The Clinical journal of pain
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Review Meta Analysis
Meta-Analysis: Postoperative Pain Management in Colorectal Surgical Patients and the Effects on Length of Stay in an ERAS Setting.
Enhanced Recovery After Surgery (ERAS) aims to minimize the length of a negative physiological response to surgical intervention. There are a number of aspects involved in ERAS protocols, one of which is postoperative pain relief. This meta-analysis investigates the current evidence for postoperative pain relief and its effect on patient pain and the length of stay after colorectal surgery. ⋯ In an ERAS setting with regard to a colorectal patient population, the choice of modality for postoperative pain relief does not impact the length of hospital stay, pain, the time to the first bowel motion, or nausea.
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Clinical Trial
Prediction of Acute Postoperative Pain Following Breast Cancer Surgery Using the Pain Sensitivity Questionnaire: A Cohort Study.
Previous studies have indicated that preoperative pain sensitivity correlates with postoperative pain intensity, and thus may be used to predict severe postoperative pain. Self-rating of pain sensitivity using the "Pain Sensitivity Questionnaire (PSQ)" may be an adjunct to these measures. ⋯ Results need to be validated in a larger cohort and for other types of surgery, but use of the simple PSQ may help to identify patients at risk of intense acute postoperative pain.
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Skin sensitivity to sensory stimuli varies among different body areas. A standardized clinical quantitative sensory testing (QST) battery, established for the diagnosis of neuropathic pain, was used to assess whether the magnitude of differences between test sites reaches clinical significance. ⋯ Sensory differences between neighboring body areas are statistically significant, reproducing prior knowledge. This has to be considered in scientific assessments where a small variation of the tested body areas may not be an option. However, the magnitude of these differences was below the difference in sensory parameters that is judged as abnormal, indicating a robustness of the QST instrument against protocol deviations with respect to the test area when using the method of comparison with a 95 % confidence interval of a reference dataset.
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Suicidal ideation (SI) is common during adolescence and may have lethal outcomes. Despite evidence of the high prevalence and impact of suicidality in adults with chronic pain (CP), remarkably little is known about suicidality in adolescents with CP. This study aimed to examine the rates and characteristics of SI in a clinical sample of adolescents with CP compared with youth without CP. We also examined the relationship between pain-related and psychosocial factors and SI in youth. ⋯ Contrary to hypotheses and past findings in adults with CP, adolescents with CP did not endorse SI more frequently than peers without CP. Several psychosocial correlates were significantly associated with SI severity in our sample. Findings from this study serve as a foundation for future research on SI and associated risk factors in this population.
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Quadriceps muscle weakness and vitamin D deficiency are associated with knee osteoarthritis (KOA). This study aimed to investigate the relationship between quadriceps muscle strength (QMS) and vitamin D in KOA. ⋯ These findings demonstrated a significant correlation between QMS with both serum vitamin D and knee pain, indicating a confounding role for quadriceps muscle in the association between serum vitamin D and osteoarthritis knee pain. On the basis of the findings of this study, vitamin D supplementation may affect pain by strengthening quadriceps muscle in KOA.