Document Detail


Quality of life and chronic pain four years after gastrointestinal surgery.
MedLine Citation:
PMID:  16741597     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Little is known about the prevalence of chronic postsurgical pain after gastrointestinal surgery. This study was designed to assess the prevalence of chronic pain and quality of life in a cohort of patients who underwent surgery for benign and malignant gastrointestinal disease.
METHODS: A prospective cohort design was used to assess quality of life and morbidity at four years postoperatively in 435 patients who had upper, hepatopancreaticobiliary, small-bowel, and/or colorectal anastomotic surgery in 1999 at one regional center in Northeast Scotland. Chronic pain and quality of life were assessed by postal survey using the European Organization for Research and Treatment of Cancer Quality of Life-C30 questionnaire and McGill Pain Questionnaire.
RESULTS: Of the 435 patients recruited in 1999, 135 (31 percent) had died by censor date in 2003. There was a 74 percent (n = 202) response rate from surviving patients eligible for follow-up. Prevalence of chronic pain at four years postoperatively was 18 percent (95 percent confidence interval, 13-23 percent). Pain was predominantly neuropathic in character; a subgroup reported moderate-to-severe pain. Risk factors for chronic postsurgical pain included female gender, younger age, and surgery for benign disease. Compared with those who were pain-free at follow-up, patients with chronic pain had poorer functioning, poorer global quality of life, and more severe symptoms, independent of age, gender, and cancer status.
CONCLUSIONS: The prevalence of chronic pain after laparotomy for gastrointestinal malignancy and nonmalignant conditions at four years after surgery was 18 percent. These patients had significantly poorer quality of life scores independent of age, gender, and cancer status.
Authors:
Julie Bruce; Zygmunt H Krukowski
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  49     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-14     Completed Date:  2006-11-09     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1362-70     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology*
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical
Chronic Disease
Digestive System Surgical Procedures / adverse effects*
Female
Follow-Up Studies
Gastrointestinal Diseases / surgery
Humans
Male
Middle Aged
Pain, Postoperative / etiology*
Quality of Life*
Questionnaires
Risk Factors
Grant Support
ID/Acronym/Agency:
G106/1178//Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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