Perception of pain and influences on opioid use in implant‐based breast reconstruction patients.
Although there has been a recent focus on decreasing opioid prescribing through alternative pain medication protocols, the patient's perception of pain related to breast reconstructive surgeries has not been well described. We sought to evaluate patient perception of pain control as it influences op...
| Publicado en: | Breast Journal Vol. 26; no. 9; pp. 1712 - 1717 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146217981&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146217981 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Sep2020 vid: 26 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146217981 146217981 146217981 10.1111/tbj.13881 146217981 ppf: 1712 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Perception of pain and influences on opioid use in implant‐based breast reconstruction patients. aug: au: Egan, Katie G. De Souza, Michelle Allen, Andrea L. Muenks, Elizabeth Nazir, Niaman Korentager, Richard affil: Department of Plastic Surgery, University of Kansas Medical Center, Kansas City Kansas, USA sug: subj: Breast Reconstruction Patient Attitudes Attitude to Illness Analgesics, Opioid Therapeutic Use Pain Drug Therapy Prospective Studies Surveys Pain Management Postoperative Pain Drug Therapy Preoperative Period Confidence Intervals Odds Ratio Antianxiety Agents, Benzodiazepine Descriptive Statistics Human ab: Although there has been a recent focus on decreasing opioid prescribing through alternative pain medication protocols, the patient's perception of pain related to breast reconstructive surgeries has not been well described. We sought to evaluate patient perception of pain control as it influences opioid use. We hypothesize that modifiable factors may influence patterns in pain perception and postoperative opioid use. Patients undergoing consultation for mastectomy with immediate, implant‐based breast reconstruction were enrolled in a prospective, cohort survey study. A survey was administered at preoperative and postoperative appointments to collect data on pain expectations and pain control. Of 100 patients enrolled, 85% completed the postoperative survey. Over half of patients (52%) reported feeling anxious about pain control after surgery. Patients with preoperative opioid use were more likely to expect complete relief of pain postoperatively (P =.038). Patients with psychiatric comorbidity were more likely to report feeling anxious about postoperative pain (P =.012; 70% vs 42%; OR 3.0 CI 1.2‐7.4). Patients who reported feeling anxious about pain control preoperatively were more likely to report trying opioids (P =.047; 67% vs 44%; OR 2.5 CI 1.0‐6.1) and benzodiazepines (P =.020; 80% vs 56%; OR 3.0 CI 1.2‐8.0) postoperatively. Anxiety related to pain control is common and results in an increased likelihood of trying opioid and benzodiazepine medications postoperatively. This presents an opportunity to educate patients preoperatively by addressing anxiety related to pain control to decrease controlled substance use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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