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Akdeniz S, Pece AH, Kusderci HS, Dogru S, Tulgar S, Suren M, Okan I. Is Pain Perception Communicated through Mothers? Maternal Pain Catastrophizing Scores Are Associated with Children's Postoperative Circumcision Pain. J Clin Med 2023; 12:6187. [PMID: 37834831 PMCID: PMC10573225 DOI: 10.3390/jcm12196187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 09/20/2023] [Accepted: 09/23/2023] [Indexed: 10/15/2023] Open
Abstract
The aim of this study was to evaluate the relation of maternal pain catastrophizing score with children who underwent circumcision postoperative pain. This prospective cohort study was performed between March 2022 and March 2023 at Samsun University, Turkey. Demographic characteristics of mothers and children, mothers' education level, presence of chronic pain, and Beck Depression Inventory scores were recorded preoperatively. Pain catastrophizing was assessed by applying the pain catastrophizing scale (PCS) to the mothers of children who experienced postoperative circumcision pain. The mothers were divided into low-pain catastrophizing (Group 1) and high-pain catastrophizing (Group 2) group. A total of 197 mothers and sons participated in the study, with 86 (43.6%) in Group 1 and 111 (56.4%) in Group 2. Significant differences were found between the two groups in terms of the mothers' PCS scores (p < 0.001), education levels (p = 0.004), chronic pain scores (p = 0.022), and Beck Depression Inventory scores (p < 0.001). Our findings showed that children with high pain catastrophizing mothers experience greater postoperative pain than those with low pain catastrophizing mothers. This may be attributable to a mother's specific cognitive style for coping with pain, which is associated with the child's responses to painful experiences.
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Affiliation(s)
- Sevda Akdeniz
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey; (A.H.P.); (H.S.K.); (S.T.); (M.S.)
| | - Ahmet Haydar Pece
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey; (A.H.P.); (H.S.K.); (S.T.); (M.S.)
| | - Hatice Selcuk Kusderci
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey; (A.H.P.); (H.S.K.); (S.T.); (M.S.)
| | - Serkan Dogru
- Department of Anesthesiology and Reanimation, Mersin City Hospital, 33240 Mersin, Turkey;
| | - Serkan Tulgar
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey; (A.H.P.); (H.S.K.); (S.T.); (M.S.)
| | - Mustafa Suren
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University, 55090 Samsun, Turkey; (A.H.P.); (H.S.K.); (S.T.); (M.S.)
| | - Ismail Okan
- Department of General Surgery, Faculty of Medicine, Istanbul Medeniyet University, 34720 Istanbul, Turkey;
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An Exploratory Study on the Effectiveness of Virtual Reality Analgesia for Children and Adolescents with Kidney Diseases Undergoing Venipuncture. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042291. [PMID: 35206481 PMCID: PMC8872518 DOI: 10.3390/ijerph19042291] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 02/02/2022] [Accepted: 02/10/2022] [Indexed: 02/01/2023]
Abstract
The current study evaluated the effectiveness of VR analgesia among pediatric and adolescent patients with kidney disease undergoing venipuncture. Patients at an Italian Children’s hospital (N = 82, age range 7–17 years) undergoing venipuncture were randomly assigned to a No VR group (non-medical conversation) vs. a Yes VR group (VR analgesia). After the procedure, patients gave 0–10 Verbal Numeric Pain Scale ratings. Compared with patients in the No VR Group, patients in the Yes VR group reported significantly lower “Pain intensity”(No VR mean = 2.74, SD = 2.76 vs. Yes VR mean = 1.56, SD = 1.83) and the VR group also rated “Pain unpleasantness” significantly lower than the No VR group (No VR mean = 2.41, SD = 0.94 vs. Yes VR mean = 1.17, SD = 1.80). Patients distracted with VR also reported having significantly more fun during the venipuncture procedure. No side effects emerged. In addition to reducing pain intensity, VR has the potential to make venipuncture a more fun and less unpleasant experience for children with CKD, as measured in the present study for the first time. Finally, in exploratory analyses, children aged 7–11 in the VR group reported 55% lower worst pain than control subjects in the same age range, whereas children aged 12 to 17 in the VR group only reported 35% lower worst pain than control subjects. Additional research and development using more immersive VR is recommended.
