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Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study
Open accessAbstract
BACKGROUND: Persistent postoperative pain continues to be an underrecognized complication. We examined the prevalence of and risk factors for this type of pain after cardiac surgery. METHODS: We enrolled patients scheduled for coronary artery bypass grafting or valve replacement, or both, from Feb. 8, 2005, to Sept. 1, 2009. Validated measures were used to assess (a) preoperative anxiety and depression, tendency to catastrophize in the face of pain, health-related quality of life and presence of persistent pain; (b) pain intensity and interference in the first postoperative week; and (c) presence and intensity of persistent postoperative pain at 3, 6, 12 and 24 months after surgery. The primary outcome was the presence of persistent postoperative pain during 24 months of follow-up. RESULTS: A total of 1247 patients completed the preoperative assessment. Follow-up retention rates at 3 and 24 months were 84% and 78%, respectively. The prevalence of persistent postoperative pain decreased significantly over time, from 40.1% at 3 months to 22.1% at 6 months, 16.5% at 12 months and 9.5% at 24 months; the pain was rated as moderate to severe in 3.6% at 24 months. Acute postoperative pain predicted both the presence and severity of persistent postoperative pain. The more intense the pain during the first week after surgery and the more it interfered with functioning, the more likely the patients were to report persistent postoperative pain. Pre-existing persistent pain and increased preoperative anxiety also predicted the presence of persistent postoperative pain. INTERPRETATION: Persistent postoperative pain of nonanginal origin after cardiac surgery affected a substantial proportion of the study population. Future research is needed to determine whether interventions to modify certain risk factors, such as preoperative anxiety and the severity of pain before and immediately after surgery, may help to minimize or prevent persistent postoperative pain.
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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 [35]
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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 [35]
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“Negative cognitive–affective states including perioperative depression,42,43 anxiety,25,32,35,43,44 pain catastrophizing,18,44 and posttraumatic stress symptoms45 also predict the development of 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 [35]
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Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association
Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., Baker-Smith, C. M., Beaton, A. Z., Boehme, A. K., Buxton, A. E., et al. (2023) · Circulation · doi:10.1161/cir.0000000000001123 · Cited by 8,300
The Pain Catastrophizing Scale: Development and validation.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.4.524 · Cited by 8,227
Heart Disease and Stroke Statistics—2012 Update: A Report From the American Heart Association
Writing Group Members, Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., et al. (2012) · Circulation · doi:10.1161/cir.0b013e31823ac046 · Cited by 7,333
Pain assessment: global use of the Brief Pain Inventory.
Cs, C., & Km, R. (1994) · PubMed · Cited by 5,178
Persistent postsurgical pain: risk factors and prevention
Kehlet, H., Jensen, T. S., & Woolf, C. J. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68700-x · Cited by 4,086
Letter: Grading of angina pectoris.
CAMPEAU, L. A. (1976) · Circulation · doi:10.1161/circ.54.3.947585 · Cited by 1,607
Williams, A. C. D. C. (1995) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(95)90016-0 · Cited by 1,472
Hubbard (2010) · doi:10.1097/ede.0b013e3181caeb90 · Cited by 1,139
Chronic post-surgical pain: 10 years on
Macrae, W. A. (2008) · British Journal of Anaesthesia · doi:10.1093/bja/aen099 · Cited by 992
(1992) · Cited by 881
Transition from acute to chronic postsurgical pain: risk factors and protective factors
Katz, J., & Seltzer, Z. (2009) · Expert Review of Neurotherapeutics · doi:10.1586/ern.09.20 · Cited by 782
Theunissen, M., Peters, M. L., Bruce, J., Gramke, H.-F., & Marcus, M. A. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31824549d6 · Cited by 659
Treatment of acute postoperative pain
Wu, C. L., & Raja, S. N. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60245-6 · Cited by 651
Psychosocial predictors and correlates for chronic post-surgical pain (CPSP)—a systematic review.
