dc.contributor.author |
Bande, David |
dc.contributor.author |
Moltó, Luis |
dc.contributor.author |
Pereira-Rodríguez, J. A. |
dc.contributor.author |
Montes, Antonio |
dc.contributor.author |
Universitat Autònoma de Barcelona |
dc.date |
2020 |
dc.identifier |
https://ddd.uab.cat/record/227842 |
dc.identifier |
urn:10.1186/s12893-020-00805-9 |
dc.identifier |
urn:oai:ddd.uab.cat:227842 |
dc.identifier |
urn:pmid:32631293 |
dc.identifier |
urn:pmcid:PMC7336434 |
dc.identifier |
urn:pmc-uid:7336434 |
dc.identifier |
urn:oai:pubmedcentral.nih.gov:7336434 |
dc.format |
application/pdf |
dc.language |
eng |
dc.publisher |
|
dc.relation |
BMC Surgery ; Vol. 20 (july 2020) |
dc.rights |
open access |
dc.rights |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
dc.rights |
https://creativecommons.org/licenses/by/4.0/ |
dc.subject |
Chronic pain |
dc.subject |
Hernia repair |
dc.subject |
Quality of life |
dc.title |
Chronic pain after groin hernia repair : pain characteristics and impact on quality of life |
dc.type |
Article |
dc.description.abstract |
Altres ajuts: This study was financially supported by grant 071210-2007 from Fundació La Marató de TV3 (Catalan public television network Marathon Foundation, Barcelona, Spain). |
dc.description.abstract |
Chronic postsurgical pain (CPSP) after hernia repair research has mainly relied on unconfirmed self-reporting. We aimed to describe confirmed CPSP incidence, management, and quality of life (QoL) in a 2-year prospective study. Multicenter study (GENDOLCAT) of 3890 patients undergoing 4 common surgical procedures in 23 hospitals to develop a risk model for CPSP; 2352 men underwent open hernia repair. Patients with pain were identified by telephone at 1 and 3 months and referred to the hospital 4 months after surgery for a physical examination to confirm CPSP. Three validated tools were used: the Brief Pain Inventory (BPI) for severity, analgesic use, and interference with activities; the SF-12 questionnaire for QoL (validated Spanish version), and the Douleur Neuropathique 4 (DN4). Patients with CPSP were called again at 1 and 2 years. In 1761 patients who underwent hernia repair and were eligible for physical examination for CPSP, the incidence of confirmed pain at 4 months was 13.6% (patient-reported pain, 6.2% at 1 year and 4.0% at 2 years). Neuropathic pain was diagnosed in 38.5% of the CPSP patients at 4 months. The incidences of neuropathic CPSP in patients with mesh or non-mesh repairs were similar (38.6 and 33.3%, respectively). SF-12 physical component scores changed little in all patients, whether or not they developed CPSP. The SF-12 mental component decreased significantly in all patients, but the decrease was clinically significant only in CPSP patients. CPSP interfered with activities (18%), work (15.6%), walking (15%) and mood (10.2%). At 2 years 52.1% of CPSP patients had moderate/intense pain and 28.2% took analgesics. CPSP affects QoL-related activities, and although it diminishes over the course of 2 years after surgery, many patients continue to have moderate/intense pain and take analgesics. CPSP and neuropathic pain rates seem to be similar after mesh and non-mesh repair. BPI and SF-12 mental component scores detect effects on QoL. NCT01510496. |