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Yildirim M, Saglam AI, Ugurlu C, Angin YS, Dasiran F, Okan I. Performance of Residents During Laparoscopic Cholecystectomy: Is Self-assessment Reliable? Surg Laparosc Endosc Percutan Tech 2021; 31:414-420. [PMID: 34156187 DOI: 10.1097/sle.0000000000000959] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 04/02/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND To compare the self-assessment of surgical residents and observers (faculty members and nurses) during laparoscopic cholecystectomy (LC). MATERIALS AND METHODS A prospective observational study was conducted between February 2020 and July 2020 at a medical school hospital. Seventy-four LC surgeries were performed by surgical residents in the presence of faculty members. A self-assessment of the technical and nontechnical performance of the residents was requested. The self-assessment of residents was compared with observer evaluations using the Kruskal-Wallis test. Gwet AC2 fit coefficient was used to determine the consistency between the observers' and residents' assessments. Bland-Altman plots were generated with 95% limits of agreement to describe the agreement between the total scores of the observers. RESULTS The self-assessment of residents had a statistically significant higher score when compared with observers (faculty and nurses) (P<0.001). However, no significant difference was observed between the total scores given by the observers (faculty members and nurses) (P>0.05). There was a moderate agreement between the resident versus faculty members [0.503; 95% confidence interval (CI), 0.430-0.576] and resident versus nurse (0.518; 95% CI, 0.432-0.605) when evaluating technical skills. However, there was substantial agreement between faculty members and nurses (0.736; 95% CI, 0.684-0.789). Postoperative pain was significantly correlated with resident self-assessment (P=0.022). CONCLUSION The self-assessment scores of surgical residents in LC operations were overestimated compared with observer assessments.
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Affiliation(s)
- Murat Yildirim
- Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat
| | - Ali I Saglam
- Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat
| | - Celil Ugurlu
- Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat
| | - Yavuz S Angin
- General Surgery Department, Çankiri State Hospital, Çankiri, Turkey
| | - Fatih Dasiran
- Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat
| | - Ismail Okan
- Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat
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"Age-Related Positivity Effect" in the Relationship Between Pain and Depression Among Chinese Community-Dwelling Older Adults: Sex Differences. Pain Manag Nurs 2021; 22:747-754. [PMID: 33814297 DOI: 10.1016/j.pmn.2021.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 02/16/2021] [Accepted: 02/28/2021] [Indexed: 11/22/2022]
Abstract
PURPOSE To examine the "age-related positivity effect" and its sex differences in the pain-depression relationship among Chinese community-dwelling older adults. DESIGN Cross-sectional design. METHODS The study was conducted with a sample of 1,913 older adults in Jinan, China. Data were collected on pain intensity, age, sex, depressive symptoms, and potential covariates. RESULTS The hierarchical linear regression analyses revealed that pain intensity was significantly related to depressive symptoms, there was a significant two-way interaction between age and pain intensity, and there was a significant three-way interaction between sex, age, and pain intensity. The Johnson-Neyman plot revealed that the relationship between pain and depressive symptoms decreased with advancing age, indicating an "age-related positivity effect." And the age-related positivity effect in the pain-depression relationship was significant only in men, but not in women. CONCLUSIONS The study suggests that all older women and "young-old" men (younger senior citizens aged 60-79) in China are more likely to experience depressive symptoms from pain. Interventions on cognitive psychology should particularly target all older women and young-old men to reduce the detrimental effect of pain on emotional well-being.
