Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty
Meimei Tian,1,2,* Zihua Li,1,* Xujuan Chen,1 Qiting Wu,1 Huimin Shi,1 Yuchang Zhu,1 Yan Shi2 1Department of Orthopedics, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200072, People’s Republic of China; 2Department of Nursing, Shanghai Tenth Peopl...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-04-01
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| Series: | Journal of Pain Research |
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| Online Access: | https://www.dovepress.com/prevalence-and-predictors-of-chronic-pain-with-two-year-follow-up-afte-peer-reviewed-fulltext-article-JPR |
| _version_ | 1817984485264719872 |
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| author | Tian M Li Z Chen X Wu Q Shi H Zhu Y Shi Y |
| author_facet | Tian M Li Z Chen X Wu Q Shi H Zhu Y Shi Y |
| author_sort | Tian M |
| collection | DOAJ |
| description | Meimei Tian,1,2,* Zihua Li,1,* Xujuan Chen,1 Qiting Wu,1 Huimin Shi,1 Yuchang Zhu,1 Yan Shi2 1Department of Orthopedics, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200072, People’s Republic of China; 2Department of Nursing, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200072, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yan Shi, Tel +86 21 66307304, Fax +86 21 66307542, Email shi_yan2018@outlook.comBackground: Pain relief is the most important issue in the long-term outcome of arthroplasty surgery, with nearly one-third of patients still suffered persistent pain and caused dissatisfaction after the surgery.Methods: A total of 713 patients underwent primary elective primary TKA and UKA were included consecutively between July 2018 and December 2019, using binary logistic method to analyze the data.Results: The prevalence of CPSP at rest and on movement at 2-year was 12.1% and 37.7% respectively after primary knee arthroplasty and CPSP at rest factors included: age above 80 (odds ratio [OR]= 6.72, 95% confidence interval [CI] 1.58 to 28.56), BMI above 30 (2.339, 1.02 to 5.383), and moderate to severe pain variables: preoperative pain, (1.95, 1.11 to 3.41); APSP on movement, 4.9 (2.31– 10.6); and follow-up contralateral knee pain-at-rest scores (12.6, 5.5 to 28.5). Factors associated with presence of CPSP on movement included: no smoking (2.59, 1.07 to 6.26); and moderate to severe pain variables: preoperative pain, (1.57, 1.073 to 2.30); APSP at rest, (1.85, 1.13 to 3.02); APSP on movement, 6.11 (3.82 to 9.78); and follow-up contralateral knee pain-on-movement scores, 3.22 (2.08 to 5.00). Factors to occurrence of moderate to severe CPSP on movement include: presence of COPD (12.20, 2.19 to 67.98); and moderate to severe pain variables: preoperative pain (2.36, 1.32 to 4.23); APSP on movement (4.68, 1.95 to 11.25); and follow-up contralateral knee pain-on-movement scores (2.71, 1.66 to 4.42).Conclusion: Prevention strategies should be targeted to different types of pain, and the comorbidity of COPD undergoing knee arthroplasty should receive early identification and attention.Keywords: chronic postsurgical pain, acute-postoperative pain, total knee arthroplasty, rest pain, movement pain |
| first_indexed | 2024-04-13T23:46:08Z |
| format | Article |
| id | doaj.art-5158719931d444918ac0b8ac5b1c8429 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-04-13T23:46:08Z |
| publishDate | 2022-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-5158719931d444918ac0b8ac5b1c84292022-12-22T02:24:20ZengDove Medical PressJournal of Pain Research1178-70902022-04-01Volume 151091110574550Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee ArthroplastyTian MLi ZChen XWu QShi HZhu YShi YMeimei Tian,1,2,* Zihua Li,1,* Xujuan Chen,1 Qiting Wu,1 Huimin Shi,1 Yuchang Zhu,1 Yan Shi2 1Department of Orthopedics, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200072, People’s Republic of China; 2Department of Nursing, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200072, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yan Shi, Tel +86 21 66307304, Fax +86 21 66307542, Email shi_yan2018@outlook.comBackground: Pain relief is the most important issue in the long-term outcome of arthroplasty surgery, with nearly one-third of patients still suffered persistent pain and caused dissatisfaction after the surgery.Methods: A total of 713 patients underwent primary elective primary TKA and UKA were included consecutively between July 2018 and December 2019, using binary logistic method to analyze the data.Results: The prevalence of CPSP at rest and on movement at 2-year was 12.1% and 37.7% respectively after primary knee arthroplasty and CPSP at rest factors included: age above 80 (odds ratio [OR]= 6.72, 95% confidence interval [CI] 1.58 to 28.56), BMI above 30 (2.339, 1.02 to 5.383), and moderate to severe pain variables: preoperative pain, (1.95, 1.11 to 3.41); APSP on movement, 4.9 (2.31– 10.6); and follow-up contralateral knee pain-at-rest scores (12.6, 5.5 to 28.5). Factors associated with presence of CPSP on movement included: no smoking (2.59, 1.07 to 6.26); and moderate to severe pain variables: preoperative pain, (1.57, 1.073 to 2.30); APSP at rest, (1.85, 1.13 to 3.02); APSP on movement, 6.11 (3.82 to 9.78); and follow-up contralateral knee pain-on-movement scores, 3.22 (2.08 to 5.00). Factors to occurrence of moderate to severe CPSP on movement include: presence of COPD (12.20, 2.19 to 67.98); and moderate to severe pain variables: preoperative pain (2.36, 1.32 to 4.23); APSP on movement (4.68, 1.95 to 11.25); and follow-up contralateral knee pain-on-movement scores (2.71, 1.66 to 4.42).Conclusion: Prevention strategies should be targeted to different types of pain, and the comorbidity of COPD undergoing knee arthroplasty should receive early identification and attention.Keywords: chronic postsurgical pain, acute-postoperative pain, total knee arthroplasty, rest pain, movement painhttps://www.dovepress.com/prevalence-and-predictors-of-chronic-pain-with-two-year-follow-up-afte-peer-reviewed-fulltext-article-JPRchronic postsurgical painacute-postoperative paintotal knee arthroplastyrest painmovement pain; |
| spellingShingle | Tian M Li Z Chen X Wu Q Shi H Zhu Y Shi Y Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty Journal of Pain Research chronic postsurgical pain acute-postoperative pain total knee arthroplasty rest pain movement pain; |
| title | Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty |
| title_full | Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty |
| title_fullStr | Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty |
| title_full_unstemmed | Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty |
| title_short | Prevalence and Predictors of Chronic Pain with Two-Year Follow-Up After Knee Arthroplasty |
| title_sort | prevalence and predictors of chronic pain with two year follow up after knee arthroplasty |
| topic | chronic postsurgical pain acute-postoperative pain total knee arthroplasty rest pain movement pain; |
| url | https://www.dovepress.com/prevalence-and-predictors-of-chronic-pain-with-two-year-follow-up-afte-peer-reviewed-fulltext-article-JPR |
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