Acute and persistent post-operative pain following mastectomy: a descriptive study in a tertiary hospital cohort.
N Z Med J
; 137(1601): 36-47, 2024 Aug 23.
Article
en En
| MEDLINE
| ID: mdl-39173160
ABSTRACT
AIMS:
Post mastectomy pain syndrome (PMPS) can have significant negative effects on patients' quality of life after mastectomy. The estimated prevalence of PMPS varies widely and there is little data from a New Zealand population. This limits clinicians' ability to meaningfully describe and discuss pain-related complications of mastectomy peri-operatively.METHOD:
We designed a single-centre, retrospective study to describe acute post-operative analgesic requirements after mastectomy, to describe the prevalence of PMPS at least 1 year after surgery, and to identify associated risk factors for this complication.RESULTS:
One hundred and thirty mastectomy patients met inclusion criteria and 59 were willing and able to participate in 12-month follow-up. Acute post-operative pain was generally well managed with modest doses of oral analgesics. Sixty-six percent (n=39) of women reported some form of persistent pain symptoms post-mastectomy; this was associated with younger age, axillary surgery and chemotherapy. Only 5% of patients (n=3) met consensus criteria for PMPS, which limited identification of risk factors for this more severe complication.CONCLUSION:
Despite PMPS occurring infrequently, post-operative pain of a less severe nature after mastectomy occurs commonly. Clinicians should remain vigilant to possible risk factors for this post-operative complication and counsel patients appropriately.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
/
Neoplasias de la Mama
/
Centros de Atención Terciaria
/
Mastectomía
Límite:
Adult
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Aged
/
Female
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Humans
/
Middle aged
País/Región como asunto:
Oceania
Idioma:
En
Revista:
N Z Med J
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Nueva Zelanda