A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2017 |
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/1822/49097 |
Resumo: | Background: Acute pain is an expected result after surgery. Nevertheless, when not appropriately controlled, acute pain has a very negative impact on individual clinical outcomes, impairing healing and recovery, and has clear consequences on health care system costs. Augmenting knowledge on predictors and potentially modifiable determinants of acute postsurgical pain can facilitate early identification of and intervention in patients at risk. However, only a few studies have examined and compared acute pain after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The aim of this study was to compare THA and TKA in acute postsurgical pain intensity and its predictors. Methods: A consecutive sample of 124 patients with osteoarthritis (64 undergoing THA and 60 TKA) was assessed 24 hours before (T1) and 48 hours after (T2) surgery. Demographic, clinical, and psychological factors were assessed at T1, and acute postsurgical pain experience was examined at T2. Additionally, the same hierarchical regression analysis was performed separately for each arthroplasty type. Results: TKA patients reported higher levels of acute postsurgical pain compared with THA (t=8.490, p=0.004, d=0.527, 95% confidence interval, 0.196-0.878). In the final THA predictive model, presurgical pain was the only variable approaching significant results (t[57]=1.746, beta=0.254, p=0.086). In the final TKA predictive model, optimism was the only predictor of pain (t[51]=-2.518, beta=-0.339, p=0.015), with emotional representation ( t[51]=1.895, beta=0.254, p=0.064) presenting a trend toward significance. Conclusion: The current study is the first examining THA and TKA differences on acute postsurgical pain intensity and its predictors using a multivariate approach. Results from this study could prove useful for the design of distinct interventions targeting acute postsurgical pain management depending on whether the site of arthroplasty is the hip or the knee. Finally, the current results also support the argument that these two surgeries, at least with regard to acute pain, should be approached separately. |
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A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplastyAcute post-surgical painTotal knee arthroplastyTotal hip arthroplastyPsychological factorsacute post-surgical pain, totaMultivariate analysesPresurgical psychological interventionmultivariate analysesCiências Médicas::Medicina BásicaScience & TechnologyBackground: Acute pain is an expected result after surgery. Nevertheless, when not appropriately controlled, acute pain has a very negative impact on individual clinical outcomes, impairing healing and recovery, and has clear consequences on health care system costs. Augmenting knowledge on predictors and potentially modifiable determinants of acute postsurgical pain can facilitate early identification of and intervention in patients at risk. However, only a few studies have examined and compared acute pain after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The aim of this study was to compare THA and TKA in acute postsurgical pain intensity and its predictors. Methods: A consecutive sample of 124 patients with osteoarthritis (64 undergoing THA and 60 TKA) was assessed 24 hours before (T1) and 48 hours after (T2) surgery. Demographic, clinical, and psychological factors were assessed at T1, and acute postsurgical pain experience was examined at T2. Additionally, the same hierarchical regression analysis was performed separately for each arthroplasty type. Results: TKA patients reported higher levels of acute postsurgical pain compared with THA (t=8.490, p=0.004, d=0.527, 95% confidence interval, 0.196-0.878). In the final THA predictive model, presurgical pain was the only variable approaching significant results (t[57]=1.746, beta=0.254, p=0.086). In the final TKA predictive model, optimism was the only predictor of pain (t[51]=-2.518, beta=-0.339, p=0.015), with emotional representation ( t[51]=1.895, beta=0.254, p=0.064) presenting a trend toward significance. Conclusion: The current study is the first examining THA and TKA differences on acute postsurgical pain intensity and its predictors using a multivariate approach. Results from this study could prove useful for the design of distinct interventions targeting acute postsurgical pain management depending on whether the site of arthroplasty is the hip or the knee. Finally, the current results also support the argument that these two surgeries, at least with regard to acute pain, should be approached separately.This work was supported by two grants (SFRH/BD/36368/2007 and SFRH/BPD/103529/2014) from the Portuguese Foundation of Science and Technologyinfo:eu-repo/semantics/publishedVersionDove Press LtdUniversidade do MinhoPinto, Patrícia Jesus RibeiroMcintyre, Maria Teresa Pereira Coelho MendonçaSoares, Vera Lúcia Barbosa AraújoCosta, Patrício SoaresFerrero, RamónAlmeida, Armando20172017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/49097engPinto, P. R., McIntyre, T., Araújo-Soares, V., Costa, P., Ferrero, R., & Almeida, A. (2017). A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty. Journal of pain research, 10, 10871178-709010.2147/JPR.S126467https://www.dovepress.com/a-comparison-of-predictors-and-intensity-of-acute-postsurgical-pain-in-peer-reviewed-article-JPRinfo: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:RCAAP2023-07-21T12:42:17Zoai:repositorium.sdum.uminho.pt:1822/49097Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:39:30.167278Repositório 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 |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
