Predictors of early postoperative pain interference following orthopaedic surgery.
Despite the increasing incidence of orthopaedic surgeries, there is a lack of data reporting on patient experience and recovery following surgery. As such, there is a need to better characterize the natural history of pain interference (PI) after orthopaedic surgery to better manage patients' expect...
| Publicado en: | Journal of Orthopaedics Vol. 22; pp. 579 - 584 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Professor PK Surendran Memorial Education Foundation
Nov2020
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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=147506004&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147506004 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25899082 1CUL jtl: Journal of Orthopaedics issn: 25899082 maglogo: N pubinfo: dt: Nov2020 vid: 22 pid: 24594 pub: Professor PK Surendran Memorial Education Foundation artinfo: ui: 147506004 147506004 147506004 10.1016/j.jor.2020.11.009 147506004 ppf: 579 ppct: 5 formats: fmt: @attributes: type: T tig: atl: Predictors of early postoperative pain interference following orthopaedic surgery. aug: au: Kator, Jamie Aneizi, Ali Nadarajah, Vidushan Sajak, Patrick M.J. Zhan, Min Gilotra, Mohit N. Akabudike, Ngozi M. Packer, Jonathan D. Henn III, R. Frank affil: Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA sug: subj: Postoperative Pain Risk Factors Orthopedic Surgery Adverse Effects Risk Assessment Human Surgery, Elective Outpatient Service Hospitals, Urban Academic Medical Centers Surgical Patients Patient Assessment Preoperative Period Computerized Adaptive Testing Physical Activity Evaluation Patient Satisfaction Evaluation Fatigue Anxiety Evaluation Depression Questionnaires Bivariate Statistics Multiple Regression Analysis of Variance Spearman's Rank Correlation Coefficient Adult Middle Age Descriptive Statistics Male Female Lower Extremity Surgery Analgesics, Opioid Adverse Effects Substance Use Disorders Complications Socioeconomic Factors Patient-Reported Outcomes Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Despite the increasing incidence of orthopaedic surgeries, there is a lack of data reporting on patient experience and recovery following surgery. As such, there is a need to better characterize the natural history of pain interference (PI) after orthopaedic surgery to better manage patients' expectations and recovery. To identify factors associated with greater pain interference two weeks following orthopaedic surgery. All patients undergoing elective outpatient orthopaedic surgery at a single urban academic institution were evaluated preoperatively from August 2016 to March 2018. Patients completed a baseline assessment consisting of demographic information, PROMIS computer adaptive testing in 6 domains including Pain Interference (PI), Physical Function, Social Satisfaction, Fatigue, Anxiety, and Depression. Two weeks following surgery, patients completed the same questionnaires along with assessments of Improvement and Satisfaction. Bivariate and multivariable regression analyses were performed. Categorical data was compared with ANOVA and continuous data was compared with Spearman's correlation coefficient (r s). 435 patients (age = 41.1 ± 15.7, 47% female) were studied. Mean PI was 60.1 ± 7.0 prior to surgery and 61.7 ± 7.6 at 2 weeks postoperative. Worse 2 week PROMIS PI was associated with lower extremity surgery, prior surgery on the joint, preoperative opioid use, depression, lower income, lower education, and higher ASA score (p < 0.05). Better 2 week PROMIS PI was correlated with better baseline and better 2 week scores on all outcome measures. Multivariable analysis demonstrated that lower extremity surgery, worse preoperative pain scores, and worse preoperative pain interference were independent predictors of worse pain interference after surgery. Early postoperative pain interference is associated with function, demographic, and psychosocial factors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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