Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic

Crombie, Iain Kinloch; Davies, Huw Talfryn Oakley; Macrae, William A

doi:10.1016/s0304-3959(98)00038-4

Cited by 351Musculoskeletal pain and rehabilitationAnesthesia and Pain ManagementPain Management and Treatment

Cut and thrust: antecedent surgery and trauma among patients attending a chronic pain clinic

Crombie, Iain Kinloch, Davies, Huw Talfryn Oakley, Macrae, William A·1998·Pain

DOI 10.1016/s0304-3959(98)00038-4

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Abstract

Surgery and trauma are recognised as important causes of chronic pain, although their overall contribution has not been systematically studied. This paper reports on the contribution of surgery and trauma to chronic pain among 5130 patients attending 10 outpatient clinics located throughout North Britain. Surgery contributed to pain in 22.5% of patients, and was particularly associated with the development of pain in the abdomen and with anal, perineal and genital pain. Trauma was a cause of pain in 18.7% of patients, and was most common in pain in the upper limb, the spine and the lower limb. Patients with chronic pain associated with trauma are on average younger than those with chronic post-surgical pain. Further, and unusually for pain conditions, the trauma patients show an excess of males over females. These findings indicate that it can be unhelpful for pain classification systems to combine surgery and trauma in a single category. The results also point to areas for potentially fruitful research into the aetiology of chronic pain. In particular, studies are needed to identify the operative procedures associated with the development of pain so that preventive measures can be implemented.

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More than 20% of adults attending specialized chronic pain centers have been referred for chronic postsurgical pain.
“more than 20% of adults8 and 17% of children9 attending specialized chronic pain centers have been referred for CPSP.”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [8]

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Authors: Crombie, I. K., Davies, H. T. O., & Macrae, W. A.
Affiliations: University of Dundee (GB)
University of St Andrews (GB)
Corresponding author: Crombie, Iain Kinloch
ORCID: Crombie, Iain Kinloch
Davies, Huw Talfryn Oakley
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1998-05
Volume: 76
Issue: 1
Pages: 167-171
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(98)00038-4
OpenAlex: W1982312202
Cited by: 351
References: 24
Citations by year: 2026: 8 · 2025: 7 · 2024: 18 · 2023: 9 · 2022: 17 · 2021: 17 · 2020: 21 · 2019: 26 · 2018: 31 · 2017: 24 · 2016: 17 · 2015: 18 · 2014: 17 · 2013: 20 · 2012: 16
FWCI: 1.47
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic pain, postoperative pain, pain aetiology, abdominal pain, upper limb pain, spinal pain, lower limb pain, sex differences in pain, pain classification
MeSH terms: Adult, Age Factors, Chronic Disease, Female, United Kingdom, Humans, Male, Middle Aged, Pain, Postoperative Pain, Sex Factors, Wounds and Injuries, Pain Clinics

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