Alteration in pain modulation in women with persistent pain after lumpectomy: influence of catastrophizing
Open accessAbstract
Context Persistent pain is common after surgical treatment of breast cancer, but fairly little is known about the changes in sensory processing that accompany such pain syndromes.Objectives This study used quantitative sensory testing to compare psychophysical responses to standardized noxious stimulation in two groups of women who had previously undergone breast cancer surgery: women with (n=37) and without (n=34) persistent postoperative pain.Methods Participants underwent a single testing session in which responses to a variety of noxious stimuli were assessed.Results Findings suggested that women with chronic pain after breast cancer surgery display enhanced temporal summation of mechanical pain, deficits in endogenous pain inhibition, and more intense painful aftersensations compared with those without long-term pain. Some of these group differences were mediated by higher levels of pain catastrophizing in the group of women with persistent pain.Conclusion These findings suggest that persistent postoperative pain is associated with alterations in central nervous system pain-modulatory processes. Future treatment studies might benefit from targeting these pain-modulatory systems, and additional studies using functional neuroimaging methods might provide further valuable information about the pathophysiology of long-term postsurgical pain in women treated for breast cancer.
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Pain sensitivity and central sensitization have been found to be related to persistent post-surgical pain.
“which have been found to be related to PSP16, 17”
Catastrophic thinking is associated with increased pain sensitivity and central sensitization.
“and increased pain sensitivity and central sensitization4, 16”
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Temporal summation of heat pain in humans: Evidence supporting thalamocortical modulation
Tran, T. D., Wang, H., Tandon, A. A., Hernández-García, L., & Casey, K. L. (2010) · Pain · doi:10.1016/j.pain.2010.04.001 · Cited by 47 · see citing works
Multimodal prevention of pain, nausea and vomiting after breast cancer surgery.
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Is fibromyalgia a neurologic disease?
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Chronic Pain and Surgery: A Review of New Insights from Sensory Testing
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Lumbar epidural fentanyl: segmental spread and effect on temporal summation and muscle pain
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Rheumatoid Symptoms Following Breast Cancer Treatment
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Multimodal approach to therapy-related neuropathic pain in breast cancer.
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Activity and Sleep Contribute to Levels of Anticipatory Distress in Breast Surgery Patients
Tatrow, K., Montgomery, G. H., Avellino, M., & Bovbjerg, D. H. (2004) · Behavioral Medicine · doi:10.3200/bmed.30.2.85-94 · Cited by 7 · see citing works
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The role of psychosocial processes in the development and maintenance of chronic pain
Edwards, R. R., Dworkin, R. H., Sullivan, M. D., Turk, D. C., & Wasan, A. D. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.01.001 · Cited by 954 · see citing works
Self-citationPatient phenotyping in clinical trials of chronic pain treatments: IMMPACT recommendations
Edwards, R. R., Dworkin, R. H., Turk, D. C., Angst, M. S., Dionne, R., Freeman, R., Hansson, P., Haroutounian, S., Arendt-Nielsen, L., Attal, N., et al. (2016) · Pain · doi:10.1097/j.pain.0000000000000602 · Cited by 403 · see citing works
Self-citationRole of endogenous pain modulation in chronic pain mechanisms and treatment
Yarnitsky, D. (2015) · Pain · doi:10.1097/01.j.pain.0000460343.46847.58 · Cited by 347 · see citing works
“It is noted that several articles have also reported co-occurrence of both enhanced TS and less efficient CPM in patients with pain, such as in patients with OA,(3) cluster headache,(71) and chronic postmastectomy pain.(21) A double pronociceptive PMP might indicate a more robust change, which could imply more intense…”
BackgroundPain modulation profile and pain therapy: Between pro- and antinociception
Yarnitsky, D., Granot, M., & Granovsky, Y. (2013) · Pain · doi:10.1016/j.pain.2013.11.005 · Cited by 297 · see citing works
“Several articles have also reported co-occurrence of both enhanced TS and less efficient CPM in pain patients, such as osteoarthritis [1], cluster headache [17], and chronic postmastectomy pain [4].”
BackgroundBruce, J., Thornton, A. J., Powell, R., Johnston, M., Wells, M., Heys, S. D., Thompson, A. M., Smith, C. W., Chambers, A. W., & Scott, N. W. (2014) · Pain · doi:10.1016/j.pain.2013.09.028 · Cited by 260 · see citing works
“Other strengths include the detailed preoperative assessment of baseline health status and pain history, often neglected from surgical cohort studies [2,16,19,42] and experimental studies incorporating sensory testing [14,18,31].”
