Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery
Background To assess the prevalence, incidence, location, and behavior of chronic pre- and postoperative pain in bariatric surgery, and the use of analgesics. Methods A cross-sectional e-survey was conducted on 3928 post-bariatric patients and four-time points for pain assessment were evaluated: pre...
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Veröffentlicht in: | Obesity surgery 2023-01, Vol.33 (1), p.204-210 |
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creator | Torensma, Bart Hany, Mohammed Bakker, Marije J. S. van Velzen, Monique in ’t Veld, Bas A. Dahan, Albert Swank, Dingeman J. |
description | Background
To assess the prevalence, incidence, location, and behavior of chronic pre- and postoperative pain in bariatric surgery, and the use of analgesics.
Methods
A cross-sectional e-survey was conducted on 3928 post-bariatric patients and four-time points for pain assessment were evaluated: preoperative, on the ward, day 1 at home postoperatively, and present time (at the time of the e-survey). A numerical rating scale (NRS) was used to assess the level of pain (0 to 10). The general incidence of chronic pain was calculated, as also, subgroups were defined as group A (pre and postoperative chronic pain), B (preoperative pain, and no longer postoperative), and C (preoperative painless, postoperative chronic pain). Besides the pain intensity, location of pain, and the use of analgesics were investigated.
Results
A total of 3279 patients (83.9%) responded to the survey. Preoperative and postoperative chronic pain was found in 343 (10.5%) and 264 (8.1%) patients, respectively. In group A, chronic pain was present in 4.8% of the patients; in group B, it was present in 5.7%; and in group C in 3.3% of the patients. Furthermore, in 4.5% of patients pain was located in the abdomen, which was higher as compared to before surgery (+ 2.3%,
p
|
doi_str_mv | 10.1007/s11695-022-06354-9 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9834162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2764016411</sourcerecordid><originalsourceid>FETCH-LOGICAL-c404t-2b563ac27d063dfdb60f955b4ae84199db8dc7bc6c261c126593439661f5817b3</originalsourceid><addsrcrecordid>eNp9kUuLFDEUhYMoTs_oH3AhATduonlVUtkI2szowIAN6jqkUremM1QnbVLV0P_elD2Oj4UQCOR-99zccxB6wegbRql-WxhTpiGUc0KVaCQxj9CKadoSKnn7GK2oUZS0hoszdF7KHaWcKc6fojOhhJSa6xWCdU6lkAJ-Cim6EV-SMucDHHGKeNoCvo4-9BA94DTgTQaCXezxJpUp7SG7KRwAr7c5xeDxxoWI6_ngcnBTri9f5nwL-fgMPRncWOD5_X2Bvl1dfl1_IjefP16v398QL6mcCO8aJZznuq_79EPfKTqYpumkg1YyY_qu7b3uvPJcMc-4aoyQwijFhqZluhMX6N1Jdz93O-g9xCm70e5z2Ll8tMkF-3clhq29TQdrWiGrN1Xg9b1ATt9nKJPdheJhHF2ENBfL9cJpSllFX_2D3qU5VwsXSknKlGQLxU-UX3zOMDx8hlG7pGhPKdqaov2ZojW16eWfazy0_IqtAuIElFqK1eHfs_8j-wNDzqgT</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2764016411</pqid></control><display><type>article</type><title>Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Torensma, Bart ; Hany, Mohammed ; Bakker, Marije J. S. ; van Velzen, Monique ; in ’t Veld, Bas A. ; Dahan, Albert ; Swank, Dingeman J.</creator><creatorcontrib>Torensma, Bart ; Hany, Mohammed ; Bakker, Marije J. S. ; van Velzen, Monique ; in ’t Veld, Bas A. ; Dahan, Albert ; Swank, Dingeman J.</creatorcontrib><description>Background
To assess the prevalence, incidence, location, and behavior of chronic pre- and postoperative pain in bariatric surgery, and the use of analgesics.
Methods
A cross-sectional e-survey was conducted on 3928 post-bariatric patients and four-time points for pain assessment were evaluated: preoperative, on the ward, day 1 at home postoperatively, and present time (at the time of the e-survey). A numerical rating scale (NRS) was used to assess the level of pain (0 to 10). The general incidence of chronic pain was calculated, as also, subgroups were defined as group A (pre and postoperative chronic pain), B (preoperative pain, and no longer postoperative), and C (preoperative painless, postoperative chronic pain). Besides the pain intensity, location of pain, and the use of analgesics were investigated.
