Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/28402 |
Resumo: | This study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4-6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings. |
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Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impactTotal knee arthroplastyTotal hip arthroplastyPersistent post-surgical painDemographic factorsClinical factorsPsychologic factorsScience & TechnologyThis study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4-6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings.This work was supported by a project grant (PTDC/SAU-NEU/108557/2008) from the Portuguese Foundation of Science and Technology, COMPETE (Thematic Operational Programme for Competitive Factors), and FEDER (European Fund for Regional Development). We also thank the patients who agreed to participate in this study.Dove Press LtdUniversidade do MinhoPinto, PatríciaAlmeida, ArmandoMcIntyre, TeresaSoares, Vera AraújoFerrero, Ramón20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/28402eng1178-709010.2147/JPR.S45827www.dovepress.cominfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:04:35Zoai:repositorium.sdum.uminho.pt:1822/28402Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:54:53.596693Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
title |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
spellingShingle |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact Pinto, Patrícia Total knee arthroplasty Total hip arthroplasty Persistent post-surgical pain Demographic factors Clinical factors Psychologic factors Science & Technology |
title_short |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
title_full |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
title_fullStr |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
title_full_unstemmed |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
title_sort |
Persistent pain after total knee or hip arthroplasty : differential study of prevalence, nature, and impact |
author |
Pinto, Patrícia |
author_facet |
Pinto, Patrícia Almeida, Armando McIntyre, Teresa Soares, Vera Araújo Ferrero, Ramón |
author_role |
author |
author2 |
Almeida, Armando McIntyre, Teresa Soares, Vera Araújo Ferrero, Ramón |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Pinto, Patrícia Almeida, Armando McIntyre, Teresa Soares, Vera Araújo Ferrero, Ramón |
dc.subject.por.fl_str_mv |
Total knee arthroplasty Total hip arthroplasty Persistent post-surgical pain Demographic factors Clinical factors Psychologic factors Science & Technology |
topic |
Total knee arthroplasty Total hip arthroplasty Persistent post-surgical pain Demographic factors Clinical factors Psychologic factors Science & Technology |
description |
This study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4-6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013 2013-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/28402 |
url |
http://hdl.handle.net/1822/28402 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1178-7090 10.2147/JPR.S45827 www.dovepress.com |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Dove Press Ltd |
publisher.none.fl_str_mv |
Dove Press Ltd |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799132333124616192 |