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
Hauptverfasser: Torensma, Bart, Hany, Mohammed, Bakker, Marije J. S., van Velzen, Monique, in ’t Veld, Bas A., Dahan, Albert, Swank, Dingeman J.
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container_end_page 210
container_issue 1
container_start_page 204
container_title Obesity surgery
container_volume 33
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
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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  &lt; 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 &amp; 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”). 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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  &lt; 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. 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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 &amp; 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 &amp; Medical Complete (Alumni)</collection><collection>Health &amp; 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  &lt; 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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