BackgroundBelfer, I., Schreiber, K. L., Shaffer, J. R., Shnol, H., Blaney, K., Morando, A., Englert, D., Greco, C., Brufsky, A., Ahrendt, G., et al. (2013) · The Journal of Pain · doi:10.1016/j.jpain.2013.05.002 · Cited by 217 · see citing works
Self-citationCampbell, C. M., Buenaver, L. F., Finan, P. H., Bounds, S. C., Redding, M., McCauley, L., Robinson, M., Edwards, R. R., & Smith, M. T. (2015) · Arthritis Care & Research · doi:10.1002/acr.22609 · Cited by 214 · see citing works
Self-citationSchreiber, K. L., Martel, M. O., Shnol, H., Shaffer, J. R., Greco, C., Viray, N., Taylor, L. N., McLaughlin, M., Brufsky, A., Ahrendt, G., et al. (2013) · Pain · doi:10.1016/j.pain.2012.11.015 · Cited by 188 · see citing works
“This dissociation between catastrophizing about QST-related pain (SPCS) and recall of catastrophizing in daily life (PCS) is not unprecedented in chronic pain patients, and suggests that context-specific assessment of catastrophizing may be important in future studies [8,9,20].”
BackgroundInfluentialSelf-citationPsychological Factors and Conditioned Pain Modulation
Nahman‐Averbuch, H., Nir, R., Sprecher, E., & Yarnitsky, D. (2015) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000296 · Cited by 184 · see citing works
Disrupted Brain Circuitry for Pain‐Related Reward/Punishment in Fibromyalgia
Loggia, M. L., Berna, C., Kim, J., Cahalan, C. M., Gollub, R. L., Wasan, A. D., Harris, R. E., Edwards, R. R., & Napadow, V. (2013) · Arthritis & Rheumatology · doi:10.1002/art.38191 · Cited by 178 · see citing works
“As in our previous studies (20, 21), mechanical stimuli were delivered on the right calf using a 13.”
MethodSelf-citationDistraction Analgesia in Chronic Pain Patients
Schreiber, K. L., Campbell, C. M., Martel, M. O., Greenbaum, S., Wasan, A. D., Borsook, D., Jamison, R. N., & Edwards, R. R. (2014) · Anesthesiology · doi:10.1097/aln.0000000000000465 · Cited by 143 · see citing works
Self-citationWideman, T. H., Finan, P. H., Edwards, R. R., Quartana, P. J., Buenaver, L. F., Haythornthwaite, J. A., & Smith, M. T. (2014) · Pain · doi:10.1016/j.pain.2013.12.028 · Cited by 142 · see citing works
“Consistent with previous approaches, an index of temporal summation of mechanical pain was created by subtracting first-stimuli pain ratings from peak pain ratings [24,25].”
BackgroundMethodSelf-citationEdwards, R. R., Dolman, A. J., Martel, M. O., Finan, P. H., Lazaridou, A., Cornelius, M. C., & Wasan, A. D. (2016) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-016-1124-6 · Cited by 138 · see citing works
“Participants then underwent an assessment of mechanical temporal summation using weighted pinprick stimulators, as in several previous studies [23].”
MethodSelf-citationBasaria, S., Travison, T. G., Alford, D., Knapp, P. E., Teeter, K., Cahalan, C., Eder, R., Lakshman, K., Bachman, E., Mensing, G., et al. (2015) · Pain · doi:10.1097/01.j.pain.0000460308.86819.aa · Cited by 125 · see citing works
“Cold pain intensity ratings (0-100) were also obtained at 30-second intervals after cold-pressor tests to assess painful aftersensations.(18)”
MethodSelf-citationSchou Bredal, I., Smeby, N. A., Ottesen, S., Warncke, T., & Schlichting, E. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.12.239 · Cited by 123 · see citing works
Vægter, H. B., & Graven‐Nielsen, T. (2016) · Pain · doi:10.1097/j.pain.0000000000000543 · Cited by 122 · see citing works
Schreiber, K. L., Kehlet, H., Belfer, I., & Edwards, R. R. (2014) · Pain Management · doi:10.2217/pmt.14.33 · Cited by 106 · see citing works
Self-citationLee, Y., Bingham, C. O., Edwards, R. R., Marder, W., Phillips, K., Bolster, M. B., Clauw, D. J., Moreland, L. W., Lü, B., Wohlfahrt, A., et al. (2017) · Arthritis Care & Research · doi:10.1002/acr.23266 · Cited by 103 · see citing works
