The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
Procedure-specific Risk Factor Analysis for the Development of Severe Postoperative Pain
Open accessAbstract
Background: Many studies have analyzed risk factors for the development of severe postoperative pain with contradictory results. To date, the association of risk factors with postoperative pain intensity among different surgical procedures has not been studied and compared. Methods: The authors selected precisely defined surgical groups (at least 150 patients each) from prospectively collected perioperative data from 105 German hospitals (2004–2010). The association of age, sex, and preoperative chronic pain intensity with worst postoperative pain intensity was studied with multiple linear and logistic regression analyses. Pooled data of the selected surgeries were studied with random-effect analysis. Results: Thirty surgical procedures with a total number of 22,963 patients were compared. In each surgical procedure, preoperative chronic pain intensity and younger age were associated with higher postoperative pain intensity. A linear decline of postoperative pain with age was found. Females reported more severe pain in 21 of 23 surgeries. Analysis of pooled surgical groups indicated that postoperative pain decreased by 0.28 points (95% CI, 0.26 to 0.31) on the numeric rating scale (0 to 10) per decade age increase and postoperative pain increased by 0.14 points (95% CI, 0.13 to 0.15) for each higher score on the preoperative chronic pain scale. Females reported 0.29 points (95% CI, 0.22 to 0.37) higher pain intensity. Conclusions: Independent of the type and extent of surgery, preoperative chronic pain and younger age were associated with higher postoperative pain. Females consistently reported slightly higher pain scores regardless of the type of surgery. The clinical significance of this small sex difference has to be analyzed in future studies.
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“The data clearly show that the presence32 and intensity of preoperative chronic pain,6,33–35 the intensity of acute postoperative pain,6,23,32,33,36 the time spent in severe pain after surgery,6 pain intensity in the weeks after surgery,35,37,38 and pain in other body parts32,34,39 reliably predict CPSP across a range of surgical procedures.”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [34]
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“The data clearly show that the presence32 and intensity of preoperative chronic pain,6,33–35 the intensity of acute postoperative pain,6,23,32,33,36 the time spent in severe pain after surgery,6 pain intensity in the weeks after surgery,35,37,38 and pain in other body parts32,34,39 reliably predict CPSP across a range of surgical procedures.”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [34]
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Cites
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An estimation of the global volume of surgery: a modelling strategy based on available data
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Pain Intensity on the First Day after Surgery
Gerbershagen, H. U., Aduckathil, S., van Wijck, A. J. M., Peelen, L. M., Kalkman, C. J., & Meißner, W. (2013) · Anesthesiology · doi:10.1097/aln.0b013e31828866b3 · Cited by 1,576
Self-citationPredictors of Postoperative Pain and Analgesic Consumption: A Qualitative Systematic Review
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Cited by
Sorted by citations
Yang, M. M. H., Hartley, R. L., Leung, A. A., Ronksley, P. E., Jetté, N., Casha, S., & Riva-Cambrin, J. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025091 · Cited by 414
Katz, J., Weinrib, A. Z., & Clarke, H. (2019) · Canadian Journal of Pain · doi:10.1080/24740527.2019.1574537 · Cited by 87
Metadata
- Authors
- Gerbershagen, H. J., Pogatzki-Zahn, E., Aduckathil, S., Peelen, L. M., Kappen, T. H., van Wijck, A. J. M., Kalkman, C. J., & Meissner, W.
- Affiliations
- University of Cologne (DE)
- Venue
- Anesthesiology
- Published
- 2014-05
- Volume
- 120
- Issue
- 5
- Pages
- 1237-1245
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W2109979737
- Semantic Scholar
- a8a4f06b6160f95b16b36548c6ac0da76b434dda
- Cited by
- 372
- References
- 35
- Citations by year
- 2026: 27 · 2025: 19 · 2024: 25 · 2023: 28 · 2022: 29 · 2021: 54 · 2020: 39 · 2019: 33 · 2018: 37 · 2017: 33 · 2016: 24 · 2015: 16 · 2014: 6
- FWCI
- 14.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Anesthesiology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- postoperative pain, risk factors, age, sex differences, surgical procedures, pain intensity, numerical rating scale, perioperative data
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Postoperative Pain, Prospective Studies, Risk Factors, Severity of Illness Index, Treatment Outcome, Young Adult
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