Does expecting more pain make it more intense? Factors associated with the first week pain trajectories after breast cancer surgery
Identifieur interne : 004544 ( Pmc/Curation ); précédent : 004543; suivant : 004545Does expecting more pain make it more intense? Factors associated with the first week pain trajectories after breast cancer surgery
Auteurs : Reetta M. Sipil [Finlande] ; Lassi Haasio [Finlande] ; Tuomo J. Meretoja [Finlande] ; Samuli Ripatti [Finlande] ; Ann-Mari Estlander [Finlande] ; Eija A. Kalso [Finlande]Source :
- Pain [ 0304-3959 ] ; 2017.
Abstract
We studied postoperative pain trajectories and associated factors. Expectation of severe postoperative pain was associated with higher intensity of experimental and postoperative pain.
Url:
DOI: 10.1097/j.pain.0000000000000859
PubMed: 28134654
PubMed Central: 5402716
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Sipil</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Haasio, Lassi" sort="Haasio, Lassi" uniqKey="Haasio L" first="Lassi" last="Haasio">Lassi Haasio</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Meretoja, Tuomo J" sort="Meretoja, Tuomo J" uniqKey="Meretoja T" first="Tuomo J." last="Meretoja">Tuomo J. 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Factors associated with the first week pain trajectories after breast cancer surgery</title><author><name sortKey="Sipil, Reetta M" sort="Sipil, Reetta M" uniqKey="Sipil R" first="Reetta M." last="Sipil">Reetta M. Sipil</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Haasio, Lassi" sort="Haasio, Lassi" uniqKey="Haasio L" first="Lassi" last="Haasio">Lassi Haasio</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Meretoja, Tuomo J" sort="Meretoja, Tuomo J" uniqKey="Meretoja T" first="Tuomo J." last="Meretoja">Tuomo J. Meretoja</name><affiliation wicri:level="1"><nlm:aff id="aff2">Breast Surgery Unit, Comprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Breast Surgery Unit, Comprehensive Cancer Center, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Ripatti, Samuli" sort="Ripatti, Samuli" uniqKey="Ripatti S" first="Samuli" last="Ripatti">Samuli Ripatti</name><affiliation wicri:level="1"><nlm:aff id="aff3">Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Institute for Molecular Medicine Finland (FIMM), University of Helsinki</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Public Health, Hjelt Institute, University of Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Public Health, Hjelt Institute, University of Helsinki</wicri:regionArea></affiliation></author><author><name sortKey="Estlander, Ann Mari" sort="Estlander, Ann Mari" uniqKey="Estlander A" first="Ann-Mari" last="Estlander">Ann-Mari Estlander</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Kalso, Eija A" sort="Kalso, Eija A" uniqKey="Kalso E" first="Eija A." last="Kalso">Eija A. Kalso</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital</wicri:regionArea></affiliation></author></analytic><series><title level="j">Pain</title><idno type="ISSN">0304-3959</idno><idno type="eISSN">1872-6623</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We studied postoperative pain trajectories and associated factors. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Pain</journal-id><journal-id journal-id-type="iso-abbrev">Pain</journal-id><journal-id journal-id-type="coden">JPAIN</journal-id><journal-id journal-id-type="pmc">Pain</journal-id><journal-id journal-id-type="publisher-id">JOP</journal-id><journal-title-group><journal-title>Pain</journal-title></journal-title-group><issn pub-type="ppub">0304-3959</issn><issn pub-type="epub">1872-6623</issn><publisher><publisher-name>Wolters Kluwer</publisher-name><publisher-loc>Philadelphia, PA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28134654</article-id><article-id pub-id-type="pmc">5402716</article-id><article-id pub-id-type="publisher-id">PAIN-D-14-15699</article-id><article-id pub-id-type="doi">10.1097/j.pain.0000000000000859</article-id><article-id pub-id-type="art-access-id">00019</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Paper</subject></subj-group></article-categories><title-group><article-title>Does expecting more pain make it more intense? Factors associated with the first week pain trajectories after breast cancer surgery</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sipilä</surname><given-names>Reetta M.</given-names></name><xref ref-type="aff" rid="aff1">a</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Haasio</surname><given-names>Lassi</given-names></name><xref ref-type="aff" rid="aff1">a</xref></contrib><contrib contrib-type="author"><name><surname>Meretoja</surname><given-names>Tuomo J.