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Peng F, Li Y, Ai Y, Yang J, Wang Y. Application of preoperative assessment of pain induced by venous cannulation in predicting postoperative pain in patients under laparoscopic nephrectomy: a prospective observational study. BMC Anesthesiol 2020; 20:86. [PMID: 32305062 PMCID: PMC7165404 DOI: 10.1186/s12871-020-01003-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 04/06/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Postoperative pain is the most prominent concern among surgical patients. It has previously been reported that venous cannulation-induced pain (VCP) can be used to predict postoperative pain after laparoscopic cholecystectomy within 90 mins in the recovery room. Its potential in predicting postoperative pain in patients with patient-controlled intravenous analgesia (PCIA) is worth establishing. The purpose of this prospective observational study was to investigate the application of VCP in predicting postoperative pain in patients with PCIA during the first 24 h after laparoscopic nephrectomy. METHODS One hundred twenty patients scheduled for laparoscopic nephrectomy were included in this study. A superficial vein on the back of the hand was cannulated with a standard-size peripheral venous catheter (1.1 × 3.2 mm) by a nurse in the preoperative areas. Then the nurse recorded the VAS score associated with this procedure estimated by patients, and dichotomized the patients into low response group (VAS scores < 2.0) or high response group (VAS scores ≥2.0). After general anesthesia and surgery, all the patients received the patient-controlled intravenous analgesia (PCIA) with sufentanil. The VAS scores at rest and on coughing at 2 h, 4 h, 8 h, 12 h, 24 h, the effective number of presses and the number of needed rescue analgesia within 24 h after surgery were recorded. RESULTS Peripheral venous cannulation-induced pain score was significantly correlated with postoperative pain intensity at rest (rs = 0.64) and during coughing (rs = 0.65), effective times of pressing (rs = 0.59), additional consumption of sufentanil (rs = 0.58). Patients with venous cannulation-induced pain intensity ≥2.0 VAS units reported higher levels of postoperative pain intensity at rest (P < 0.0005) and during coughing (P < 0.0005), needed more effective times of pressing (P < 0.0005) and additional consumption of sufentanil (P < 0.0005), and also needed more rescue analgesia (P = 0.01) during the first 24 h. The odds of risk for moderate or severe postoperative pain (OR 3.5, 95% CI 1.3-9.3) was significantly higher in patients with venous cannulation-induced pain intensity ≥2.0 VAS units compared to those <2.0 VAS units. CONCLUSIONS Preoperative assessment of pain induced by venous cannulation can be used to predict postoperative pain intensity in patients with PCIA during the first 24 h after laparoscopic nephrectomy. TRIAL REGISTRATION We registered this study in a Chinese Clinical Trial Registry (ChiCTR) center on July 6 2019 and received the registration number: ChiCTR1900024352.
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Affiliation(s)
- Fei Peng
- Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, China
| | - Yanshuang Li
- Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, China
| | - Yanqiu Ai
- Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, China
| | - Jianjun Yang
- Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, China
| | - Yanping Wang
- Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, China.
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Akbas A, Dagmura H, Daldal E, Dasiran FM, Deveci H, Okan I. Association between Shoulder Range of Motion and Pain Catastrophizing Scale in Breast Cancer Patients after Surgery. Breast Care (Basel) 2020; 16:66-71. [PMID: 33716634 DOI: 10.1159/000506922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 02/29/2020] [Indexed: 11/19/2022] Open
Abstract
Background Prolonged survival period as a result of early diagnosis and treatment in breast cancer has increased the importance of postoperative morbidities. The aim of the present study was to investigate the association of pain ca-tastrophizing with shoulder pain in patients with decreased shoulder range of motion in the postoperative period. Patients and Methods The present study included 53 patients who underwent surgery due to breast cancer. Patients who had bilateral mastectomy, distant metastases, cervical-cranial originated lesions, patients with problems involving one of the shoulders or upper extremities before the operation, and patients with cognitive impairment, heart failure, or low albumin levels (liver parenchyma disease or renal failure) were excluded. Shoulder range of motion was measured in the postoperative period, and two study groups were established: one with a limited shoulder range of motion level and the other with a normal level. Effects of pain catastrophizing and shoulder pain severity on shoulder range of motion limitation were compared between the two groups. Results The average age of 53 female patients who had breast surgery was 52.3 ± 10.5 years. In the group with limited shoulder range of motion, the median pain catastrophizing scale value was 27 (range 5-32) and the shoulder pain severity score was 4 (range 0-8), while in the group with normal shoulder range of motion these values were 11 (range 3-39) and 2 (range 0-6), respectively (p < 0.05). In addition, it was found that factors such as surgical treatment modality and postoperative radiotherapy did not significantly affect shoulder range of motion limitation. Conclusion Determining the pain catastrophizing scale of patients and controlling pain in the early postoperative period could have positive effects on shoulder range of motion.
