Chronic Pain Prevalence and Factors Associated With High Impact Chronic Pain following Total Joint Arthroplasty: An Observational Study.
Chronic Pain Prevalence and Factors Associated With High Impact Chronic Pain following Total Joint Arthroplasty: An Observational Study.
复制标题
DOI：
10.1016/j.jpain.2021.09.007
复制
发表时间：
2022-03
期刊：
影响因子：
4
通讯作者：
Horn, Maggie E.
中科院分区：
文献类型：
--
作者：
George, Steven Z.;Bolognesi, Michael P.;Bhavsar, Nrupen A.;Penrose, Colin T.;Horn, Maggie E.
关键词：
髋关节、膝关节和肩关节置换术是美国最常进行的骨科手术。全关节置换术（TJA）后高影响和令人困扰的慢性疼痛发生率尚不明确；预测这些慢性疼痛结果的因素也不清楚。这项回顾性观察研究纳入了2014年1月至2020年1月期间接受TJA的患者（n = 2638）。从电子健康记录中提取术前和临床就诊信息，并通过电子邮件调查确定慢性疼痛状态。预测变量包括TJA部位、手术次数、合并症、吸烟情况、体重指数（BMI）和术前疼痛强度。主要结果是高影响和令人困扰的慢性疼痛。高影响疼痛发生率（95%置信区间）在膝关节（9.8% - 13.3%）、髋关节（8.3% - 11.8%）和肩关节（7.6% - 16.3%）之间具有可比性。高影响疼痛风险增加的因素包括非白人种族、两种或更多合并症、年龄小于65岁、术前疼痛评分5/10或更高、膝关节置换术以及术后调查在24个月或更短时间内完成。令人困扰的慢性疼痛发生率（95%置信区间）在膝关节（24.9% - 29.9%）和髋关节（21.3% - 26.3%）置换术之间也具有可比性；但在肩关节置换术（26.9% - 39.6%）中更高。令人困扰的慢性疼痛风险增加的因素包括非白人种族、肩关节置换术、膝关节置换术、当前或过去吸烟以及女性。
Hip, knee, and shoulder arthroplasty are among the most frequently performed orthopaedic procedures in the United States. High impact and bothersome chronic pain rates following total joint arthroplasty (TJA) are unknown; as are factors that predict these chronic pain outcomes. This retrospective observational study included individuals that had a TJA from January 2014 to January 2020 (n = 2,638). Pre-operative and clinical encounter information was extracted from the electronic health record and chronic pain state was determined by email survey. Predictor variables included TJA location, number of surgeries, comorbidities, tobacco use, BMI, and pre-operative pain intensity. Primary outcomes were high impact and bothersome chronic pain. Rates of high impact pain (95% CI) were comparable for knee (9.8%-13.3%), hip (8.3%-11.8%) and shoulder (7.6%-16.3%). Increased risk of high impact pain included non-white race, two or more comorbidities, age less than 65 years, pre-operative pain scores 5/10 or higher, knee arthroplasty, and post-operative survey completion 24 months or less. Rates of bothersome chronic pain (95% CI) were also comparable for knee (24.9%-29.9%) and hip (21.3%-26.3%) arthroplasty; but higher for shoulder (26.9%-39.6%). Increased risk of bothersome chronic pain included non-white race, shoulder arthroplasty, knee arthroplasty, current or past tobacco use, and being female.
登录
查看更多内容
影响因子：
7.4
作者：
Johansen, Aslak;Romundstad, Luis;Stubhaug, Audun
通讯作者：
Stubhaug, Audun
影响因子：
5.7
作者：
Calcaterra, S. L.;Scarbro, S.;Colborn, K. L.
通讯作者：
Colborn, K. L.
影响因子：
7.4
作者：
Von Korff, Michael;DeBar, Lynn L.;Keefe, Francis J.
通讯作者：
Keefe, Francis J.
影响因子：
3.4
作者：
Neuprez, Audrey;Neuprez, Arnaud Henri;Reginster, Jean-Yves
通讯作者：
Reginster, Jean-Yves
影响因子：
2.8
作者：
Mota RE;Tarricone R;Ciani O;Bridges JF;Drummond M
通讯作者：
Drummond M