TY - JOUR
T1 - A prospective study of risk factors for pain persisting 4 months after hysterectomy
AU - Brandsborg, Birgitte
AU - Dueholm, Margit
AU - Nikolajsen, Lone
AU - Kehlet, Henrik
AU - Jensen, Troels S
N1 - Keywords: Adult; Aged; Chronic Disease; Denmark; Female; Humans; Hysterectomy; Incidence; Middle Aged; Pain Measurement; Pain, Postoperative; Pelvic Pain; Prospective Studies; Psychology; Risk Assessment; Risk Factors; Treatment Outcome
PY - 2009
Y1 - 2009
N2 - OBJECTIVES: Chronic pain after hysterectomy is reported by 5% to 32% of women, but it is unknown whether the pain is a result of surgery or can be attributable to other factors such as preoperative and postoperative pain, physical, and psychosocial status. The aim of this prospective study was therefore to study the role of surgery and other possible predictors for pain 4 months after hysterectomy. METHODS: Ninety women referred for hysterectomy for benign conditions completed the study. The women were interviewed and completed pain questionnaires before surgery and after 3 weeks and 4 months. Questions were about pain location, intensity, and frequency, as well as medical treatment and impact on daily living. In addition, the Short Form-36 General Health Status Questionnaire and Coping Strategies Questionnaire were completed before surgery. RESULTS: Fifteen women (16.7%) had persistent pain 4 months after hysterectomy. In 11 women, the pain resembled their preoperative pain, whereas 4 women had pain likely to be related to surgery. Preoperative "pain problems elsewhere" and a high "acute postoperative pain intensity" were associated with having pain 4 months after hysterectomy (P = 0.004 and P = 0.034). A similar tendency was seen for preoperative "pelvic pain" (P = 0.059). Women with pain at 4 months reported lower quality of life in 4 Short Form-36 subscales and less control of pain preoperatively (P < 0.05 and P = 0.023). DISCUSSION: Pain persisting 4 months after hysterectomy is most often related to preoperative factors and acute postoperative pain. The relative contribution of surgery itself is small.
AB - OBJECTIVES: Chronic pain after hysterectomy is reported by 5% to 32% of women, but it is unknown whether the pain is a result of surgery or can be attributable to other factors such as preoperative and postoperative pain, physical, and psychosocial status. The aim of this prospective study was therefore to study the role of surgery and other possible predictors for pain 4 months after hysterectomy. METHODS: Ninety women referred for hysterectomy for benign conditions completed the study. The women were interviewed and completed pain questionnaires before surgery and after 3 weeks and 4 months. Questions were about pain location, intensity, and frequency, as well as medical treatment and impact on daily living. In addition, the Short Form-36 General Health Status Questionnaire and Coping Strategies Questionnaire were completed before surgery. RESULTS: Fifteen women (16.7%) had persistent pain 4 months after hysterectomy. In 11 women, the pain resembled their preoperative pain, whereas 4 women had pain likely to be related to surgery. Preoperative "pain problems elsewhere" and a high "acute postoperative pain intensity" were associated with having pain 4 months after hysterectomy (P = 0.004 and P = 0.034). A similar tendency was seen for preoperative "pelvic pain" (P = 0.059). Women with pain at 4 months reported lower quality of life in 4 Short Form-36 subscales and less control of pain preoperatively (P < 0.05 and P = 0.023). DISCUSSION: Pain persisting 4 months after hysterectomy is most often related to preoperative factors and acute postoperative pain. The relative contribution of surgery itself is small.
U2 - 10.1097/AJP.0b013e31819655ca
DO - 10.1097/AJP.0b013e31819655ca
M3 - Journal article
C2 - 19590472
SN - 0749-8047
VL - 25
SP - 263
EP - 268
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
IS - 4
ER -