Postmastectomy Pain: A Cross-sectional Study of Prevalence, Pain Characteristics, and Effects on Quality of Life
Identifieur interne : 000C73 ( Main/Exploration ); précédent : 000C72; suivant : 000C74Postmastectomy Pain: A Cross-sectional Study of Prevalence, Pain Characteristics, and Effects on Quality of Life
Auteurs : Serbülent Gökhan Beyaz ; Jalan Erbetçigil Ergönenç ; Tolga Ergönenç ; Özlem Uysal Sönmez ; Ünal Erkorkmaz ; Fatih AltintoprakSource :
- Chinese Medical Journal [ 0366-6999 ] ; 2016.
Abstract
Postmastectomy pain syndrome (PMPS) is defined as a chronic (continuing for 3 or more months) neuropathic pain affecting the axilla, medial arm, breast, and chest wall after breast cancer surgery. The prevalence of PMPS has been reported to range from 20% to 68%. In this study, we aimed to determine the prevalence of PMPS among mastectomy patients, the severity of neuropathic pain in these patients, risk factors that contribute to pain becoming chronic, and the effect of PMPS on life quality.
This cross-sectional study was approved by the Sakarya University, Medical Faculty Ethical Council and included 146 patients ranging in age from 18 to 85 years who visited the pain clinic, general surgery clinic, and oncology clinic and had breast surgery between 2012 and 2014. Patients were divided into two groups according to whether they met PMPS criteria: pain at axilla, arm, shoulder, chest wall, scar tissue, or breast at least 3 months after breast surgery. All patients gave informed consent prior to entry into the study. Patient medical records were collected, and pain and quality of life were evaluated by the visual analog scale (VAS) for pain, a short form of the McGill Pain Questionnaire (SF-MPQ), douleur neuropathique-4 (DN-4), and SF-36.
Patient mean age was 55.2 ± 11.8 years (33.0–83.0 years). PMPS prevalence was 36%. Mean scores on the VAS, SF-MPQ, and DN-4 in PMPS patients were 1.76 ± 2.38 (0–10), 1.73 ± 1.54 (0–5), and 1.64 ± 2.31 (0–8), respectively. Of these patients, 31 (23.7%) had neuropathic pain characteristics, and 12 (9.2%) had phantom pain according to the DN-4 survey. Patients who had modified radical mastectomy were significantly more likely to develop PMPS than patients who had breast-protective surgery (
PMPS seriously impacts patients’ emotional situation, daily activities, and social relationships and is a major economic burden for health systems. We conclude that the rate of PMPS among patients receiving breast cancer surgery in Turkey is 64.1% and that challenges to the proper treatment of these patients deserve further investigation.
Url:
DOI: 10.4103/0366-6999.172589
PubMed: 26712435
PubMed Central: 4797545
Affiliations:
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Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Ergonenc, Tolga" sort="Ergonenc, Tolga" uniqKey="Ergonenc T" first="Tolga" last="Ergönenç">Tolga Ergönenç</name><affiliation><nlm:aff id="aff2">Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Sonmez, Ozlem Uysal" sort="Sonmez, Ozlem Uysal" uniqKey="Sonmez O" first="Özlem Uysal" last="Sönmez">Özlem Uysal Sönmez</name><affiliation><nlm:aff id="aff3">Department of Oncology, Yeditepe University Medical School, Istanbul, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Erkorkmaz, Unal" sort="Erkorkmaz, Unal" uniqKey="Erkorkmaz U" first="Ünal" last="Erkorkmaz">Ünal Erkorkmaz</name><affiliation><nlm:aff id="aff4">Department of Biostatistics, Faculty 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first="Serbülent Gökhan" last="Beyaz">Serbülent Gökhan Beyaz</name><affiliation><nlm:aff id="aff1">Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Sakarya University, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Ergonenc, Jalan Erbetcigil" sort="Ergonenc, Jalan Erbetcigil" uniqKey="Ergonenc J" first="Jalan Erbetçigil" last="Ergönenç">Jalan Erbetçigil Ergönenç</name><affiliation><nlm:aff id="aff2">Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Ergonenc, Tolga" sort="Ergonenc, Tolga" uniqKey="Ergonenc T" first="Tolga" last="Ergönenç">Tolga Ergönenç</name><affiliation><nlm:aff id="aff2">Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Sonmez, Ozlem Uysal" sort="Sonmez, Ozlem Uysal" uniqKey="Sonmez O" first="Özlem Uysal" last="Sönmez">Özlem Uysal Sönmez</name><affiliation><nlm:aff id="aff3">Department of Oncology, Yeditepe University Medical School, Istanbul, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Erkorkmaz, Unal" sort="Erkorkmaz, Unal" uniqKey="Erkorkmaz U" first="Ünal" last="Erkorkmaz">Ünal Erkorkmaz</name><affiliation><nlm:aff id="aff4">Department of Biostatistics, Faculty of Medicine, Sakarya University, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Altintoprak, Fatih" sort="Altintoprak, Fatih" uniqKey="Altintoprak