Pain medicine

Unresolved early post‐operative pain trajectory predicts moderate‐to‐severe persistent pain after breast cancer surgery—An observational cohort study

Acta Anaesthesiol ScandPublished Observational cohort study

Authors' conclusion

EPOP trajectories can distinguish between resolved and unresolved acute pain after breast cancer surgery, allowing early identification of patients at risk to develop significant PPBCS.

Study context

Population
Patients undergoing breast cancer surgery at a French Comprehensive Cancer Centre, December 2017 to November 2018
Participants
608 patients
Exposure
Low vs Resolved vs Unresolved
  • Lown = 388
  • Resolvedn = 182
  • Unresolvedn = 38
Outcome
Moderate-to-severe persistent pain after breast cancer surgery (NRS ≥4)
Follow-up
Until 24 months after surgery
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Persistent pain after breast cancer surgery (PPBCS)

Mild PPBCS

18%

n = 108

Moderate-to-severe PPBCS

9%

n = 52

Observational data: associations, not effects.

Further findings

EPOP trajectory distribution · first 24 h after surgery · K-means clustering

Pain characteristics, moderate-to-severe vs mild PPBCS

Significantly more neuropathic pain features, pain-related interference and delayed opioid cessation with moderate-to-severe vs mild PPBCS

Original publication

Unresolved early post‐operative pain trajectory predicts moderate‐to‐severe persistent pain after breast cancer surgery—An observational cohort study. Acta Anaesthesiol Scand. Published 6 January 2023. doi:10.1111/aas.14191

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