, multilevel (three-level) meta-analysis
  • Random-effects model
  • Subgroup analyses
  • Multilevel (three-level) meta-analysis

Pooled result

As reported in the abstract

Correlation of preoperative pain sensitivity (PPS) measures with postoperative pain

Pressure pain threshold (PPT), r

−0.15

95% CI −0.23 to −0.07

Electrical pain threshold (EPT), r

−0.28

95% CI −0.42 to −0.14

Temporal summation of pain (TSP), r

0.21

95% CI 0.12–0.30

Pain Sensitivity Questionnaire (PSQ), r

0.25

95% CI 0.13–0.37

Further pooled results

Acute vs chronic postoperative pain (subgroup)

Only TSP associated with both acute and chronic postoperative pain; PPT, EPT and PSQ associated with acute pain only

PSQ in multilevel (three-level) meta-analysis

PSQ not associated with postoperative pain

Original publication

Preoperative pain sensitivity and its correlation with postoperative acute and chronic pain: a systematic review and meta-analysis. Br J Anaesth. Published 15 June 2024. doi:10.1016/j.bja.2024.05.010

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