Predictors of persistent postsurgical pain following Hystere
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The study presents that persistent postsurgical pain can be determined before surgery. The study was published by The Journal of Minimally Invasive Gynecology.

The objective of this study was to determine socio-demographic, surgical, and psychological risk factors, including pain sensitivity, for persistent postsurgical pain (PPSP) following hysterectomy.

A prospective cohort study of patients (n=200) who underwent hysterectomy (vaginal, laparoscopic, robotic, or open) was carried out. Participants completed preoperative questionnaires assessing baseline pain scores and psychological factors. Patients were reassessed at 6-weeks postoperatively.

Of 200 study participants, 58 met the definition for PPSP, and 11 met the definition for moderate to severe postsurgical pain.

--Risk factors for PPSP included baseline pain scores, depression, pain catastrophizing, uterine mass, open surgical approach, acute postoperative pain, history of chronic pain, and having a hysterectomy due to pain.

--Multivariate regression analysis revealed that depression, pain catastrophizing, open surgical approach, and acute postoperative pain at 1-hour represent independent predictors of PPSP.

--Pain sensitivity was not associated with PPSP but was associated with acute and severe acute pain at 24-hours.

In particular, patients at risk for persistent postsurgical pain following hysterectomy can be identified preoperatively using validated questionnaires.

Source: https://doi.org/10.1016/j.jmig.2021.05.017
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