Results
A total of 3279 patients (83.9%) responded to the survey. Preoperative and postoperative chronic pain was found in 343 (10.5%) and 264 (8.1%) patients, respectively. In group A, chronic pain was present in 4.8% of the patients; in group B, it was present in 5.7%; and in group C in 3.3% of the patients. Furthermore, in 4.5% of patients pain was located in the abdomen, which was higher as compared to before surgery (+ 2.3%,
p
< 0.001). The ORs for present postoperative chronic pain were OR 1.45, 1.7, and 1.71 (
p
= 0.002, 0.003, 0.003) compared to respectively preoperative chronic pain, pain at the ward, and pain at day 1 after surgery. Among all participants, 4.6% consumed chronic analgesics. Of these, paracetamol was used most frequently (3.8%), followed by tramadol (1.3%) and oxycodone (0.5%).
Conclusions
In this e-survey, chronic postoperative abdominal pain was prominent in patients after bariatric surgery. Of patients, 3.3% that were without preoperative chronic pain developed chronic pain after surgery. Opioid consumption in the queried population was relatively low.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-022-06354-9</identifier><identifier>PMID: 36344727</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdomen ; Analgesics ; Analgesics - therapeutic use ; Analgesics, Opioid - therapeutic use ; Bariatric Surgery - adverse effects ; Chronic pain ; Chronic Pain - epidemiology ; Chronic Pain - etiology ; Cross-Sectional Studies ; Gastrointestinal surgery ; Humans ; Incidence ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Pain, Postoperative - etiology ; Postoperative period ; Surgery</subject><ispartof>Obesity surgery, 2023-01, Vol.33 (1), p.204-210</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-2b563ac27d063dfdb60f955b4ae84199db8dc7bc6c261c126593439661f5817b3</citedby><cites>FETCH-LOGICAL-c404t-2b563ac27d063dfdb60f955b4ae84199db8dc7bc6c261c126593439661f5817b3</cites><orcidid>0000-0003-0274-9608</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-022-06354-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-022-06354-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36344727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Torensma, Bart</creatorcontrib><creatorcontrib>Hany, Mohammed</creatorcontrib><creatorcontrib>Bakker, Marije J. S.</creatorcontrib><creatorcontrib>van Velzen, Monique</creatorcontrib><creatorcontrib>in ’t Veld, Bas A.</creatorcontrib><creatorcontrib>Dahan, Albert</creatorcontrib><creatorcontrib>Swank, Dingeman J.</creatorcontrib><title>Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
To assess the prevalence, incidence, location, and behavior of chronic pre- and postoperative pain in bariatric surgery, and the use of analgesics.
Methods
A cross-sectional e-survey was conducted on 3928 post-bariatric patients and four-time points for pain assessment were evaluated: preoperative, on the ward, day 1 at home postoperatively, and present time (at the time of the e-survey). A numerical rating scale (NRS) was used to assess the level of pain (0 to 10). The general incidence of chronic pain was calculated, as also, subgroups were defined as group A (pre and postoperative chronic pain), B (preoperative pain, and no longer postoperative), and C (preoperative painless, postoperative chronic pain). Besides the pain intensity, location of pain, and the use of analgesics were investigated.
Results
A total of 3279 patients (83.9%) responded to the survey. Preoperative and postoperative chronic pain was found in 343 (10.5%) and 264 (8.1%) patients, respectively. In group A, chronic pain was present in 4.8% of the patients; in group B, it was present in 5.7%; and in group C in 3.3% of the patients. Furthermore, in 4.5% of patients pain was located in the abdomen, which was higher as compared to before surgery (+ 2.3%,
p
< 0.001). The ORs for present postoperative chronic pain were OR 1.45, 1.7, and 1.71 (
p
= 0.002, 0.003, 0.003) compared to respectively preoperative chronic pain, pain at the ward, and pain at day 1 after surgery. Among all participants, 4.6% consumed chronic analgesics. Of these, paracetamol was used most frequently (3.8%), followed by tramadol (1.3%) and oxycodone (0.5%).
Conclusions
In this e-survey, chronic postoperative abdominal pain was prominent in patients after bariatric surgery. Of patients, 3.3% that were without preoperative chronic pain developed chronic pain after surgery. Opioid consumption in the queried population was relatively low.