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Affiliation(s)
- Ahmet Akbas
- Department of General Surgery, Surgical Oncology Center, Gaziosmanpaşa University School of Medicine, Tokat, Turkey
| | - Hasan Dagmura
- Department of General Surgery, Surgical Oncology Center, Gaziosmanpaşa University School of Medicine, Tokat, Turkey
| | - Emin Daldal
- Department of General Surgery, Tokat Gaziosmanpaşa University, Tokat, Turkey
| | | | - Hülya Deveci
- Department of Physical Therapy and Rehabilitation, Tokat Gaziosmanpaşa University, Tokat, Turkey
| | - Ismail Okan
- Department of General Surgery, Surgical Oncology Center, Gaziosmanpaşa University School of Medicine, Tokat, Turkey
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Altan A, Akkoç S, Erdil A, Çolak S, Demir O, Altan H. Effects of pain catastrophizing and anxiety on analgesic use after surgical removal of impacted mandibular third molars. J Dent Anesth Pain Med 2019; 19:379-388. [PMID: 31942453 PMCID: PMC6946835 DOI: 10.17245/jdapm.2019.19.6.379] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 12/19/2019] [Accepted: 12/25/2019] [Indexed: 11/15/2022] Open
Abstract
Background In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar. Methods We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use. Results In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05). Conclusion The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.
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Affiliation(s)
- Ahmet Altan
- Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpasa University Faculty of Dentistry, Tokat, Turkey
| | - Sümeyra Akkoç
- Department of Pediatric Dentistry, Tokat Gaziosmanpasa University Faculty of Dentistry, Tokat, Turkey
| | - Aras Erdil
- Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpasa University Faculty of Dentistry, Tokat, Turkey
| | - Sefa Çolak
- Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpasa University Faculty of Dentistry, Tokat, Turkey
| | - Osman Demir
- Department of Biostatistics, Tokat Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
| | - Halenur Altan
- Department of Pediatric Dentistry, Tokat Gaziosmanpasa University Faculty of Dentistry, Tokat, Turkey
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Karakış A, Tapar H, Özsoy Z, Suren M, Dogru S, Karaman T, Karaman S, Sahin A, Kanadlı H. [Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial]. Rev Bras Anestesiol 2019; 69:455-460. [PMID: 31627901 DOI: 10.1016/j.bjan.2019.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Revised: 06/14/2019] [Accepted: 06/29/2019] [Indexed: 10/25/2022] Open
Abstract
INTRODUCTION Bilateral superficial cervical plexus block (BSCPB) is a common method used for analgesia in thyroid surgery. We investigated the analgesic efficacy of bilateral superficial cervical plexus block in the intraoperative and postoperative periods. MATERIALS AND METHODS Patients (n = 46) undergoing thyroidectomy were randomly separated into the following 2 groups: the general anesthesia group (GA; n = 23) and the general anesthesia plus BSCPB group (GS; n = 23). The intraoperative analgesic requirement (remifentanil) visual analog scale (VAS) score at multiple time points during the postoperative period (after extubation, at 15 and 30 minutes and 1, 2, 6, 12, 24 and 48 hours post operation) were evaluated. Total tramadol and paracetamol consumption as well as the amount of ondansetron used was recorded. RESULTS The intraoperative remifentanil requirement was significantly lower in the GS Group than in the GA Group (p = 0.009). The postoperative pain scores were significantly lower in the GS Group than in the GA Group at 15 (p < 0.01) and 30 (p < 0.01) minutes and 1 (p < 0.01), 2 (p < 0.01), 6 (p < 0.01), 12 (p < 0.01) and 24 (p = 0.03) hours. The postoperative tramadol requirement was significantly lower in the GS Group than in the GA Group (p = 0.01). The number of patients that used ondansetron was significantly lower in the GS Group than in the GA Group (p = 0.004). CONCLUSION We concluded that BSCPB with 0.25% bupivacaine reduces the postoperative pain intensity and opioid dependency in thyroid surgery patients.
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Affiliation(s)
- Alkan Karakış
- Kilis State Hospital, Department of Anesthesiology and Reanimation, Kilis, Turquia.
| | - Hakan Tapar
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Zeki Özsoy
- Gaziosmanpasa University, Medical Faculty, Department of General Surgery, Tokat, Turquia
| | - Mustafa Suren
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Serkan Dogru
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Tuğba Karaman
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Serkan Karaman
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Aynur Sahin
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Hasan Kanadlı
- Kilis State Hospital, Department of Anesthesiology and Reanimation, Kilis, Turquia
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Karakış A, Tapar H, Özsoy Z, Suren M, Dogru S, Karaman T, Karaman S, Sahin A, Kanadlı H. Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial. BRAZILIAN JOURNAL OF ANESTHESIOLOGY (ENGLISH EDITION) 2019. [PMID: 31627901 PMCID: PMC9391879 DOI: 10.1016/j.bjane.2019.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Alkan Karakış
- Kilis State Hospital, Department of Anesthesiology and Reanimation, Kilis, Turquia.