Hinrichs‐Rocker, A., Schulz, K., Järvinen, I., Lefering, R., Simanski, C., & Neugebauer, E. A. M. (2009) · European Journal of Pain · doi:10.1016/j.ejpain.2008.07.015 · Cited by 461
Kalso, E. A., Mennander, S., Tasmuth, T., & Nilsson, E. (2001) · Acta Anaesthesiologica Scandinavica · doi:10.1034/j.1399-6576.2001.450803.x · Cited by 365
The prevalence of chronic chest and leg pain following cardiac surgery: a historical cohort study
Bruce, J., Drury, N., Poobalan, A. S., Jeffrey, R. R., Smith, S. W. C., & Chambers, A. W. (2003) · Pain · doi:10.1016/s0304-3959(03)00017-4 · Cited by 350
Lahtinen, P., Kokki, H. J., & Hynynen, M. J. (2006) · Anesthesiology · doi:10.1097/00000542-200610000-00026 · Cited by 320
The incidence of chronic post‐sternotomy pain after cardiac surgery – a prospective study
Meyerson, J., Thelin, S., Gordh, T., & Karlsten, R. (2001) · Acta Anaesthesiologica Scandinavica · doi:10.1034/j.1399-6576.2001.450804.x · Cited by 318
Poststernotomy Pain: A Clinical Review
Mazzeffi, M. A., & Khelemsky, Y. (2011) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2011.08.001 · Cited by 184
Ho, S. C., Royse, C. F., Royse, A. G., Penberthy, A. J., & McRae, R. (2002) · Anesthesia & Analgesia · doi:10.1097/00000539-200210000-00006 · Cited by 183
Boodhwani, M., Lam, B.-K., Nathan, H. J., Mesana, T. G., Ruel, M., Zeng, W., Sellke, F. W., & Rubens, F. D. (2006) · Circulation · doi:10.1161/circulationaha.106.615427 · Cited by 181
Ho, S. C., Royse, C. F., Royse, A. G., et al. (2002) · Anesthesia & Analgesia · doi:10.1213/00000539-200210000-00006 · Cited by 168
VanDenKerkhof, E. G., Peters, M. L., & Bruce, J. (2012) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31824730c2 · Cited by 166
Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery
Watt‐Watson, J., Stevens, B., Katz, J. D., Costello, J., Reid, G. J., & David, T. E. (2004) · Pain · doi:10.1016/j.pain.2004.01.012 · Cited by 157
Self-citationPrevalence and characteristics of post coronary artery bypass graft surgery pain (PCP)
Eisenberg, E., Pultorak, Y., Pud, D., & Bar-El, Y. (2001) · Pain · doi:10.1016/s0304-3959(00)00466-8 · Cited by 152
Remifentanil during cardiac surgery is associated with chronic thoracic pain 1 yr after sternotomy
van Gulik, L., Ahlers, S. J. G. M., van de Garde, E. M. W., Bruins, P., van Boven, W. J., Tibboel, D., van Dongen, E. P. A., & Knibbe, C. A. J. (2012) · British Journal of Anaesthesia · doi:10.1093/bja/aes247 · Cited by 140
Risk factors for chronic thoracic pain after cardiac surgery via sternotomy
van Gulik, L., Janssen, L. I., Ahlers, S. J. G. M., Bruins, P., Driessen, A. H. G., van Boven, W. J., van Dongen, E. P. A., & Knibbe, C. A. J. (2011) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2011.03.039 · Cited by 136
Taillefer, M.-C., Carrier, M., Bélisle, S. J., Lévesque, S., Lanctôt, H., Boisvert, A.-M., & Choinière, M. (2006) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2006.02.001 · Cited by 110
Self-citationUçak, A., Onan, B., Şen, H., Selçuk, İ., Turan, A., & Yılmaz, A. T. (2011) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2010.11.017 · Cited by 101
Chronic pain after cardiac surgery: a prospective study
Gjeilo, K. H., Klepstad, P., Wahba, A., Lydersen, S., & Stenseth, R. (2009) · Acta Anaesthesiologica Scandinavica · doi:10.1111/j.1399-6576.2009.02097.x · Cited by 86
Mailis, A., Umana, M., & Feindel, C. M. (2000) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(00)01186-3 · Cited by 71
Self-citationKing, K. M., Parry, M. J. E., Southern, D. A., Faris, P., & Tsuyuki, R. T. (2007) · Heart · doi:10.1136/hrt.2007.117606 · Cited by 45
Morbidity following coronary artery revascularisation with the internal mammary artery
Eng, J., & Wells, F. C. (1991) · International Journal of Cardiology · doi:10.1016/0167-5273(91)90124-8 · Cited by 41
Markman, P. L., Rowland, M. A., Leong, J.-Y., van der Merwe, J., Storey, E., Marasco, S., Negri, J. C., Bailey, M., & Rosenfeldt, F. (2009) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2009.03.066 · Cited by 31
Jensen, M. K., & Andersen, C. (2004) · Acta Anaesthesiologica Scandinavica · doi:10.1111/j.0001-5172.2004.00437.x · Cited by 30