Graphical Abstract</description><subject>Abdomen</subject><subject>Analgesics</subject><subject>Analgesics - therapeutic use</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Chronic pain</subject><subject>Chronic Pain - epidemiology</subject><subject>Chronic Pain - etiology</subject><subject>Cross-Sectional Studies</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Pain, Postoperative - etiology</subject><subject>Postoperative period</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUuLFDEUhYMoTs_oH3AhATduonlVUtkI2szowIAN6jqkUremM1QnbVLV0P_elD2Oj4UQCOR-99zccxB6wegbRql-WxhTpiGUc0KVaCQxj9CKadoSKnn7GK2oUZS0hoszdF7KHaWcKc6fojOhhJSa6xWCdU6lkAJ-Cim6EV-SMucDHHGKeNoCvo4-9BA94DTgTQaCXezxJpUp7SG7KRwAr7c5xeDxxoWI6_ngcnBTri9f5nwL-fgMPRncWOD5_X2Bvl1dfl1_IjefP16v398QL6mcCO8aJZznuq_79EPfKTqYpumkg1YyY_qu7b3uvPJcMc-4aoyQwijFhqZluhMX6N1Jdz93O-g9xCm70e5z2Ll8tMkF-3clhq29TQdrWiGrN1Xg9b1ATt9nKJPdheJhHF2ENBfL9cJpSllFX_2D3qU5VwsXSknKlGQLxU-UX3zOMDx8hlG7pGhPKdqaov2ZojW16eWfazy0_IqtAuIElFqK1eHfs_8j-wNDzqgT</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Torensma, Bart</creator><creator>Hany, Mohammed</creator><creator>Bakker, Marije J. S.</creator><creator>van Velzen, Monique</creator><creator>in ’t Veld, Bas A.</creator><creator>Dahan, Albert</creator><creator>Swank, Dingeman J.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0274-9608</orcidid></search><sort><creationdate>20230101</creationdate><title>Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery</title><author>Torensma, Bart ; Hany, Mohammed ; Bakker, Marije J. S. ; van Velzen, Monique ; in ’t Veld, Bas A. ; Dahan, Albert ; Swank, Dingeman J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-2b563ac27d063dfdb60f955b4ae84199db8dc7bc6c261c126593439661f5817b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Analgesics</topic><topic>Analgesics - therapeutic use</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Chronic pain</topic><topic>Chronic Pain - epidemiology</topic><topic>Chronic Pain - etiology</topic><topic>Cross-Sectional Studies</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Pain, Postoperative - etiology</topic><topic>Postoperative period</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torensma, Bart</creatorcontrib><creatorcontrib>Hany, Mohammed</creatorcontrib><creatorcontrib>Bakker, Marije J. S.</creatorcontrib><creatorcontrib>van Velzen, Monique</creatorcontrib><creatorcontrib>in ’t Veld, Bas A.</creatorcontrib><creatorcontrib>Dahan, Albert</creatorcontrib><creatorcontrib>Swank, Dingeman J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torensma, Bart</au><au>Hany, Mohammed</au><au>Bakker, Marije J. S.</au><au>van Velzen, Monique</au><au>in ’t Veld, Bas A.</au><au>Dahan, Albert</au><au>Swank, Dingeman J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>33</volume><issue>1</issue><spage>204</spage><epage>210</epage><pages>204-210</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
To assess the prevalence, incidence, location, and behavior of chronic pre- and postoperative pain in bariatric surgery, and the use of analgesics.
Methods
A cross-sectional e-survey was conducted on 3928 post-bariatric patients and four-time points for pain assessment were evaluated: preoperative, on the ward, day 1 at home postoperatively, and present time (at the time of the e-survey). A numerical rating scale (NRS) was used to assess the level of pain (0 to 10). The general incidence of chronic pain was calculated, as also, subgroups were defined as group A (pre and postoperative chronic pain), B (preoperative pain, and no longer postoperative), and C (preoperative painless, postoperative chronic pain). Besides the pain intensity, location of pain, and the use of analgesics were investigated.
Results
A total of 3279 patients (83.9%) responded to the survey. Preoperative and postoperative chronic pain was found in 343 (10.5%) and 264 (8.1%) patients, respectively. In group A, chronic pain was present in 4.8% of the patients; in group B, it was present in 5.7%; and in group C in 3.3% of the patients. Furthermore, in 4.5% of patients pain was located in the abdomen, which was higher as compared to before surgery (+ 2.3%,
p
< 0.001). The ORs for present postoperative chronic pain were OR 1.45, 1.7, and 1.71 (
p
= 0.002, 0.003, 0.003) compared to respectively preoperative chronic pain, pain at the ward, and pain at day 1 after surgery. Among all participants, 4.6% consumed chronic analgesics. Of these, paracetamol was used most frequently (3.8%), followed by tramadol (1.3%) and oxycodone (0.5%).
Conclusions
In this e-survey, chronic postoperative abdominal pain was prominent in patients after bariatric surgery. Of patients, 3.3% that were without preoperative chronic pain developed chronic pain after surgery. Opioid consumption in the queried population was relatively low.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36344727</pmid><doi>10.1007/s11695-022-06354-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0274-9608</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Analgesics Analgesics - therapeutic use Analgesics, Opioid - therapeutic use Bariatric Surgery - adverse effects Chronic pain Chronic Pain - epidemiology Chronic Pain - etiology Cross-Sectional Studies Gastrointestinal surgery Humans Incidence Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Pain, Postoperative - drug therapy Pain, Postoperative - epidemiology Pain, Postoperative - etiology Postoperative period Surgery |
title | Cross-sectional E-survey on the Incidence of Pre- and Postoperative Chronic Pain in Bariatric Surgery |
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