| | - Hakan Tapar
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Zeki Özsoy
- Gaziosmanpasa University, Medical Faculty, Department of General Surgery, Tokat, Turquia
| | - Mustafa Suren
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Serkan Dogru
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Tuğba Karaman
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Serkan Karaman
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Aynur Sahin
- Gaziosmanpasa University, Medical Faculty, Department of Anesthesiology and Reanimation, Tokat, Turquia
| | - Hasan Kanadlı
- Kilis State Hospital, Department of Anesthesiology and Reanimation, Kilis, Turquia
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Abola RE, Bennett-Guerrero E, Kent ML, Feldman LS, Fiore JF, Shaw AD, Thacker JKM, Gan TJ, Miller TE, Hedrick TL, McEvoy MD, Mythen MG, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, Wischmeyer PE, Carli F, Evans DC, Guilbert S, Kozar R, Pryor A, Thiele RH, Everett S, Grocott M. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg 2019; 126:1874-1882. [PMID: 29293180 DOI: 10.1213/ane.0000000000002758] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Patient-reported outcomes (PROs) are measures of health status that come directly from the patient. PROs are an underutilized tool in the perioperative setting. Enhanced recovery pathways (ERPs) have primarily focused on traditional measures of health care quality such as complications and hospital length of stay. These measures do not capture postdischarge outcomes that are meaningful to patients such as function or freedom from disability. PROs can be used to facilitate shared decisions between patients and providers before surgery and establish benchmark recovery goals after surgery. PROs can also be utilized in quality improvement initiatives and clinical research studies. An expert panel, the Perioperative Quality Initiative (POQI) workgroup, conducted an extensive literature review to determine best practices for the incorporation of PROs in an ERP. This international group of experienced clinicians from North America and Europe met at Stony Brook, NY, on December 2-3, 2016, to review the evidence supporting the use of PROs in the context of surgical recovery. A modified Delphi method was used to capture the collective expertise of a diverse group to answer clinical questions. During 3 plenary sessions, the POQI PRO subgroup presented clinical questions based on a literature review, presented evidenced-based answers to those questions, and developed recommendations which represented a consensus opinion regarding the use of PROs in the context of an ERP. The POQI workgroup identified key criteria to evaluate patient-reported outcome measures (PROMs) for their incorporation in an ERP. The POQI workgroup agreed on the following recommendations: (1) PROMs in the perioperative setting should be collected in the framework of physical, mental, and social domains. (2) These data should be collected preoperatively at baseline, during the immediate postoperative time period, and after hospital discharge. (3) In the immediate postoperative setting, we recommend using the Quality of Recovery-15 score. After discharge at 30 and 90 days, we recommend the use of the World Health Organization Disability Assessment Scale 2.0, or a tailored use of the Patient-Reported Outcomes Measurement Information System. (4) Future study that consistently applies PROMs in an ERP will define the role these measures will have evaluating quality and guiding clinical care. Consensus guidelines regarding the incorporation of PRO measures in an ERP were created by the POQI workgroup. The inclusion of PROMs with traditional measures of health care quality after surgery provides an opportunity to improve clinical care.
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Affiliation(s)
- Ramon E Abola
- From the Department of Anesthesiology, Stony Brook Medicine, Stony Brook, New York
| | | | - Michael L Kent
- Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina
| | - Liane S Feldman
- Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada
| | - Julio F Fiore
- Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada
| | - Andrew D Shaw
- Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Julie K M Thacker
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Tong J Gan
- From the Department of Anesthesiology, Stony Brook Medicine, Stony Brook, New York
| | - Timothy E Miller
- Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina
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Sewell M, Churilov L, Mooney S, Ma T, Maher P, Grover SR. Chronic pelvic pain – pain catastrophizing, pelvic pain and quality of life. Scand J Pain 2018; 18:441-448. [DOI: 10.1515/sjpain-2017-0181] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2017] [Accepted: 03/18/2018] [Indexed: 11/15/2022]
Abstract
Abstract
Background and aims
Chronic pelvic pain (CPP) impacts significantly on the lives of women. Negative coping responses such as pain catastrophizing are thought to be significant in predicting both pain severity and outcome. The combined effect of the individual’s response to pain and its severity on their quality of life (QoL) has not been well studied in women with CPP. Aims were to determine the prevalence of pain catastrophizing in women with CPP and to examine the associations between pain catastrophizing and levels of dysmenorrhea, non-cyclical pelvic pain, dyspareunia, dysuria, dyschezia and QoL.
