Understanding Chronic Post Surgical Pain - The Canadian Pain ...

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Public health burdenPopulation o at risk?Procedure Number procedures peryearCanada*2000 DataUSA †1994 DataCPSPprevalenceestimatesEstimatedburden~5% @1 yr[severe]Mastectomy 14,438438 131,000 20-50% 7271Thoracotomy 16,305 660,000 5-65% 33,815Hysterectomy 55,404 - 16-50% 2770Hip & knee 41,502 - 3-30% 2075Limb amputation - 132,000 50-80% 6600Cardiac surgery - 501,000 30-55% 25,050Hernia - 689,000 5-30% 34,450*CIHI data - Goldstein 2004; † Rutgow 1997> 100,000
Prognosis: long-term outcome?Smith et al. 1999; Macdonald et al. BJC 2005• 175/ 408 (43%) with CPSP 3 years after breast ca surgery• Re-assessed CPSP group at 9 years, 113/138 (82%)50% pain resolved- QoL scoresimprovedLower QoL inpatients with CPSP(P
Page 2 and 3: A review of chronic pain after surg
Page 4 and 5: DefinitionIASP - chronic pain“Int
Page 7 and 8: CharacteristicsPredominantly neurop
Page 9 and 10: Epidemiological studiesCase ascerta
Page 11 and 12: Case ascertainmentMethodological ch
Page 13 and 14: Chronic pain after breast surgerySe
Page 15: Chronic pain after hernia surgeryIn
Page 19 and 20: Demographic factorsYounger age- bre
Page 21 and 22: Intraoperative nerve injury• risk
Page 23 and 24: Acute postoperative painPain intens
Page 25 and 26: Psychosocial factorsEur J Pain 2008
Page 27 and 28: Summary- common postoperative compl
Page 29 and 30: Thank you for listening!Kings Colle
Page 31 and 32: EU Hernia TrialistsCollaborationSur

Understanding Chronic Post Surgical Pain - The Canadian Pain ...

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