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

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Psychological /social factors- non-surgical populations- surgical literature depression (Katz 2005, Poleshuck 2006) anxiety (Katz 2005, Poleshuck 2006) pain catastrophising (Granot 2005; Sullivan 2009) pain expectations (Iversen 1998) optimism (Peters 2007) fear of re-injury / kinesophobia (den Boer 2006; Powell in prep)ReviewsRosenberger et al. Psychosocial factors and surgical outcomes: an evidence-basedliterature review. J Am Acad Orthop Surg (2008)Den Boer et al. A systematic review of bio-psychosocial risk factors for an unfavourableoutcome after lumbar spine surgery. Eur J Spine (2006)
Psychosocial factorsEur J <strong>Pain</strong> 200850 studies included- 18 prospective with sample size >100- 13 (26%) considered ‘good’ quality- mostly small studies, poor to moderate quality, lacking preoperativedata
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 and 16: Chronic pain after hernia surgeryIn
Page 17 and 18: Prognosis: long-term outcome?Smith
Page 19 and 20: Demographic factorsYounger age- bre
Page 21 and 22: Intraoperative nerve injury• risk
Page 23: Acute postoperative painPain intens
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

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