Self-citationSchreiber, K. L., Zinboonyahgoon, N., Xu, X., Spivey, T., King, T. A., Dominici, L. S., Partridge, A. H., Golshan, M. A., Strichartz, G. R., & Edwards, R. R. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.11.004 · Cited by 103 · see citing works
Self-citationSex and Race Differences in Pain Sensitization among Patients with Chronic Low Back Pain
Meints, S. M., Wang, V. C., & Edwards, R. R. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.07.001 · Cited by 98 · see citing works
Self-citationMartel, M. O., Wasan, A. D., & Edwards, R. R. (2013) · Pain Medicine · doi:10.1111/pme.12220 · Cited by 92 · see citing works
Self-citationLevene, J. L., Weinstein, E. J., Cohen, M. S., Andreae, D. A., Chao, J. Y., Johnson, M., Hall, C. B., & Andreae, M. H. (2019) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2018.12.043 · Cited by 96 · see citing works
“[4–6] Gender, genetics and phenotype predispose to persistent postoperative pain (PPP).[4,5,7]”
BackgroundEdwards, R. R., Dolman, A. J., Michna, E., Katz, J. N., Nedeljković, S. S., Janfaza, D. R., Isaac, Z., Martel, M. O., Jamison, R. N., & Wasan, A. D. (2016) · Pain Medicine · doi:10.1093/pm/pnw010 · Cited by 87 · see citing works
Self-citationThe effect of induced and chronic pain on attention
Moore, D. J., Meints, S. M., Lazaridou, A., Johnson, D., Franceschelli, O., Cornelius, M., Schreiber, K., & Edwards, R. R. (2019) · The Journal of Pain · doi:10.1016/j.jpain.2019.05.004 · Cited by 83 · see citing works
Loggia, M. L., Berna, C., Kim, J., Cahalan, C. M., Martel, M.-O., Gollub, R. L., Wasan, A. D., Napadow, V., & Edwards, R. R. (2015) · The Journal of Pain · doi:10.1016/j.jpain.2015.04.003 · Cited by 74 · see citing works
Self-citationAbrecht, C. R., Cornelius, M. C., Wu, A. W., Jamison, R. N., Janfaza, D. R., Urman, R. D., Campbell, C. M., Smith, M. T., Haythornthwaite, J. A., Edwards, R. R., et al. (2018) · Pain Medicine · doi:10.1093/pm/pny020 · Cited by 80 · see citing works
Self-citationAltered central pain processing after pancreatic surgery for chronic pancreatitis
Bouwense, S. A. W., Ali, U. A., ten Broek, R. P. G., Issa, Y., van Eijck, C. H. J., Wilder‐Smith, O. H. G., & van Goor, H. (2013) · British journal of surgery · doi:10.1002/bjs.9322 · Cited by 71 · see citing works
The important role of CNS facilitation and inhibition for chronic pain
Staud, R. M. (2013) · International Journal of Clinical Rheumatology · doi:10.2217/ijr.13.57 · Cited by 71 · see citing works
Opioid Use following Outpatient Breast Surgery: Are Physicians Part of the Problem?
Hart, A. M., Broecker, J. S., Kao, L. S., & D, A. L. M. (2018) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000004636 · Cited by 69 · see citing works
Schreiber, K. L., Zinboonyahgoon, N., Flowers, K. M., Hruschak, V., Fields, K. G., Patton, M. E., Schwartz, E., Azizoddin, D. R., Soens, M., King, T. A., et al. (2021) · Annals of Surgical Oncology · doi:10.1245/s10434-020-09479-2 · Cited by 65 · see citing works
Self-citationGroef, A. D., Meeus, M., Vrieze, T. D., Vos, L., Kampen, M. V. D., Christiaens, M.-R., Neven, P., Geraerts, I., & Devoogdt, N. (2017) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2017.03.005 · Cited by 58 · see citing works
“wind-up) and impaired descending inhibitory pain mechanisms.(33) Additionally, previous studies also showed that psychosocial factors are important predictors for persistent upper limb dysfunctions as well.”
BackgroundResultNature and Nurture of Human Pain
Belfer, I. (2013) · Scientifica · doi:10.1155/2013/415279 · Cited by 56 · see citing works
“Recent study revealed that catastrophizing alters pain modulation in patients with persistent clinical pain [76].”
