Chronic post-thyroidectomy pain: Incidence, ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Chronic post-thyroidectomy pain: Incidence, typology, and risk factors
Auteur(s) :
Wattier, Jean-Michel [Auteur]
CIC CHU ( Lille)/inserm
Caiazzo, Robert [Auteur]
Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
Recherche translationnelle sur le diabète (RTD) - U1190
Andrieu, Gregoire [Auteur]
CIC CHU ( Lille)/inserm
Kipnis, Eric [Auteur]
Recherche translationelle relations hôte-pathogènes
Recherche translationnelle : relations hôte-pathogènes - EA 7366
Pattou, Francois [Auteur]
CIC CHU ( Lille)/inserm
Recherche translationnelle sur le diabète (RTD) - U1190
Lebuffe, Gilles [Auteur]
Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
CIC CHU ( Lille)/inserm
Caiazzo, Robert [Auteur]
Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
Recherche translationnelle sur le diabète (RTD) - U1190
Andrieu, Gregoire [Auteur]
CIC CHU ( Lille)/inserm
Kipnis, Eric [Auteur]
Recherche translationelle relations hôte-pathogènes
Recherche translationnelle : relations hôte-pathogènes - EA 7366
Pattou, Francois [Auteur]
CIC CHU ( Lille)/inserm
Recherche translationnelle sur le diabète (RTD) - U1190
Lebuffe, Gilles [Auteur]
Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
Titre de la revue :
Anaesthesia Critical Care & Pain Medicine
Nom court de la revue :
Anaesth. Crit. Care Pain Med.
Numéro :
35
Pagination :
197-201
Date de publication :
2016-06
ISSN :
2352-5568
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Chronic postoperative pain exists in varying degrees for every type of surgery. An evaluation of the incidence, the typology and predictive factors of chronic pain was carried out at 3 and 6months after thyroidectomy. A ...
Lire la suite >Chronic postoperative pain exists in varying degrees for every type of surgery. An evaluation of the incidence, the typology and predictive factors of chronic pain was carried out at 3 and 6months after thyroidectomy. A prospective observational study, having included each of the patients prior to their thyroidectomy, was carried out over 12months. The patients used an 11-point numerical rating scale (NRS), a neuropathic pain screening questionnaire (DN4), an evaluation scale for anxiety and for the need for information related to anaesthesia and surgery (APAIS), a questionnaire describing pain (QDSA) and a questionnaire evaluating neuropathic pain (NPSI) before surgery and at three and six months later. Three hundred and four patients were included. The questionnaires were completed by 251 patients (57 males and 194 females) at 3 and 6months (82%). At 3months, 31 out of 251 (12%) patients mentioned a DN4≥3; at 6months, this rate dropped to 23 out of 251 (9%). The average intensity of chronic postoperative pain remained low to moderate. Levels of anxiety and the need for information were higher in patients with postoperative pain at 3 and 6months. In contrast, the number of intraoperative procedures using a bilateral superficial cervical plexus block (BSCPB) was lower in patients with DN4≥3. Multivariate analysis demonstrated that the type of anaesthesia procedure interfered with the risk of delayed pain after thyroidectomy. The presence of a DN4≥3 was nearly three-fold greater in patients without BSCPB (OR 2.647, CI=1.198-5.848).Lire moins >
Lire la suite >Chronic postoperative pain exists in varying degrees for every type of surgery. An evaluation of the incidence, the typology and predictive factors of chronic pain was carried out at 3 and 6months after thyroidectomy. A prospective observational study, having included each of the patients prior to their thyroidectomy, was carried out over 12months. The patients used an 11-point numerical rating scale (NRS), a neuropathic pain screening questionnaire (DN4), an evaluation scale for anxiety and for the need for information related to anaesthesia and surgery (APAIS), a questionnaire describing pain (QDSA) and a questionnaire evaluating neuropathic pain (NPSI) before surgery and at three and six months later. Three hundred and four patients were included. The questionnaires were completed by 251 patients (57 males and 194 females) at 3 and 6months (82%). At 3months, 31 out of 251 (12%) patients mentioned a DN4≥3; at 6months, this rate dropped to 23 out of 251 (9%). The average intensity of chronic postoperative pain remained low to moderate. Levels of anxiety and the need for information were higher in patients with postoperative pain at 3 and 6months. In contrast, the number of intraoperative procedures using a bilateral superficial cervical plexus block (BSCPB) was lower in patients with DN4≥3. Multivariate analysis demonstrated that the type of anaesthesia procedure interfered with the risk of delayed pain after thyroidectomy. The presence of a DN4≥3 was nearly three-fold greater in patients without BSCPB (OR 2.647, CI=1.198-5.848).Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
Inserm
CHU Lille
Inserm
Collections :
Équipe(s) de recherche :
Innovation/évaluation des médicaments injectables
Date de dépôt :
2019-02-26T17:07:27Z
2022-04-13T08:51:53Z
2022-04-13T08:51:53Z