Chronic post-thoracotomy pain: a retrospective study

W A Pluijms, M A H Steegers, A F T M Verhagen, G J Scheffer, O H G Wilder-Smith

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Chronic pain is common after thoracotomy. The primary goal of this study was to investigate the incidence of chronic post-thoracotomy pain. The secondary goal was to identify possible risk factors associated with the development of chronic post-operative pain.

METHODS: We contacted 255 patients who had undergone a classic postero-lateral thoracotomy at our institution in the period between January 2001 and December 2003. All patients received a letter requesting participation; a questionnaire was included with the letter. One week later patients were contacted by telephone to obtain the answers to the questionnaire.

RESULTS: We ultimately obtained results from 149 patients (58% of all thoracotomies, 84% of survivors). The overall incidence of chronic post-operative pain was 52% (32% mild, 16% moderate and 3% severe chronic post-operative pain). Patients with chronic post-operative pain reported acute post-operative pain more frequently than those without (85% vs. 62%, P = 0.01), had more severe acute post-operative pain (P = 0.0001), underwent more extensive surgical procedures (P = 0.01), had more constant acute pain (vs. fluctuating pain or pain in attacks) (P = 0.0004) and reported less absence of pain during the first post-operative week (P = 0.0001). There was no significant decrease in chronic pain with time after thoracotomy.

CONCLUSION: Our study confirms that chronic post-thoracotomy pain is a common problem. The results from our study suggest that chronic post-thoracotomy pain may be associated with more intensive and extensive nociceptive input due to thoracic surgery.

Original languageEnglish
Pages (from-to)804-8
Number of pages5
JournalActa Anaesthesiologica Scandinavica
Volume50
Issue number7
DOIs
Publication statusPublished - Aug 2006

Cite this

Pluijms, W A ; Steegers, M A H ; Verhagen, A F T M ; Scheffer, G J ; Wilder-Smith, O H G. / Chronic post-thoracotomy pain : a retrospective study. In: Acta Anaesthesiologica Scandinavica. 2006 ; Vol. 50, No. 7. pp. 804-8.
@article{4de32ef3dd7542bea46fa46dda68081c,
title = "Chronic post-thoracotomy pain: a retrospective study",
abstract = "BACKGROUND: Chronic pain is common after thoracotomy. The primary goal of this study was to investigate the incidence of chronic post-thoracotomy pain. The secondary goal was to identify possible risk factors associated with the development of chronic post-operative pain.METHODS: We contacted 255 patients who had undergone a classic postero-lateral thoracotomy at our institution in the period between January 2001 and December 2003. All patients received a letter requesting participation; a questionnaire was included with the letter. One week later patients were contacted by telephone to obtain the answers to the questionnaire.RESULTS: We ultimately obtained results from 149 patients (58{\%} of all thoracotomies, 84{\%} of survivors). The overall incidence of chronic post-operative pain was 52{\%} (32{\%} mild, 16{\%} moderate and 3{\%} severe chronic post-operative pain). Patients with chronic post-operative pain reported acute post-operative pain more frequently than those without (85{\%} vs. 62{\%}, P = 0.01), had more severe acute post-operative pain (P = 0.0001), underwent more extensive surgical procedures (P = 0.01), had more constant acute pain (vs. fluctuating pain or pain in attacks) (P = 0.0004) and reported less absence of pain during the first post-operative week (P = 0.0001). There was no significant decrease in chronic pain with time after thoracotomy.CONCLUSION: Our study confirms that chronic post-thoracotomy pain is a common problem. The results from our study suggest that chronic post-thoracotomy pain may be associated with more intensive and extensive nociceptive input due to thoracic surgery.",
keywords = "Acute Disease, Chronic Disease, Humans, Incidence, Middle Aged, Pain, Postoperative/epidemiology, Risk Factors, Thoracotomy",
author = "Pluijms, {W A} and Steegers, {M A H} and Verhagen, {A F T M} and Scheffer, {G J} and Wilder-Smith, {O H G}",
year = "2006",
month = "8",
doi = "10.1111/j.1399-6576.2006.01065.x",
language = "English",
volume = "50",
pages = "804--8",
journal = "Acta An{\ae}sthesiologica Scandinavica",
issn = "0001-5172",
publisher = "Blackwell Munksgaard",
number = "7",

}

Chronic post-thoracotomy pain : a retrospective study. / Pluijms, W A; Steegers, M A H; Verhagen, A F T M; Scheffer, G J; Wilder-Smith, O H G.

