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Predictors and trajectories of chronic postoperative pain following hip preservation surgery

Factors contributing to chronic postoperative pain (CPOP) are poorly defined in young people and developmental considerations are poorly understood. With over 5 million children undergoing surgery yearly and 25% of adults referred to chronic pain clinics identifying surgery as the antecedent, there...

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Autores principales: Sieberg, Christine B., Klajn, Justyna, Wong, Cindy, Bowen, Garrett, Simons, Laura E., Millis, Michael B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467405/
https://www.ncbi.nlm.nih.gov/pubmed/28630720
http://dx.doi.org/10.1093/jhps/hnx003
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author Sieberg, Christine B.
Klajn, Justyna
Wong, Cindy
Bowen, Garrett
Simons, Laura E.
Millis, Michael B.
author_facet Sieberg, Christine B.
Klajn, Justyna
Wong, Cindy
Bowen, Garrett
Simons, Laura E.
Millis, Michael B.
author_sort Sieberg, Christine B.
collection PubMed
description Factors contributing to chronic postoperative pain (CPOP) are poorly defined in young people and developmental considerations are poorly understood. With over 5 million children undergoing surgery yearly and 25% of adults referred to chronic pain clinics identifying surgery as the antecedent, there is a need to elucidate factors that contribute to CPOP in surgical patients. The present study includes patients undergoing hip preservation surgery at a children’s hospital. The HOOS and SF-12 Health Survey were administered to 614 pre-surgical patients with 421 patients completing follow-up (6-months, 1-year and 2-years post-surgery). Pain, quality of life, and functioning across time were examined for each group within the population. A three trajectory model (low pain, pain improvement and high pain) emerged indicating three categories of treatment responders. Pain trajectory groups did not differ significantly on gender, pre-surgical age, BMI, prior hip surgery, surgical type, joint congruence or Tönnis grade. The groups differed significantly from each other on pre-surgical pain, pain chronicity, quality of life and functioning. Those in the high pain and pain improvement groups endorsed having pre-surgical depression at significantly higher rates and lower pre-surgical quality of life compared to those in the low pain group (P < 0.01). Those in the high pain group reported significantly worse pre-surgical functioning compared to those in the pain improvement (P < 0.0001) and low pain groups (P < 0.0001).The results demonstrate the need for preoperative screening prior to hip preservation surgery, as there may be a subset of patients who are predisposed to chronic pain independent of hip health.
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spelling pubmed-54674052017-06-19 Predictors and trajectories of chronic postoperative pain following hip preservation surgery Sieberg, Christine B. Klajn, Justyna Wong, Cindy Bowen, Garrett Simons, Laura E. Millis, Michael B. J Hip Preserv Surg Research Articles Factors contributing to chronic postoperative pain (CPOP) are poorly defined in young people and developmental considerations are poorly understood. With over 5 million children undergoing surgery yearly and 25% of adults referred to chronic pain clinics identifying surgery as the antecedent, there is a need to elucidate factors that contribute to CPOP in surgical patients. The present study includes patients undergoing hip preservation surgery at a children’s hospital. The HOOS and SF-12 Health Survey were administered to 614 pre-surgical patients with 421 patients completing follow-up (6-months, 1-year and 2-years post-surgery). Pain, quality of life, and functioning across time were examined for each group within the population. A three trajectory model (low pain, pain improvement and high pain) emerged indicating three categories of treatment responders. Pain trajectory groups did not differ significantly on gender, pre-surgical age, BMI, prior hip surgery, surgical type, joint congruence or Tönnis grade. The groups differed significantly from each other on pre-surgical pain, pain chronicity, quality of life and functioning. Those in the high pain and pain improvement groups endorsed having pre-surgical depression at significantly higher rates and lower pre-surgical quality of life compared to those in the low pain group (P < 0.01). Those in the high pain group reported significantly worse pre-surgical functioning compared to those in the pain improvement (P < 0.0001) and low pain groups (P < 0.0001).The results demonstrate the need for preoperative screening prior to hip preservation surgery, as there may be a subset of patients who are predisposed to chronic pain independent of hip health. Oxford University Press 2017-03-27 /pmc/articles/PMC5467405/ /pubmed/28630720 http://dx.doi.org/10.1093/jhps/hnx003 Text en © The Author 2017. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research Articles
Sieberg, Christine B.
Klajn, Justyna
Wong, Cindy
Bowen, Garrett
Simons, Laura E.
Millis, Michael B.
Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title_full Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title_fullStr Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title_full_unstemmed Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title_short Predictors and trajectories of chronic postoperative pain following hip preservation surgery
title_sort predictors and trajectories of chronic postoperative pain following hip preservation surgery
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467405/
https://www.ncbi.nlm.nih.gov/pubmed/28630720
http://dx.doi.org/10.1093/jhps/hnx003
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