title |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
spellingShingle |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty Pinto, Patrícia Jesus Ribeiro Acute post-surgical pain Total knee arthroplasty Total hip arthroplasty Psychological factors acute post-surgical pain, totaMultivariate analyses Presurgical psychological intervention multivariate analyses Ciências Médicas::Medicina Básica Science & Technology |
title_short |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
title_full |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
title_fullStr |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
title_full_unstemmed |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
title_sort |
A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty |
author |
Pinto, Patrícia Jesus Ribeiro |
author_facet |
Pinto, Patrícia Jesus Ribeiro Mcintyre, Maria Teresa Pereira Coelho Mendonça Soares, Vera Lúcia Barbosa Araújo Costa, Patrício Soares Ferrero, Ramón Almeida, Armando |
author_role |
author |
author2 |
Mcintyre, Maria Teresa Pereira Coelho Mendonça Soares, Vera Lúcia Barbosa Araújo Costa, Patrício Soares Ferrero, Ramón Almeida, Armando |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Pinto, Patrícia Jesus Ribeiro Mcintyre, Maria Teresa Pereira Coelho Mendonça Soares, Vera Lúcia Barbosa Araújo Costa, Patrício Soares Ferrero, Ramón Almeida, Armando |
dc.subject.por.fl_str_mv |
Acute post-surgical pain Total knee arthroplasty Total hip arthroplasty Psychological factors acute post-surgical pain, totaMultivariate analyses Presurgical psychological intervention multivariate analyses Ciências Médicas::Medicina Básica Science & Technology |
topic |
Acute post-surgical pain Total knee arthroplasty Total hip arthroplasty Psychological factors acute post-surgical pain, totaMultivariate analyses Presurgical psychological intervention multivariate analyses Ciências Médicas::Medicina Básica Science & Technology |
description |
Background: Acute pain is an expected result after surgery. Nevertheless, when not appropriately controlled, acute pain has a very negative impact on individual clinical outcomes, impairing healing and recovery, and has clear consequences on health care system costs. Augmenting knowledge on predictors and potentially modifiable determinants of acute postsurgical pain can facilitate early identification of and intervention in patients at risk. However, only a few studies have examined and compared acute pain after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The aim of this study was to compare THA and TKA in acute postsurgical pain intensity and its predictors. Methods: A consecutive sample of 124 patients with osteoarthritis (64 undergoing THA and 60 TKA) was assessed 24 hours before (T1) and 48 hours after (T2) surgery. Demographic, clinical, and psychological factors were assessed at T1, and acute postsurgical pain experience was examined at T2. Additionally, the same hierarchical regression analysis was performed separately for each arthroplasty type. Results: TKA patients reported higher levels of acute postsurgical pain compared with THA (t=8.490, p=0.004, d=0.527, 95% confidence interval, 0.196-0.878). In the final THA predictive model, presurgical pain was the only variable approaching significant results (t[57]=1.746, beta=0.254, p=0.086). In the final TKA predictive model, optimism was the only predictor of pain (t[51]=-2.518, beta=-0.339, p=0.015), with emotional representation ( t[51]=1.895, beta=0.254, p=0.064) presenting a trend toward significance. Conclusion: The current study is the first examining THA and TKA differences on acute postsurgical pain intensity and its predictors using a multivariate approach. Results from this study could prove useful for the design of distinct interventions targeting acute postsurgical pain management depending on whether the site of arthroplasty is the hip or the knee. Finally, the current results also support the argument that these two surgeries, at least with regard to acute pain, should be approached separately. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2017-01-01T00:00:00Z |
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/1822/49097 |
url |
http://hdl.handle.net/1822/49097 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Pinto, P. R., McIntyre, T., Araújo-Soares, V., Costa, P., Ferrero, R., & Almeida, A. (2017). A comparison of predictors and intensity of acute postsurgical pain in patients undergoing total hip and knee arthroplasty. Journal of pain research, 10, 1087 1178-7090 10.2147/JPR.S126467 https://www.dovepress.com/a-comparison-of-predictors-and-intensity-of-acute-postsurgical-pain-in-peer-reviewed-article-JPR |
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 |
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RCAAP |
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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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1799132936897822720 |