Prevalence of chronic postsurgical pain after thoracotomy and total knee arthroplasty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain)
Prevalence of chronic postsurgical pain after thoracotomy and total knee arthroplasty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain)
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DOI：
10.1007/s00540-018-2481-0
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发表时间：
2018-06-01
影响因子：
2.8
通讯作者：
Ito, Hisakatsu
中科院分区：
文献类型：
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作者：
Sugiyama, Yoko;Iida, Hiroki;Ito, Hisakatsu
我们进行了一项多中心观察性研究，以评估日本人群肺癌手术和全膝关节置换术（TKA）后持续疼痛的患病率和风险因素。在获得伦理委员会批准后，对2013年在日本7所大学医院接受手术的患者进行了回顾性病历审查。共纳入511例接受肺癌手术的患者和298例接受TKA的患者。肺部手术后3个月和6个月时慢性术后疼痛（CPSP）的患病率分别为18%和12%，TKA后分别为49%和33%。肺部手术后3个月和6个月时镇痛药使用率分别为16%和9%，TKA后分别为34%和22%。在两组中，术前镇痛剂使用与CPSP相关。两种手术中的麻醉方法或技术对CPSP的患病率没有显著影响。这是第一项在多中心试验中广泛评价日本人群肺手术和TKA后CPSP患病率的研究。需要进一步的前瞻性研究来确认日本人群中CPSP的患病率，并确定危险因素和预防方法。
We performed a multicenter observational study to assess the prevalence and risk factors of persistent pain after lung cancer surgery and total knee arthroplasty (TKA) in the Japanese population. After receiving Ethics Committee approval, a retrospective chart review was performed for patients who underwent surgery at seven university hospitals in Japan in 2013. A total of 511 patients who underwent lung cancer surgery and 298 patients who underwent TKA were included. The prevalence of chronic postsurgical pain (CPSP) at 3 and 6 months was 18 and 12% after lung surgery and 49 and 33% after TKA, respectively. The prevalence of analgesic use at 3 and 6 months was 16 and 9% after lung surgery and 34 and 22% after TKA, respectively. In both groups, preoperative analgesic use was associated with CPSP. Anesthetic methods or techniques during both types of surgery did not significantly affect the prevalence of CPSP. This is the first study in which the prevalence of CPSP after lung surgery and TKA in Japanese population was extensively evaluated in a multicenter trial. Further prospective studies are needed to confirm the prevalence of CPSP in the Japanese population and to identify risk factors and prevention methods.