Methods
A cross-sectional study including women aged 18–50 years, referred to a tertiary gynecology outpatients department at an Australian women’s hospital in 2015. Participants completed questionnaires including: pain catastrophizing scale (PCS); pelvic pain levels in the prior 3 months; and the World Health Organisation Quality of life – Bref Questionnaire (WHOQoL-Bref). Statistical analysis was performed using STATA (StataCorp, USA Version13).
Results
Participants (n = 115) had a median age of 29.0 [interquartile range (IQR): 23.0–38.0] years. The Pain catastrophizing score revealed that 60/113 [95% confidence interval (CI): 48.6, 71.2] of participants had a clinically relevant total score ≥30. There were statistically significant positive correlations between pain catastrophizing scores and pelvic pain levels in all five pain categories studied, dysmenorrhea (ρ = 0.37, p = 0.0001), non-cyclical pelvic pain (ρ = 0.46, p<0.0001), dyspareunia (ρ = 0.32, p = 0.0008), dysuria (ρ = 0.32, p = 0.0005) and dyschezia (ρ = 0.38, p = 0.0012). Participants who reported maximal pain levels (5/5) had significantly higher median pain catastrophizing scores when compared to those who reported no pain (0/5) in all categories. Overall QoL was considered as “good” in 71/113 (95% CI: 60.1, 81.0) participants and “poor” in 42/113 (95% CI: 32.0, 53.0) participants. Comparison to Australian female norms revealed significantly lower QoL scores in the physical domain, across all ages, and in psychological domain for those aged <30 and 30–40 years. There was a significant association between increased catastrophizing scores and reduced odds of good QoL. An increase in PCS by one point is associated with a 6.3% decrease in the odds of good QoL [odds ratio (OR) per one-point increase: 0.94 (95% CI: 0.89, 0.98), p = 0.008].
Conclusions
Pain catastrophizing is prevalent at clinically relevant levels in women with CPP across all domains. It is associated with higher pain levels and decreased QoL.
Implications
There is potential for further studies to investigate the predictive nature of pain catastrophizing and management targeting catastrophizing to improve outcomes in women with CPP.
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Affiliation(s)
- Megan Sewell
- Mercy Hospital for Women , 163 Studley Road, Heidelberg, 3084 , Victoria , Australia , Phone: +61 401 190 137
| | - Leonid Churilov
- Florey Institute of Neuroscience and Mental Health , Heidelberg, Victoria , Australia
- School of Mathematics and Geospatial Sciences , RMIT University , Melbourne , Australia
| | - Samantha Mooney
- Mercy Hospital for Women , 163 Studley Road, Heidelberg, 3084 , Victoria , Australia
| | - Tony Ma
- Mercy Hospital for Women , 163 Studley Road, Heidelberg, 3084 , Victoria , Australia
| | - Peter Maher
- University of Melbourne , Parkville, Victoria , Australia
| | - Sonia R. Grover
- Mercy Hospital for Women , 163 Studley Road, Heidelberg, 3084 , Victoria , Australia , Phone: +61 401 190 137
- University of Melbourne , Parkville, Victoria , Australia
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12
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Bell T, Mirman JH, Stavrinos D. Pain, Pain Catastrophizing, and Individual Differences in Executive Function in Adolescence. CHILDRENS HEALTH CARE 2018; 48:18-37. [PMID: 31571719 DOI: 10.1080/02739615.2018.1441028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Many adolescents will experience pain at some point in their development that can lead to poor quality of life. The largest risk factor for pain is tendencies to magnify and ruminate on pain, known as pain catastrophizing. One mechanism of catastrophizing may be difficulties with executive function, or the ability to cognitively control information. The objective of the current study was to determine if adolescent executive function difficulties relate to high catastrophizing and pain. Fifty adolescents completed measures of pain, pain catastrophizing, and executive function. Path models revealed relations among gender, executive function domains, pain catastrophizing domains, and pain. In general, pain catastrophizing was associated with problems with shifting and inhibition. Females reported high catastrophizing and pain, partially explained by executive function difficulty. Executive function difficulty may help clinicians identify adolescents prone to catastrophize painful events. Interventions addressing these difficulties may reduce catastrophizing as well as pain intensity and duration.
