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Prevalence of pain 6 months after surgery: a prospective observational study

Overview of attention for article published in BMC Anesthesiology, October 2016
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Title
Prevalence of pain 6 months after surgery: a prospective observational study
Published in
BMC Anesthesiology, October 2016
DOI 10.1186/s12871-016-0261-7
Pubmed ID
Authors

Rita Laufenberg-Feldmann, Bernd Kappis, Susanne Mauff, Irene Schmidtmann, Marion Ferner

Abstract

Pain after surgery is a major issue for patient discomfort and often associated with delayed recovery. The aim of the present study was to evaluate the prevalence of pain and requirement for analgesics up to 6 months after elective surgery, independent if new pain symptoms occurred after surgery or if preoperative pain persisted in the postoperative period. A prospective observational single center cohort study was conducted between January 2012 and August 2013. Eligible patients were scheduled to undergo elective surgical interventions including joint (hip, knee arthroplasty), back (nucleotomy, spondylodesis), or urological surgery (cystectomy, prostatectomy, nephrectomy). Pain was assessed on an 11-point numerical rating scale (NRS) before, on postoperative day 2 and 6 months after surgery. Clinical information was collected with structured questionnaires and by telephone interview. Six hundred and forty-four patients gave informed consent, including 54.4 % men (mean age 62.2, SD 14.3). Higher preoperative pain scores were found in patients undergoing joint (mean 7.6; 95 % confidence interval [CI]: 7.2-8.0) and back surgery (mean 7.1, CI: 6.8-7.5) than in patients prior to urological surgery (mean 2.3; CI: 1.8-2.8). After 6 months, about 50 % of patients after joint or back surgery indicated pain levels ≥3/10, compared to 15.9 % of patients after urological surgery (p < .001). 35.3 % of the patients after joint surgery and 41.3 % after back surgery still use pain medication 6 months postoperatively, in contrast to 7.3 % of patients after urological surgery. 13.6 % of patients who underwent back surgery indicated the regular intake of opioids. Our results reveal that a significant percentage of patients undergoing procedures in joint or back surgery still need pain medication up to 6 months postoperatively due to ongoing pain symptoms. Improved monitoring of pain management is warranted, especially after discharge from hospital, to improve long-term results. Clinicaltrials.gov (Identifier: NCT01488617 ); date of registration December 6th 2011.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 96 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Australia 1 1%
Unknown 95 99%

Demographic breakdown

Readers by professional status Count As %
Other 12 13%
Student > Master 12 13%
Student > Postgraduate 9 9%
Student > Bachelor 9 9%
Student > Doctoral Student 8 8%
Other 21 22%
Unknown 25 26%
Readers by discipline Count As %
Medicine and Dentistry 39 41%
Nursing and Health Professions 10 10%
Biochemistry, Genetics and Molecular Biology 3 3%
Computer Science 2 2%
Social Sciences 2 2%
Other 8 8%
Unknown 32 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 September 2018.
All research outputs
#14,804,867
of 23,978,545 outputs
Outputs from BMC Anesthesiology
#520
of 1,599 outputs
Outputs of similar age
#181,398
of 323,995 outputs
Outputs of similar age from BMC Anesthesiology
#16
of 29 outputs
Altmetric has tracked 23,978,545 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,599 research outputs from this source. They receive a mean Attention Score of 3.2. This one has gotten more attention than average, scoring higher than 64% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 323,995 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.