Bar-El, Y., Gilboa, B., UNGER, N., Pud, D., & EISENBERG, E. (2005) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2005.02.016 · Cited by 30
The Role of Angina Pectoris in Chronic Pain After Coronary Artery Bypass Graft Surgery
Steegers, M. A. H., van de Luijtgaarden, A. C. M., Noyez, L., Scheffer, G., & Wilder‐Smith, O. H. G. (2007) · Journal of Pain · doi:10.1016/j.jpain.2007.04.007 · Cited by 26
Predictors and Patterns of Chronic Pain Three Months after Cardiac Surgery in Taiwan
Lee, W., Yan, Y.-Y., Jensen, M. P., Shun, S., Lin, Y.-K., Tsai, T.-P., & Lai, Y. (2010) · Pain Medicine · doi:10.1111/j.1526-4637.2010.00976.x · Cited by 20
Gravlee, G. P. (2007) · Yearbook of Anesthesiology and Pain Management · doi:10.1016/s1073-5437(08)70063-9 · Cited by 20
Wiklund, L., Johansson, M., Bugge, M., Rådberg, L., Brandrup‐Wognsen, G., & Berglin, E. (2000) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(00)01197-8 · Cited by 14
Kinga, K. M., Parry, M. J. E., Southern, D. A., & Tsuyuki, R. T. (2008) · European Journal of Cardiovascular Nursing · doi:10.1016/j.ejcnurse.2008.01.059 · Cited by 5
Flagged first, then by citations
1 of the 44 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- [12]12. Kalso E, Mennander S, Tasmuth T, et al. Chronic post-ster- notomy pain. Acta Anaesthesiol Scand 2001;45:935-9.
- [24]24. VanDenKerkhof EG, Peters ML, Bruce J. Chronic pain after surgery: Time for standardization? A framework to establish core risk factor and outcome domains for epidemiological stud- ies. Clin J Pain 2013;29:2-8.
- [38]38. Schug SA, Pogatzki-Zahn EM. Chronic pain after surgery or injury. Pain Clin Updates 2011;19:1-5.
Cited by
Sorted by citations
Poorly controlled postoperative pain: prevalence, consequences, and prevention
Gan, T. J. (2017) · Journal of Pain Research · doi:10.2147/jpr.s144066 · Cited by 1,594
Abate, S. M., Chekole, Y. A., & Basu, B. (2020) · International Journal of Surgery Open · doi:10.1016/j.ijso.2020.05.010 · Cited by 324
Chronic pain in critical care survivors: a narrative review
Kemp, H. I., Laycock, H. C., Costello, A., & Brett, S. J. (2019) · British Journal of Anaesthesia · doi:10.1016/j.bja.2019.03.025 · Cited by 130
Guimarães‐Pereira, L., Reis, P., Abelha, F., Azevedo, L. F., & Castro‐Lopes, J. M. (2017) · Pain · doi:10.1097/j.pain.0000000000000997 · Cited by 123
Katz, J., Weinrib, A. Z., & Clarke, H. (2019) · Canadian Journal of Pain · doi:10.1080/24740527.2019.1574537 · Cited by 87
Metadata
- Authors
- Choinière, M., Watt-Watson, J., Victor, J. C., Baskett, R. J. F., Bussières, J. S., Carrier, M., Cogan, J., Costello, J., Feindel, C., Guertin, M.-C., Racine, M., & Taillefer, M.-C.
- Affiliations
- Dalhousie University (CA)
- ORCID
- Venue
- Canadian Medical Association Journal
- Publisher
- CMA Joule Inc.
- Published
- 2014-02-24
- Volume
- 186
- Issue
- 7
- Pages
- E213-E223
- ISSN
- 0820-3946 (ISSN-L)
- 1488-2329
- PMC
- PMC3986330
- OpenAlex
- W2104465167
- Semantic Scholar
- 448591f3aab35bc040bc84f243defd9fb4d12855
- Cited by
- 206
- References
- 44
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 10 · 2023: 18 · 2022: 24 · 2021: 18 · 2020: 17 · 2019: 21 · 2018: 14 · 2017: 16 · 2016: 16 · 2015: 16 · 2014: 12
- FWCI
- 19.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Medical Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (69065_1)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- chronic postoperative pain, cardiac surgery complications, coronary artery bypass grafting, heart valve replacement, risk factors, preoperative anxiety, preoperative depression, pain catastrophizing, health-related quality of life, acute postoperative pain, prevalence
- MeSH terms
- Adult, Aged, Aged, 80 and over, Coronary Artery Bypass, Canada, Female, Follow-Up Studies, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Pain Measurement, Postoperative Pain, Prospective Studies, Quality of Life, Risk Factors, Severity of Illness Index, Time Factors, Prevalence, Risk Assessment, Young Adult
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