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The Transition from Acute to Chronic Post Surgical Pain

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Shipton, E. A.·2011·Anaesthesia and Intensive Care

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Abstract

All chronic pain was once acute, but not all acute pain becomes chronic. The transition of acute postoperative pain to chronic post surgical pain is a complex and poorly understood developmental process. The manuscript describes the various factors associated with the transition from acute to chronic pain. The preoperative, intraoperative and postoperative surgical, psychosocial, socio-environmental and patient-related factors and the mechanisms involved are discussed and preventive (or limitation) strategies are suggested. In future, the increasing understanding of genetic factors and the transitional mechanisms involved may reveal important clues to predict which patients will go on to develop chronic pain. This may assist the development of appropriate interventions affecting not only the individual concerned, but also ultimately the community at large.

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Authors: Shipton, E. A.
Affiliations: University of Otago (NZ)
Corresponding author: Shipton, E. A.
ORCID: Shipton, E. A.
Venue: Anaesthesia and Intensive Care
Publisher: SAGE Publications
Published: 2011-09
Volume: 39
Issue: 5
Pages: 824-836
ISSN: 0310-057X (ISSN-L)
1448-0271
DOI: 10.1177/0310057x1103900506
OpenAlex: W78021116
Cited by: 108
References: 136
Citations by year: 2026: 1 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 9 · 2021: 4 · 2020: 13 · 2019: 5 · 2018: 11 · 2017: 12 · 2016: 13 · 2015: 10 · 2014: 8 · 2013: 6 · 2012: 6
FWCI: 6.54
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Anaesthesia and Intensive Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic postoperative pain, acute postoperative pain, risk factors, preoperative factors, intraoperative factors, postoperative factors, psychosocial factors, socio-environmental factors, genetic factors, pain prediction
MeSH terms: Acute Disease, Chronic Disease, Humans, Intractable Pain, Postoperative Pain, Risk Factors, Social Environment, Social Support, Stress, Psychological, Disease Progression

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