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The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Patients with Chronic Pain After Abdominal Surgery Show Less Preoperative Endogenous Pain Inhibition and More Postoperative Hyperalgesia: A Pilot Study

Wilder-Smith, Oliver Hamilton, Schreyer, Tobias, Scheffer, Gert Jan, Arendt-Nielsen, Lars·2010·Journal of Pain & Palliative Care Pharmacotherapy

Abstract

Chronic pain is common and undesirable after surgery. Progression from acute to chronic pain involves altered pain processing. The authors studied relationships between presence of chronic pain versus preoperative descending pain control (diffuse noxious inhibitory controls; DNICs) and postoperative persistence and spread of skin and deep tissue hyperalgesia (change in electric/pressure pain tolerance thresholds; ePTT/pPTT) up to 6 months postoperatively. In 20 patients undergoing elective major abdominal surgery under standardized anesthesia, we determined ePTT/pPTT (close to [abdomen] and distant from [leg] incision), eDNIC/pDNIC (change in ePTT/pPTT with cold pressor pain task; only preoperatively), and a 100 mm long pain visual analogue scale (VAS) (0 mm = no pain, 100 mm = worst pain imaginable), both at rest and on movement preoperatively, and 1 day and 1, 3, and 6 months postoperatively. Patients reporting chronic pain 6 months postoperatively had more abdominal and leg skin hyperalgesia over the postoperative period. More inhibitory preoperative eDNIC was associated with less late postoperative pain, without affecting skin hyperalgesia. More inhibitory pDNIC was linked to less postoperative leg deep tissue hyperalgesia, without affecting pain VAS. This pilot study for the first time links chronic pain after surgery, poorer preoperative inhibitory pain modulation (DNIC), and greater postoperative degree, persistence, and spread of hyperalgesia. If confirmed, these results support the potential clinical utility of perioperative pain processing testing.

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Metadata

Authors
Wilder-Smith, O. H., Schreyer, T., Scheffer, G. J., & Arendt-Nielsen, L.
Venue
Journal of Pain & Palliative Care Pharmacotherapy
Published
2010-05
Volume
24
Issue
2
Pages
119-128
ISSN
  • 1536-0288 (ISSN-L)
  • 1536-0539
OpenAlex
W2160071391
Cited by
177
References
11
FWCI
9.32
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Patients with Chronic Pain After Abdominal Surgery Show Less Preoperative Endogenous Pain Inhibition and More Postoperative Hyperalgesia: A Pilot Study. https://app.cochat.ai/papers/10.3109/15360281003706069
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Wilder-Smith, O. H., Schreyer, T., Scheffer, G. J., & Arendt-Nielsen, L. (2010). Patients with Chronic Pain After Abdominal Surgery Show Less Preoperative Endogenous Pain Inhibition and More Postoperative Hyperalgesia: A Pilot Study. Journal of Pain & Palliative Care Pharmacotherapy. https://doi.org/10.3109/15360281003706069

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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