In: Acta Anaesthesiologica Scandinavica, Vol. 50, No. 7, 08.2006, p. 804-8.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Chronic post-thoracotomy pain

T2 - a retrospective study

AU - Pluijms, W A

AU - Steegers, M A H

AU - Verhagen, A F T M

AU - Scheffer, G J

AU - Wilder-Smith, O H G

PY - 2006/8

Y1 - 2006/8

N2 - BACKGROUND: Chronic pain is common after thoracotomy. The primary goal of this study was to investigate the incidence of chronic post-thoracotomy pain. The secondary goal was to identify possible risk factors associated with the development of chronic post-operative pain.METHODS: We contacted 255 patients who had undergone a classic postero-lateral thoracotomy at our institution in the period between January 2001 and December 2003. All patients received a letter requesting participation; a questionnaire was included with the letter. One week later patients were contacted by telephone to obtain the answers to the questionnaire.RESULTS: We ultimately obtained results from 149 patients (58% of all thoracotomies, 84% of survivors). The overall incidence of chronic post-operative pain was 52% (32% mild, 16% moderate and 3% severe chronic post-operative pain). Patients with chronic post-operative pain reported acute post-operative pain more frequently than those without (85% vs. 62%, P = 0.01), had more severe acute post-operative pain (P = 0.0001), underwent more extensive surgical procedures (P = 0.01), had more constant acute pain (vs. fluctuating pain or pain in attacks) (P = 0.0004) and reported less absence of pain during the first post-operative week (P = 0.0001). There was no significant decrease in chronic pain with time after thoracotomy.CONCLUSION: Our study confirms that chronic post-thoracotomy pain is a common problem. The results from our study suggest that chronic post-thoracotomy pain may be associated with more intensive and extensive nociceptive input due to thoracic surgery.

AB - BACKGROUND: Chronic pain is common after thoracotomy. The primary goal of this study was to investigate the incidence of chronic post-thoracotomy pain. The secondary goal was to identify possible risk factors associated with the development of chronic post-operative pain.METHODS: We contacted 255 patients who had undergone a classic postero-lateral thoracotomy at our institution in the period between January 2001 and December 2003. All patients received a letter requesting participation; a questionnaire was included with the letter. One week later patients were contacted by telephone to obtain the answers to the questionnaire.RESULTS: We ultimately obtained results from 149 patients (58% of all thoracotomies, 84% of survivors). The overall incidence of chronic post-operative pain was 52% (32% mild, 16% moderate and 3% severe chronic post-operative pain). Patients with chronic post-operative pain reported acute post-operative pain more frequently than those without (85% vs. 62%, P = 0.01), had more severe acute post-operative pain (P = 0.0001), underwent more extensive surgical procedures (P = 0.01), had more constant acute pain (vs. fluctuating pain or pain in attacks) (P = 0.0004) and reported less absence of pain during the first post-operative week (P = 0.0001). There was no significant decrease in chronic pain with time after thoracotomy.CONCLUSION: Our study confirms that chronic post-thoracotomy pain is a common problem. The results from our study suggest that chronic post-thoracotomy pain may be associated with more intensive and extensive nociceptive input due to thoracic surgery.

KW - Acute Disease

KW - Chronic Disease

KW - Humans

KW - Incidence

KW - Middle Aged

KW - Pain, Postoperative/epidemiology

KW - Risk Factors

KW - Thoracotomy

U2 - 10.1111/j.1399-6576.2006.01065.x

DO - 10.1111/j.1399-6576.2006.01065.x

M3 - Article

VL - 50

SP - 804

EP - 808

JO - Acta Anæsthesiologica Scandinavica

JF - Acta Anæsthesiologica Scandinavica

SN - 0001-5172

IS - 7

ER -