Cardiothoracic & vascular anesthesia
Prevalence and Risk Factors for Chronic Postsurgical Pain After Thoracic Surgery: A Prospective Cohort Study
Authors' conclusion
Approximately 1 in 3 patients will continue to have pain at 3 months after surgery, with a large proportion reporting neuropathic features. Risk factors for pain at 3 months may include preoperative anxiety and depression and acute postoperative pain.
Study context
- Population
- Adults undergoing thoracic surgery at Toronto General Hospital, Canada, 2012–2020
- Participants
- 285 adults
- Outcome
- CPSP prevalence
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Chronic postsurgical pain (CPSP) at 3 months
32.4%
CPSP at 6 months
25.4%
CPSP at 12 months
18.2%
Observational data: associations, not effects.
Further findings
Independent predictors of CPSP at 3 months (multivariate logistic regression)
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Hospital Anxiety and Depression Scale scores | 1.07 (1.02–1.14) | P = 0.012 | |
| Acute postoperative pain | 2.75 (1.19–6.36) | P = 0.018 | |
| 0.10.31310Adjusted odds ratio (log scale) |
| Outcome | Values |
|---|---|
| CPSP pain intensity · 3 months | CPSP Average 3.37 (SD 1.82) |
Neuropathic pain features in patients with CPSP · 3 months and 1 year
- Neuropathic features at 3 months
- 48.7%
- Neuropathic features at 1 year
- 71%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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