F" first="Fatih" last="Altintoprak">Fatih Altintoprak</name><affiliation><nlm:aff id="aff5">Department of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, Republic of Turkey</nlm:aff><wicri:noCountry code="subfield">Republic of Turkey</wicri:noCountry></affiliation></author></analytic><series><title level="j">Chinese Medical Journal</title><idno type="ISSN">0366-6999</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Postmastectomy pain syndrome (PMPS) is defined as a chronic (continuing for 3 or more months) neuropathic pain affecting the axilla, medial arm, breast, and chest wall after breast cancer surgery. The prevalence of PMPS has been reported to range from 20% to 68%. In this study, we aimed to determine the prevalence of PMPS among mastectomy patients, the severity of neuropathic pain in these patients, risk factors that contribute to pain becoming chronic, and the effect of PMPS on life quality.</p></sec><sec id="st2"><title>Methods:</title><p>This cross-sectional study was approved by the Sakarya University, Medical Faculty Ethical Council and included 146 patients ranging in age from 18 to 85 years who visited the pain clinic, general surgery clinic, and oncology clinic and had breast surgery between 2012 and 2014. Patients were divided into two groups according to whether they met PMPS criteria: pain at axilla, arm, shoulder, chest wall, scar tissue, or breast at least 3 months after breast surgery. All patients gave informed consent prior to entry into the study. Patient medical records were collected, and pain and quality of life were evaluated by the visual analog scale (VAS) for pain, a short form of the McGill Pain Questionnaire (SF-MPQ), douleur neuropathique-4 (DN-4), and SF-36.</p></sec><sec id="st3"><title>Results:</title><p>Patient mean age was 55.2 ± 11.8 years (33.0–83.0 years). PMPS prevalence was 36%. Mean scores on the VAS, SF-MPQ, and DN-4 in PMPS patients were 1.76 ± 2.38 (0–10), 1.73 ± 1.54 (0–5), and 1.64 ± 2.31 (0–8), respectively. Of these patients, 31 (23.7%) had neuropathic pain characteristics, and 12 (9.2%) had phantom pain according to the DN-4 survey. Patients who had modified radical mastectomy were significantly more likely to develop PMPS than patients who had breast-protective surgery (<italic>P</italic> = 0.028). Only 2 (2.4%) of PMPS patients had received proper treatment (anticonvulsants or opioids).</p></sec><sec id="st4"><title>Conclusions:</title><p>PMPS seriously impacts patients’ emotional situation, daily activities, and social relationships and is a major economic burden for health systems. We conclude that the rate of PMPS among patients receiving breast cancer surgery in Turkey is 64.1% and that challenges to the proper treatment of these patients deserve further investigation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Unsal, D" uniqKey="Unsal D">D Unsal</name></author><author><name sortKey="Aksu, A" uniqKey="Aksu A">A Aksu</name></author><author><name sortKey="Bagriacik, U" uniqKey="Bagriacik U">U Bagriacik</name></author><author><name sortKey="Akmansu, M" uniqKey="Akmansu M">M Akmansu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vilholm, Oj" uniqKey="Vilholm O">OJ Vilholm</name></author><author><name sortKey="Cold, S" uniqKey="Cold S">S Cold</name></author><author><name sortKey="Rasmussen, L" uniqKey="Rasmussen L">L Rasmussen</name></author><author><name sortKey="Sindrup, Sh" uniqKey="Sindrup S">SH Sindrup</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Wc" uniqKey="Smith W">WC Smith</name></author><author><name sortKey="Bourne, D" uniqKey="Bourne D">D Bourne</name></author><author><name sortKey="Squair, J" uniqKey="Squair J">J Squair</name></author><author><name sortKey="Phillips, Do" uniqKey="Phillips D">DO Phillips</name></author><author><name sortKey="Chambers, Wa" uniqKey="Chambers W">WA Chambers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peintinger, F" uniqKey="Peintinger F">F Peintinger</name></author><author><name sortKey="Reitsamer, R" uniqKey="Reitsamer R">R Reitsamer</name></author><author><name sortKey="Stranzl, H" uniqKey="Stranzl H">H Stranzl</name></author><author><name sortKey="Ralph, G" uniqKey="Ralph G">G Ralph</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Macdonald, L" uniqKey="Macdonald L">L Macdonald</name></author><author><name sortKey="Bruce, J" uniqKey="Bruce J">J Bruce</name></author><author><name sortKey="Scott, Nw" uniqKey="Scott N">NW Scott</name></author><author><name sortKey="Smith, Wc" uniqKey="Smith W">WC Smith</name></author><author><name sortKey="Chambers, Wa" uniqKey="Chambers W">WA Chambers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Peuckmann, V" uniqKey="Peuckmann V">V Peuckmann</name></author><author><name sortKey="Ekholm, O" uniqKey="Ekholm O">O Ekholm</name></author><author><name