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Chronic pain after lung resection: Risk factors, neuropathic pain, and quality of life

Journal of Pain and Symptom Management Mar 27, 2020

Fiorelli S, Cioffi L, Menna C, et al. - Researchers focused on chronic post-surgical pain (CPSP) prevalence, risk factors, neuropathic pain (NP) occurrence as well as on its influence on quality of life in this study with 200 patients. The participants had undergone lung resection via mini-thoracotomy or thoracoscopy between January 2017 and December 2017, and were evaluated 4-12 months postoperatively. CPSP incidence was estimated to be 35% of which 31.5% with NP. Severe chronic pain was experienced by only 10% of CPSP patients. Overall, CPSP development was reported in over 1 out of 3 patients who had lung resection, and neuropathic component was frequently shown. A higher CPSP and NP incidence was seen in relation to female gender. Moderate-severe acute postoperative pain occurrence and open surgery appeared to be the factors that independently conferred a risk for CPSP. The quality of life was negatively influenced by chronic pain and NP, with a reduction noted in the SF-36 scores of all domains.

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