Sex Differences in Chronic Postsurgical Pain after Open Thoracotomy
Authors' conclusion
These findings show that the incidence of physician-diagnosed chronic postsurgical pain is higher in women than in men after surgeries involving thoracotomy.
Study context
- Population
- Patients scheduled for open thoracotomy, 10 university-affiliated hospitals
- Participants
- 96 vs 137
- Exposure
- Women vs men
- Womenn = 96
- Menn = 137reference
- Outcome
- Incidence of chronic postsurgical pain (diagnosed by physical examination)
- Follow-up
- 4 months
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Chronic postsurgical pain incidence
P = 0.023
Observational data: associations, not effects.
Secondary outcomes
| Outcome | P value |
|---|---|
| Baseline psychological measuresWomen vs Men · perception of mental state | P = 0.01 |
| Baseline psychological measuresWomen vs Men · depression | P = 0.006 |
| Baseline psychological measuresWomen vs Men · catastrophizing | P < 0.001 |
| Preoperative painWomen vs Men · operative area | P = 0.011 |
| Preoperative painWomen vs Men · other areas | P = 0.030 |
Baseline psychological measures
- Women had significantly worse scores on psychological measures
Preoperative pain
- Women reported more preoperative pain
Original publication
Sex Differences in Chronic Postsurgical Pain after Open Thoracotomy. J Cardiothorac Vasc Anesth. Published 4 September 2024. doi:10. 1053/ j. jvca. 2024. 08. 039
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