BackgroundSelf-citationSchreiber, K. L., Loggia, M. L., Kim, J., Cahalan, C. M., Napadow, V., & Edwards, R. R. (2017) · The Journal of Pain · doi:10.1016/j.jpain.2017.02.437 · Cited by 54 · see citing works
Self-citationFlowers, K. M., Patton, M. E., Hruschak, V., Fields, K. G., Schwartz, E., Zeballos, J., Kang, J. D., Edwards, R. R., Kaptchuk, T. J., & Schreiber, K. L. (2021) · Pain · doi:10.1097/j.pain.0000000000002185 · Cited by 52 · see citing works
“Temporal summation of pain, a measure of central pain-facilitatory processes, predicts greater acute(1,39,82,95) and persistent postsurgical pain.(26,32,70,98) Previous findings have also suggested enhanced benefits of nonpharmacologic treatments, such as high-frequency TENS, in back pain in patients who showed the gr…”
Self-citationCampbell, C. M., Buenaver, L. F., Raja, S. N., Kiley, K. B., Swedberg, L., Wacnik, P. W., Cohen, S. P., Erdek, M. A., Williams, K., & Christo, P. J. (2015) · Pain Medicine · doi:10.1111/pme.12732 · Cited by 52 · see citing works
Self-citationExplaining pain following cancer: a practical guide for clinicians
Nijs, J., Wijma, A. J., Leysen, L., Pas, R., Willaert, W., Hoelen, W., Ickmans, K., & van Wilgen, C. P. (2018) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2018.12.003 · Cited by 50 · see citing works
“Women with persistent pain following breast cancer surgery can show high levels of pain catastrophizing that mediate alterations in central pain modulatory systems.(34) Indeed, when comparing post-mastectomy patients with and without post-surgical pain, they did not differ in treatment or disease-related variables, bu…”
BackgroundPredictors of Pain Experienced by Women During Percutaneous Imaging-Guided Breast Biopsies
Soo, A. E., Shelby, R. A., Miller, L. S., Balmadrid, M. H., Johnson, K. S., Wren, A. A., Yoon, S. C., Keefe, F. J., & Soo, M. S. (2014) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2014.01.013 · Cited by 49 · see citing works
“Higher anticipated pain, greater pain catastrophizing, and lower physician-patient communication have all been correlated with higher pain scores during or after other medical interventions [12-15], suggesting that these factors may affect pain experienced during breast biopsy.”
BackgroundEndogenous Pain Modulation Profiles Among Individuals With Chronic Pain: Relation to Opioid Use
Martel, M. O., Petersen, K. K., Cornelius, M. C., Arendt‐Nielsen, L., & Edwards, R. R. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.10.004 · Cited by 47 · see citing works
Self-citationPatient phenotyping in clinical trials of chronic pain treatments: IMMPACT recommendations
Edwards, R. R., Dworkin, R. H., Turk, D. C., Angst, M. S., Dionne, R. A., Freeman, R. L., Hansson, P. T., Haroutounian, S., Arendt‐Nielsen, L., Attal, N., et al. (2021) · PAIN Reports · doi:10.1097/pr9.0000000000000896 · Cited by 47 · see citing works
“It varies widely in magnitude across individuals and is a sensitive measure of deficits in pain modulation in FM and a variety of persistent pain disorders(240) including long-term postsurgical pain.(36,85,267)”
BackgroundSelf-citationNijs, J., Lahousse, A., Fernández‐de‐las‐Peñas, C., Madeleine, P., Fontaine, C., Nishigami, T., Desmedt, C., Vanhoeij, M., Mostaqim, K., Vargas, A. I. C., et al. (2023) · British Journal of Anaesthesia · doi:10.1016/j.bja.2022.12.013 · Cited by 47 · see citing works
Brenin, D. R., Dietz, J. R., Baima, J. A., Cheng, G. S., Froman, J. P., Laronga, C., Ma, A., Manahan, M. A., Mariano, E. R., Rojas, K. E., et al. (2020) · Annals of Surgical Oncology · doi:10.1245/s10434-020-08892-x · Cited by 46 · see citing works
Moloney, N. A., Pocovi, N. C., Dylke, E. S., Graham, P. L., & De Groef, A. (2021) · Pain Medicine · doi:10.1093/pm/pnaa363 · Cited by 43 · see citing works
Langford, D. J., Paul, S. M., West, C. M., Levine, J. D., Hamolsky, D., Elboim, C., Schmidt, B. L., Cooper, B. A., Abrams, G., Aouizerat, B. E., et al. (2014) · Journal of Pain · doi:10.1016/j.jpain.2014.08.014 · Cited by 38 · see citing works
Bilika, P., Neblett, R., Georgoudis, G., Dimitriadis, Z., Fandridis, E. M., Στριμπάκος, Ν., & Kapreli, E. (2019) · Pain Practice · doi:10.1111/papr.12843 · Cited by 38 · see citing works
“nected with hypersensitivity and temporal summation of pain, similar signs of CS pain.(9,10)”
BackgroundThe Relationship Between Sensory Loss and Persistent Pain 1 Year After Breast Cancer Surgery
Andersen, K. G., Duriaud, H. M., Kehlet, H., & Aasvang, E. K. (2017) · Journal of Pain · doi:10.1016/j.jpain.2017.05.002 · Cited by 36 · see citing works
Hattori, T., Shimo, K., Niwa, Y., Tokiwa, Y., & Matsubara, T. (2021) · Journal of Pain Research · doi:10.2147/jpr.s296273 · Cited by 37 · see citing works
Manfuku, M., Nishigami, T., Mibu, A., Tanaka, K., Kitagaki, K., & Sumiyoshi, K. (2019) · Breast Cancer · doi:10.1007/s12282-019-00979-y · Cited by 34 · see citing works
Indicators of central sensitization in chronic neuropathic pain after spinal cord injury
Lütolf, R., Rösner, J., Curt, A. E. P., & Hubli, M. (2022) · European Journal of Pain · doi:10.1002/ejp.2028 · Cited by 35 · see citing works
“Previous studies reported increased TSP (Edwards et al., 2006) and pronounced painful aftersensations (Edwards et al., 2013; Woolf, 2011) in subjects with enhanced PCS scores, being discussed as indices of central sensitization.”