sortKey="Rasmussen, Nk" uniqKey="Rasmussen N">NK Rasmussen</name></author><author><name sortKey="Groenvold, M" uniqKey="Groenvold M">M Groenvold</name></author><author><name sortKey="Christiansen, P" uniqKey="Christiansen P">P Christiansen</name></author><author><name sortKey="M Ller, S" uniqKey="M Ller S">S Møller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mejdahl, Mk" uniqKey="Mejdahl M">MK Mejdahl</name></author><author><name sortKey="Andersen, Kg" uniqKey="Andersen K">KG Andersen</name></author><author><name sortKey="G Rtner, R" uniqKey="G Rtner R">R Gärtner</name></author><author><name sortKey="Kroman, N" uniqKey="Kroman N">N Kroman</name></author><author><name sortKey="Kehlet, H" uniqKey="Kehlet H">H Kehlet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Andersen, Kg" uniqKey="Andersen K">KG Andersen</name></author><author><name sortKey="Kehlet, H" uniqKey="Kehlet H">H Kehlet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Melzack, R" uniqKey="Melzack R">R Melzack</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ware, Je" uniqKey="Ware J">JE Ware</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Unal Cevik, I" uniqKey="Unal Cevik I">I Unal-Cevik</name></author><author><name sortKey="Sarioglu Ay, S" uniqKey="Sarioglu Ay S">S Sarioglu-Ay</name></author><author><name sortKey="Evcik, D" uniqKey="Evcik D">D Evcik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meijuan, Y" uniqKey="Meijuan Y">Y Meijuan</name></author><author><name sortKey="Zhiyou, P" uniqKey="Zhiyou P">P Zhiyou</name></author><author><name sortKey="Yuwen, T" uniqKey="Yuwen T">T Yuwen</name></author><author><name sortKey="Ying, F" uniqKey="Ying F">F Ying</name></author><author><name sortKey="Xinzhong, C" uniqKey="Xinzhong C">C Xinzhong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Becker, C" uniqKey="Becker C">C Becker</name></author><author><name sortKey="Pham, Dn" uniqKey="Pham D">DN Pham</name></author><author><name sortKey="Assouad, J" uniqKey="Assouad J">J Assouad</name></author><author><name sortKey="Badia, A" uniqKey="Badia A">A Badia</name></author><author><name sortKey="Foucault, C" uniqKey="Foucault C">C Foucault</name></author><author><name sortKey="Riquet, M" uniqKey="Riquet M">M Riquet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krause, Sj" uniqKey="Krause S">SJ Krause</name></author><author><name sortKey="Backonja, Mm" uniqKey="Backonja M">MM Backonja</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Backonja, Mm" uniqKey="Backonja M">MM Backonja</name></author><author><name sortKey="Krause, Sj" uniqKey="Krause S">SJ Krause</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Galer, Bs" uniqKey="Galer B">BS Galer</name></author><author><name sortKey="Jensen, Mp" uniqKey="Jensen M">MP Jensen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sezgin, M" uniqKey="Sezgin M">M Sezgin</name></author><author><name sortKey="Hasanefendioglu, Ez" uniqKey="Hasanefendioglu E">EZ Hasanefendioglu</name></author><author><name sortKey="Sungur, Ma" uniqKey="Sungur M">MA Sungur</name></author><author><name sortKey="Incel, Na" uniqKey="Incel N">NA Incel</name></author><author><name sortKey="Cimen, Ob" uniqKey="Cimen O">ÖB Çimen</name></author><author><name sortKey="Kanik, A" uniqKey="Kanik A">A Kanik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Velzen, Ga" uniqKey="Van Velzen G">GA Van Velzen</name></author><author><name sortKey="Perez, Rs" uniqKey="Perez R">RS Perez</name></author><author><name sortKey="Van Gestel, Ma" uniqKey="Van Gestel M">MA van Gestel</name></author><author><name sortKey="Huygen, Fj" uniqKey="Huygen F">FJ Huygen</name></author><author><name sortKey="Van Kleef, M" uniqKey="Van Kleef M">M van Kleef</name></author><author><name sortKey="Van Eijs, F" uniqKey="Van Eijs F">F van Eijs</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Altintoprak, Fatih" sort="Altintoprak, Fatih" uniqKey="Altintoprak F" first="Fatih" last="Altintoprak">Fatih Altintoprak</name><name sortKey="Beyaz, Serbulent Gokhan" sort="Beyaz, Serbulent Gokhan" uniqKey="Beyaz S" first="Serbülent Gökhan" last="Beyaz">Serbülent Gökhan Beyaz</name><name sortKey="Ergonenc, Jalan Erbetcigil" sort="Ergonenc, Jalan Erbetcigil" uniqKey="Ergonenc J" first="Jalan Erbetçigil" last="Ergönenç">Jalan Erbetçigil Ergönenç</name><name sortKey="Ergonenc, Tolga" sort="Ergonenc, Tolga" uniqKey="Ergonenc T" first="Tolga" last="Ergönenç">Tolga Ergönenç</name><name sortKey="Erkorkmaz, Unal" sort="Erkorkmaz, Unal" uniqKey="Erkorkmaz U" first="Ünal" last="Erkorkmaz">Ünal Erkorkmaz</name><name sortKey="Sonmez, Ozlem Uysal" sort="Sonmez, Ozlem Uysal" uniqKey="Sonmez O" first="Özlem Uysal" last="Sönmez">Özlem Uysal Sönmez</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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