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Affiliation(s)
- Tyler Bell
- Department of Psychology, University of Alabama at Birmingham
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13
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Doğru HY, Özsoy F, Doğru S, Karaman T, Şahin A, Özsoy AZ, Çakmak B, Süren M. Catastrophizing, Depression and Anxiety During Pregnancy: Relation Between Lumbopelvic Pain and Physical/Social Functioning. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2017. [DOI: 10.1007/s10942-017-0277-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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14
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Martín-Pintado-Zugasti A, López-López A, González Gutiérrez JL, Pecos-Martín D, Rodríguez-Fernández ÁL, Alguacil-Diego IM, Gallego-Izquierdo T, Fernández-Carnero J. The Role of Psychological Factors in the Perception of Postneedling Soreness and the Influence of Postneedling Intervention. PM R 2016; 9:348-355. [PMID: 27492276 DOI: 10.1016/j.pmrj.2016.07.529] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Revised: 07/14/2016] [Accepted: 07/18/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Myofascial trigger point dry needling is frequently associated with postneedling soreness, which can generate patient dissatisfaction and reduced treatment adherence. Psychological factors may influence the perception of postneedling soreness and the effectiveness of postneedling soreness treatments. OBJECTIVES The objectives of the present study were to determine whether catastrophizing, kinesiophobia, pain anxiety, and fear of pain are significant predictors of postneedling soreness over time; and to analyze whether the relationships between psychological variables and postneedling soreness vary as a function of the postneedling soreness intervention, which included ischemic compression, placebo or control (without treatment). DESIGN Repeated-measures observational study nested within a randomized controlled trial. SETTING University community. PARTICIPANTS Healthy volunteers (N = 90; 40 men and 50 women) 18 to 39 years of age (mean ± standard deviation 22 ± 3 years). METHODS Catastrophizing, kinesiophobia, pain anxiety, and fear of pain were evaluated as possible predictors of postneedling pain before dry needling in a latent myofascial trigger point in the upper trapezius muscle. Participants were then divided into a treatment group that received ischemic compression as a postneedling intervention, a placebo group that received sham ischemic compression, and a control group that did not receive any treatment. MAIN OUTCOME MEASUREMENTS Pain during needling and postneedling soreness were quantified using a visual analogue scale during needling, after treatment, and at 6, 12, 24, and 48 hours. RESULTS A multilevel analysis revealed that individuals who exhibited more catastrophic thinking showed less postneedling soreness intensity immediately after needling in all participants (β = -0.049). Pain-related anxiety was linked to greater immediate postneedling soreness in the compression condition (β = 0.057). Finally, participants who exhibited more catastrophic thinking showed a slower rate of decline in postneedling soreness levels over time in the compression condition (β = 0.038). CONCLUSIONS Catastrophizing was associated with lower levels of postneedling soreness immediately after needling in all subjects. Although ischemic compression seems to be a useful procedure to reduce postneedling soreness, its efficacy could be slightly reduced in patients presenting higher scores of pain-related anxiety. Psychological procedures may help to correct the distorted pain expectancies associated with needling interventions and might also improve the effectiveness of ischemic compression. LEVEL OF EVIDENCE II.
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Affiliation(s)
- Aitor Martín-Pintado-Zugasti
- Department of Nursing and Physiotherapy, CEU-San Pablo University, Carretera Boadilla del Monte, Km 5,300, Urbanización Montepríncipe, 28668 Boadilla del Monte, Madrid, Spain∗.