BackgroundThe impact of anxiety and catastrophizing on interleukin-6 responses to acute painful stress
Lazaridou, A., Martel, M. O., Cahalan, C., Cornelius, M. C., Franceschelli, O., Campbell, C., Haythornthwaite, J. A., Smith, M. T., Riley, J. L., & Edwards, R. R. (2018) · Journal of Pain Research · doi:10.2147/jpr.s147735 · Cited by 34 · see citing works
Self-citationGroef, A. D., Devoogdt, N., der Gucht, E. V., Dams, L., Bernar, K., Godderis, L., Morlion, B. J., Moloney, N. A., Smeets, A., van Wilgen, P., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025742 · Cited by 33 · see citing works
Placebo hypoalgesia: racial differences
Okusogu, C., Wang, Y., Akintola, T., Haycock, N. R., Raghuraman, N., Greenspan, J. D., Phillips, J. L., Dorsey, S. G., Campbell, C. M., & Colloca, L. (2020) · Pain · doi:10.1097/j.pain.0000000000001876 · Cited by 33 · see citing works
“The association between chronic pain and impaired endogenous pain modulation (EPM) has been well-documented in previous literature.(24,66,71,85,89) Accordingly, chronic pain may”
BackgroundSelf-citationCarrière, J. S., Martel, M. O., Meints, S. M., Cornelius, M. C., & Edwards, R. R. (2018) · European Journal of Pain · doi:10.1002/ejp.1348 · Cited by 32 · see citing works
“This subtraction index is a well‐accepted measure of TS of pain used in pain research (Cheng, Erpelding, Kucyi, DeSouza, & Davis, 2015; Edwards et al., 2016, 2013; Edwards, Fillingim, & Ness, 2003; Goodin et al., 2013; Rhudy et al., 2011; Staud, Weyl, Riley, & Fillingim, 2014).”
Self-citationZinboonyahgoon, N., Vlassakov, K. V., Lirk, P. B., Spivey, T., King, T. A., Dominici, L. S., Golshan, M. A., Strichartz, G. R., Edwards, R. R., & Schreiber, K. L. (2019) · British Journal of Anaesthesia · doi:10.1016/j.bja.2019.01.041 · Cited by 32 · see citing works
Self-citationRasmussen, G. H. F., Madeleine, P., Arroyo‐Morales, M., Voigt, M., & Kristiansen, M. V. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-00995-y · Cited by 30 · see citing works
Manfuku, M., Nishigami, T., Mibu, A., Yamashita, H., Imai, R., Tanaka, K., Kitagaki, K., Kanamori, H., & Sumiyoshi, K. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06103-1 · Cited by 31 · see citing works
Gürşen, C., Dylke, E. S., Moloney, N. A., Meeus, M., Vrieze, T. D., Devoogdt, N., & Groef, A. D. (2021) · European Journal of Cancer Care · doi:10.1111/ecc.13440 · Cited by 30 · see citing works
Werner, M. U., & Bischoff, J. M. (2014) · Current topics in behavioral neurosciences · doi:10.1007/7854_2014_285 · Cited by 30 · see citing works
Groef, A. D. (2018) · Pain Physician · doi:10.36076/ppj.2018.3.e247 · Cited by 29 · see citing works
“Mean (SD) score on the CSI was 37 (14) with a minimum score of 8 and maximum score of 86.”
BackgroundInfluentialValdes, A. M., Warner, S. C., Harvey, H. L., Fernandes, G. S., Doherty, S., Jenkins, W., Wheeler, M., & Doherty, M. (2015) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2015.05.004 · Cited by 28 · see citing works
“Importantly, persistent postoperative pain after breast cancer surgery has been reported to be associated with alterations in central nervous system pain-modulatory processes and of these alterations appear to be mediated by higher levels of pain catastrophizing [15].”
BackgroundPsychological and endocrine factors and pain after mastectomy
Nishimura, D., Kosugi, S., Onishi, Y., Ihara, N., Wakaizumi, K., Nagata, H., Yamada, T., Suzuki, T., Hashiguchi, S., & Morisaki, H. (2017) · European Journal of Pain · doi:10.1002/ejp.1014 · Cited by 28 · see citing works
“…and the definition of chronic pain (i.e. whether it was defined as any pain or just severe pain), it should be noted that, even after breast-conserving surgery without axillary lymph node dissection, persistent pain occurs in close to 50% of cases (Gartner et al., 2009; Edwards et al., 2013).”