</given-names></name><xref ref-type="aff" rid="aff2">b</xref></contrib><contrib contrib-type="author"><name><surname>Ripatti</surname><given-names>Samuli</given-names></name><xref ref-type="aff" rid="aff3">c</xref><xref ref-type="aff" rid="aff4">d</xref></contrib><contrib contrib-type="author"><name><surname>Estlander</surname><given-names>Ann-Mari</given-names></name><xref ref-type="aff" rid="aff1">a</xref></contrib><contrib contrib-type="author"><name><surname>Kalso</surname><given-names>Eija A.</given-names></name><xref ref-type="aff" rid="aff1">a</xref></contrib><aff id="aff1"><label>a</label>Division of Pain Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Finland</aff><aff id="aff2"><label>b</label>Breast Surgery Unit, Comprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, Finland</aff><aff id="aff3"><label>c</label>Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Finland</aff><aff id="aff4"><label>d</label>Department of Public Health, Hjelt Institute, University of Helsinki, Finland</aff></contrib-group><author-notes><corresp id="cor1"><label>*</label>Corresponding author. Address: Helsinki University Hospital, Haartmaninkatu 2 A, PL 140, 00029 HUS, Finland. Tel.: +358 40 7272353. E-mail address: <email>reetta.sipila@hus.fi</email> (R. M. Sipilä).</corresp></author-notes><pub-date pub-type="epub"><day>27</day><month>1</month><year>2017</year></pub-date><pub-date pub-type="ppub"><month>5</month><year>2017</year></pub-date><volume>158</volume><issue>5</issue><fpage>922</fpage><lpage>930</lpage><history><date date-type="received"><day>25</day><month>10</month><year>2016</year></date><date date-type="rev-recd"><day>13</day><month>1</month><year>2017</year></date><date date-type="accepted"><day>17</day><month>1</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain</copyright-statement><copyright-year>2017</copyright-year><license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0">Creative Commons Attribution-Non Commercial-No Derivatives License 4.0</ext-link> (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="jop-158-922.pdf"></self-uri><abstract abstract-type="toc"><p>We studied postoperative pain trajectories and associated factors. Expectation of severe postoperative pain was associated with higher intensity of experimental and postoperative pain.</p></abstract><abstract><title>Abstract</title><p>The aim of this study was to identify clinical risk factors for unfavorable pain trajectories after breast cancer surgery, to better understand the association between pain expectation, psychological distress, and acute postoperative pain. This prospective study included 563 women treated for breast cancer. Psychological data included questionnaires for depressive symptoms and anxiety. Experimental pain tests for heat and cold were performed before surgery. The amount of oxycodone needed for satisfactory pain relief after surgery was recorded. Pain intensity in the area of operation before surgery and during the first postoperative week and expected intensity of postoperative pain were recorded using the Numerical Rating Scale (NRS 0-10). Pain trajectories were formed to describe both initial intensity (the intercept) and the direction of the pain path (the slope). Factors associated with higher initial pain intensity (the intercept) were the amount of oxycodone needed for adequate analgesia, psychological distress, type of axillary surgery, preoperative pain in the area of the operation, and expectation of postoperative pain. The higher the pain initially was, the faster it resolved over the week. Expectation of severe postoperative pain was associated with higher scores of both experimental and clinical pain intensity and psychological factors. The results confirm that acute pain after breast cancer surgery is a multidimensional phenomenon. Psychological distress, pain expectation, and the patients' report of preoperative pain in the area to be operated should be recognized before surgery. Patients having axillary clearance need more efficient analgesic approaches.</p></abstract><kwd-group><title>Keywords:</title><kwd>Acute pain trajectories</kwd><kwd>Breast cancer</kwd><kwd>Pain expectation</kwd><kwd>Psychological distress</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>OPEN-ACCESS</meta-name><meta-value>TRUE</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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