| | - Almudena López-López
- Department of Psychology, Universidad Rey Juan Carlos Alcorcón, Madrid, Spain(†)
| | | | - Daniel Pecos-Martín
- Physiotherapy Department, Physiotherapy and Pain Group, School of Physiotherapy, Alcalá de Henares University, Alcalá de Henares, Madrid, Spain(§)
| | | | - Isabel María Alguacil-Diego
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain(¶)
| | - Tomás Gallego-Izquierdo
- Physiotherapy Department, Physiotherapy and Pain Group, School of Physiotherapy, Alcalá de Henares University, Alcalá de Henares, Madrid, Spain(#)
| | - Josue Fernández-Carnero
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain; Hospital La Paz Institute for Health Research, IdiPAZ, Madrid, Spain; Grupo Multidisciplinar de Investigación y Tratamiento del Dolor, Grupo de Excelencia Investigadora URJC-Banco de Santander, Madrid, Spain∗∗
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15
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Karaman T, Karaman S, Dogru S, Tapar H, Sahin A, Suren M, Arici S, Kaya Z. Evaluating the efficacy of lavender aromatherapy on peripheral venous cannulation pain and anxiety: A prospective, randomized study. Complement Ther Clin Pract 2016; 23:64-8. [PMID: 27157961 DOI: 10.1016/j.ctcp.2016.03.008] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Accepted: 03/23/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVE This study was designed to evaluate the effectiveness of lavender aromatherapy on pain, anxiety, and level of satisfaction associated with the peripheral venous cannulation (PVC) in patients undergoing surgery. METHOD One hundred and six patients undergoing surgery were randomized to receive aromatherapy with lavender essential oil (the lavender group) or a placebo (the control group) during PVC. The patients' pain, anxiety, and satisfaction scores were measured. RESULTS There was no statistically significantly difference between the groups in terms of demographic data. After cannulation, the pain and anxiety scores (anxiety 2) of the patients in the lavender group were significantly lower than the control group (for p = 0.01 for pain scores; p < 0.001 for anxiety 2 scores). In addition, patient satisfaction was significantly higher in the lavender group than in the control group (p = 0.003). CONCLUSION Lavender aromatherapy had beneficial effects on PVC pain, anxiety, and satisfaction level of patients undergoing surgery.
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Affiliation(s)
- Tugba Karaman
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey.
| | - Serkan Karaman
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Serkan Dogru
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Hakan Tapar
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Aynur Sahin
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Mustafa Suren
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Semih Arici
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
| | - Ziya Kaya
- Department of Anesthesiology and Reanimation, School of Medicine, Gaziosmanpasa University, 60100, Tokat, Turkey
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16
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Persson AKM, Pettersson FD, Dyrehag LE, Åkeson J. Prediction of postoperative pain from assessment of pain induced by venous cannulation and propofol infusion. Acta Anaesthesiol Scand 2016; 60:166-76. [PMID: 26373922 DOI: 10.1111/aas.12634] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 08/17/2015] [Accepted: 08/21/2015] [Indexed: 12/25/2022]
Abstract
BACKGROUND Postoperative pain may lead to delayed mobilization, persisting pain, and psychosocial distress. There are no simple and reliable techniques for prediction of postoperative pain. This study was designed to evaluate if pain induced by venous cannulation or propofol injection can be used to predict postoperative pain. METHODS This prospective study included 180 patients scheduled for laparoscopic cholecystectomy. Pain intensity associated with peripheral venous cannulation and administration of propofol preoperatively and pain intensity, and use of opioid postoperatively was recorded. RESULTS Patients scoring cannulation-induced pain intensity > 2.0 VAS units were given postoperative opioid more often (65% vs. 36%; P < 0.001), earlier (12 min vs. 90 min; P < 0.001), and in higher doses (4.8 mg vs. 0 mg; P < 0.001), and also reported higher levels of postoperative pain intensity (5.8 vs. 2.9 VAS units; P < 0.001). There were also significant (P < 0.01) correlations with postoperative pain intensity (rs = 0.24), time to opioid administration (rs = -0.26), and total dose of opioid (rs = 0.25). Propofol-induced pain intensity correlated significantly (P < 0.05) with postoperative pain intensity (rs = 0.19). CONCLUSION Pain intensity associated with venous cannulation and propofol infusion can easily be evaluated at bedside before surgery without specific equipment or training. Patients scoring > 2.0 VAS units on venous cannulation were found to have 3.4 times higher risk of postoperative pain after laparoscopic cholecystectomy. Low pain intensity associated with venous cannulation and propofol infusion indicate lower risk of postoperative pain.
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Affiliation(s)
- A K M Persson
- Department of Clinical Sciences Malmö, Anesthesiology and Intensive Care Medicine, Lund University, Skåne University Hospital, Malmö, Sweden
- Department of Anesthesiology and Intensive Care Medicine, Hallands Sjukhus Halmstad, Halmstad, Sweden
| | - F D Pettersson
- Karolinska Institute, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Stockholm, Sweden
| | - L-E Dyrehag
- Department of Anesthesiology and Intensive Care Medicine, Hallands Sjukhus Halmstad, Halmstad, Sweden
| | - J Åkeson
- Department of Clinical Sciences Malmö, Anesthesiology and Intensive Care Medicine, Lund University, Skåne University Hospital, Malmö, Sweden
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