BackgroundUddin, Z., Woznowski‐Vu, A., Flegg, D., Aternali, A., Wickens, R. H., & Wideman, T. H. (2019) · European Journal of Pain · doi:10.1002/ejp.1364 · Cited by 27 · see citing works
“TSP values were calculated by subtracting the pain rating from the single stimulus from the peak pain during the repeated stimuli (Campbell et al., 2016; Edwards et al., 2011, 2013).”
Yeh, C. H., Lukkahatai, N., Campbell, C. M., Sair, H. I., Zhang, F., Mensah, S., Garry, C. E., Zeng, J., Chen, C., Pinedo, M., et al. (2019) · Pain Management Nursing · doi:10.1016/j.pmn.2019.04.004 · Cited by 27 · see citing works
Self-citationThe Impact of Music on Nociceptive Processing
Chai, P. R., Gale, J., Patton, M. E., Schwartz, E., Jambaulikar, G. D., Taylor, S. W., Edwards, R. R., Boyer, E. W., & Schreiber, K. L. (2020) · Pain Medicine · doi:10.1093/pm/pnaa070 · Cited by 27 · see citing works
Self-citationDams, L., Haenen, V., der Gucht, E. V., Devoogdt, N., Smeets, A., Bernar, K., Vrieze, T. D., Groef, A. D., & Meeus, M. (2021) · Pain Medicine · doi:10.1093/pm/pnab343 · Cited by 27 · see citing works
Choosing Mastectomy vs. Lumpectomy-With-Radiation: Experiences of Breast Cancer Survivors
Admoun, C., & MAYROVITZ, H. N. (2021) · Cureus · doi:10.7759/cureus.18433 · Cited by 25 · see citing works
“There are also findings indicating that persistent chronic pain post breast cancer surgery causes alterations in pain-modulatory processes in the brain [22].”
Stieger, A., Asadauskas, A., Luedi, M. M., & Andereggen, L. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14103427 · Cited by 23 · see citing works
“Women also tend to engage in greater pain-related reflection and catastrophizing, which heightens perceived pain intensity and prolongs chronic pain experiences [92].”
Zinboonyahgoon, N., Patton, M. E., Chen, Y.-Y. K., Edwards, R. R., & Schreiber, K. L. (2021) · Pain Medicine · doi:10.1093/pm/pnab039 · Cited by 23 · see citing works
“Catastrophizing about pain has proven to be one of the most consistent psychosocial predictors of worse chronic pain outcomes [19], including persistent postsurgical pain [9, 21].”
BackgroundSelf-citationBehavioral, Psychological, Neurophysiological, and Neuroanatomic Determinants of Pain
Meints, S. M., Edwards, R. R., Gilligan, C. J., & Schreiber, K. L. (2020) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.20.00082 · Cited by 23 · see citing works
Self-citationValidation of pain catastrophizing scale on breast cancer survivor
Pérez‐Cruzado, D., Roldán‐Jiménez, C., Campos, M. I., Pajares, B., Alba, E., & Cuesta‐Vargas, A. (2022) · Pain Practice · doi:10.1111/papr.13163 · Cited by 20 · see citing works
Andersen, K. G., Kehlet, H., & Aasvang, E. K. (2014) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000136 · Cited by 22 · see citing works
Treatment of pain following cancer: applying neuro-immunology in rehabilitation practice
Nijs, J., Leysen, L., Pas, R., Adriaenssens, N., Meeus, M., Hoelen, W., Ickmans, K., & Moloney, N. A. (2016) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1261418 · Cited by 22 · see citing works
Vila, M. R., Todorovic, M. S., Tang, C., Fisher, M., Steinberg, A., Field, B., Bottros, M. M., Avidan, M. S., & Haroutounian, S. (2020) · British Journal of Anaesthesia · doi:10.1016/j.bja.2020.02.002 · Cited by 22 · see citing works
Physiotherapy management of breast cancer treatment-related sequelae
Devoogdt, N., & Groef, A. D. (2024) · Journal of physiotherapy · doi:10.1016/j.jphys.2024.02.020 · Cited by 21 · see citing works
Schreiber, K. L., Wilson, J. M., & Chen, Y.-Y. K. (2025) · Regional Anesthesia & Pain Medicine · doi:10.1136/rapm-2024-105602 · Cited by 25 · see citing works
“13 31 39 Preoperative assessments of a wider array of risk and resilience factors may have another benefit beyond more accurate predic-tion—it may help identify factors that are actually modifiable— which in turn brings us closer to actual prevention of CPSP.”
Self-citationEfficacy of Vibrating Gloves for Chronic Hand Pain due to Osteoarthritis
Jamison, R. N., Mei, A., Edwards, R. R., & Ross, E. L. (2017) · Pain Medicine · doi:10.1093/pm/pnx230 · Cited by 21 · see citing works
Self-citationSocial Disparities of Pain and Pain Intensity Among Women Diagnosed With Early Stage Breast Cancer
Choi, H. Y., Graetz, I., Shaban‐Nejad, A., Schwartzberg, L. S., Vidal, G. A., Davis, R. L., & Shin, E. K. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.759272 · Cited by 20 · see citing works
Ortego, G., Lluch, E., Herrero, P., Boudreau, S. A., & Doménech‐García, V. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11051346 · Cited by 20 · see citing works
“Higher (positive) wind-up ratio scores indicate an enhanced TS [52,53].”
BackgroundTreating persistent pain after breast cancer: practice gaps and future directions
Groef, A. D., Meeus, M., Heathcote, L. C., Wiles, L., Catley, M. J., Vogelzang, A. R., Olver, I., Runciman, W. B., Hibbert, P. D., Dams, L., et al. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01194-z · Cited by 22 · see citing works
“A wide range of psychological variables have been found to influence pain in cancer, including mood states such as anxiety, depression, worry and distress [53, 54], including cognitive variables related to appraisal of the likely cause or impact of tissue injury.”
BackgroundAAAPT Diagnostic Criteria for Acute Pain Following Breast Surgery
Schreiber, K. L., Belfer, I., Miaskowski, C. A., Schumacher, M. A., Stacey, B. R., & de Ven, T. V. (2019) · Journal of Pain · doi:10.1016/j.jpain.2019.08.008 · Cited by 20 · see citing works
Self-citationLeysen, L., Cools, W., Nijs, J., Adriaenssens, N., Pas, R., van Wilgen, C. P., Bults, R., Roose, E. C. S., Lahousse, A., & Beckwée, D. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06011-4 · Cited by 19 · see citing works
Dams, L., der Gucht, E. V., Haenen, V., Lauwers, M., Pauw, S. D., Steurs, T., Devoogdt, N., Smeets, A., Bernar, K., Vrieze, T. D., et al. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-06805-0 · Cited by 19 · see citing works
“Given that mood and cognitions can have a strong influence on the experience of pain and its persistence [30], as well as evidence of a relationship between preoperative psychological functioning and pain in the long term after surgery for breast cancer [8–10], the present study expected these factors to be risk facto…”
BackgroundAuliffe, S. M., Bisset, L., Chester, R., Coombes, B. K., Fearon, A., Kirwan, P., McCreesh, K. M., Mitham, K., Morrissey, D., O’Neill, S., et al. (2022) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2022.11005 · Cited by 20 · see citing works
Wilson, J. M., Colebaugh, C. A., Flowers, K. M., Edwards, R. R., & Schreiber, K. L. (2022) · Pain Medicine · doi:10.1093/pm/pnac079 · Cited by 18 · see citing works
“Variables Used for Patient Cluster Derivation On the basis of previous research [9, 11, 12], we measured four well-known psychosocial modulators of pain interference, several of which have also been used to cluster pain patients [22], as well as pain intensity.”
MethodSelf-citationLi, R., Holley, A. L., Palermo, T. M., Ohls, O. C., Edwards, R. R., & Rabbitts, J. A. (2023) · Pain · doi:10.1097/j.pain.0000000000002865 · Cited by 18 · see citing works
Self-citationPersistent Arm Pain Is Distinct From Persistent Breast Pain Following Breast Cancer Surgery
Langford, D. J., Paul, S. M., West, C. M., Abrams, G., Elboim, C., Levine, J. D., Hamolsky, D., Luce, J. A., Kober, K. M., Neuhaus, J. M., et al. (2014) · Journal of Pain · doi:10.1016/j.jpain.2014.08.013 · Cited by 18 · see citing works
Groef, A. D., Devoogdt, N., Gürşen, C., Moloney, N. A., Warpy, V., Daelemans, J., Dams, L., Haenen, V., der Gucht, E. V., Heroes, A., et al. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01100-z · Cited by 17 · see citing works
Central Sensitization in Cancer Survivors and Its Clinical Implications: State of the Art
Nishigami, T., Manfuku, M., & Lahousse, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12144606 · Cited by 18 · see citing works
“Survivors with chronic postoperative pain after breast cancer surgery have decreased CPM and enhanced TS compared to survivors without chronic pain [42,43].”
BackgroundFakhari, S., Atashkhoei, S., Pourfathi, H., Farzin, H., & Bilehjani, E. (2017) · International Journal of Women s Health and Reproduction Sciences · doi:10.15296/ijwhr.2017.04 · Cited by 17 · see citing works
Childhood Trauma Predicts Cancer Treatment–Related Pain in Breast Cancer Survivors
Kanzawa-Lee, G. A., Knoerl, R., Williams, D. A., Clauw, D. J., Bridges, C. M., Harte, S. E., Kolarik, E., Houghtby, J., & Smith, E. M. L. (2018) · Cancer Nursing · doi:10.1097/ncc.0000000000000687 · Cited by 16 · see citing works
Arbinaga, F. (2023) · Journal of Science in Sport and Exercise · doi:10.1007/s42978-023-00234-z · Cited by 15 · see citing works
“The response to pain may be mediated by cata-strophizing [15], which could depend on the type of pain experienced [48].”
Effects of Patient and Surgery Characteristics on Persistent Postoperative Pain
Mi, X., Zou, B., Rashidi, P., Baharloo, R., Fillingim, R. B., Wallace, M. R., Crispen, P. L., Parvataneni, H. K., Prieto, H. A., Gray, C. F., et al. (2021) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000979 · Cited by 14 · see citing works
Time to Onset of Sustained Postoperative Pain Relief (SuPPR)
Tighe, P. J., King, C. D., Zou, B., & Fillingim, R. B. (2015) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000285 · Cited by 15 · see citing works
Tchetina, E. V., Glemba, K. E., Markova, G. A., Naryshkin, E. A., Александровна, Т. Е., Макаров, М. А., & Lila, A. M. (2020) · Life · doi:10.3390/life10100224 · Cited by 15 · see citing works
Rodriguez, D. A., Galor, A., & Felix, E. R. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.11.010 · Cited by 14 · see citing works
Rice, D. A., Parker, R. S., Lewis, G. N., Kluger, M. T., & McNair, P. J. (2016) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000464 · Cited by 13 · see citing works
Lahousse, A., Ivakhnov, S., Nijs, J., Beckwée, D., Cools, W., César Fernández de las Peñas, P., Roose, E. C. S., & Leysen, L. (2022) · Pain Medicine · doi:10.1093/pm/pnac006 · Cited by 16 · see citing works
Quantitative Sensory Testing in Women After Surgery for Breast Cancer
Dams, L., der Gucht, E. V., Meeus, M., Devoogdt, N., Smeets, A., Penen, F., Baerdemaecker, T. D., Haenen, V., Bernar, K., Vrieze, T. D., et al. (2021) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000940 · Cited by 13 · see citing works
Alizadeh, R. F., Aghsaeifard, Z., Alavi, N., Abbasvandi, F., & Khanigarabadi, A. (2020) · International Journal of Surgery Open · doi:10.1016/j.ijso.2020.10.018 · Cited by 12 · see citing works
Haenen, V., Dams, L., Meeus, M., & Groef, A. D. (2022) · The Anatomical Record · doi:10.1002/ar.25121 · Cited by 12 · see citing works
“…findings, also in nonaffected areas, suggesting the presence of secondary hyperalgesia in BCS (Caro-Mor (cid:1) an et al., 2016; Dams et al., 2021; Edwards et al., 2013; Fern (cid:1) andez-Lao et al., 2012; Lorenzo-Gallego et al., 2022; Mustonen et al., 2020; Rasmussen et al., 2021) Nociplastic…”
BackgroundDams, L., der Gucht, E. V., Haenen, V., Devoogdt, N., Smeets, A., Bernar, K., Morlion, B. J., Moloney, N. A., Fieuws, S., Groef, A. D., et al. (2023) · The Anatomical Record · doi:10.1002/ar.25127 · Cited by 12 · see citing works
- Authors
- Edwards, R. R., Mensing, G., Cahalan, C., Greenbaum, S., Narang, S., Belfer, I., Schreiber, K. L., Campbell, C., Wasan, A. D., & Jamison, R. N.
- Affiliations
- Brigham and Women's Hospital (US)
- Tufts University (US)
- University of Pittsburgh (US)
- Johns Hopkins University (US)
- Corresponding author
- Edwards, Robert R.
- ORCID
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 46
- Issue
- 1
- Pages
- 30-42
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC3713099
- OpenAlex
- W2100867581
- Cited by
- 150
- References
- 109
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 8 · 2023: 6 · 2022: 15 · 2021: 18 · 2020: 13 · 2019: 11 · 2018: 11 · 2017: 11 · 2016: 8 · 2015: 10 · 2014: 10 · 2013: 8 · 2012: 1
- FWCI
- 6.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R21 CA120500)
- Topics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Keywords
- chronic postoperative pain, breast cancer surgery, breast-conserving surgery, pain catastrophizing, pain modulation, temporal summation, endogenous pain inhibition, mechanical pain, central sensitization, women
- MeSH terms
- Aged, Breast Neoplasms, Cross-Sectional Studies, Female, Humans, Middle Aged, Pain Measurement, Postoperative Pain, Mastectomy, Segmental, Pain Threshold, Catastrophization, Pain Perception
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