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Prevalence of chronic postsurgical pain after thoracotomy and total knee arthroplasty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain)

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Abstract

We performed a multicenter observational study to assess the prevalence and risk factors of persistent pain after lung cancer surgery and total knee arthroplasty (TKA) in the Japanese population. After receiving Ethics Committee approval, a retrospective chart review was performed for patients who underwent surgery at seven university hospitals in Japan in 2013. A total of 511 patients who underwent lung cancer surgery and 298 patients who underwent TKA were included. The prevalence of chronic postsurgical pain (CPSP) at 3 and 6 months was 18 and 12% after lung surgery and 49 and 33% after TKA, respectively. The prevalence of analgesic use at 3 and 6 months was 16 and 9% after lung surgery and 34 and 22% after TKA, respectively. In both groups, preoperative analgesic use was associated with CPSP. Anesthetic methods or techniques during both types of surgery did not significantly affect the prevalence of CPSP. This is the first study in which the prevalence of CPSP after lung surgery and TKA in Japanese population was extensively evaluated in a multicenter trial. Further prospective studies are needed to confirm the prevalence of CPSP in the Japanese population and to identify risk factors and prevention methods.

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Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan

    Yoko Sugiyama & Hiroki Iida

  2. Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Fumimasa Amaya, Kanako Matsuo & Yutaka Matsuoka

  3. Clinical Pain Service, The Jikei University Hospital, Tokyo, Japan

    Keiko Kojima, Fumitaka Matsuno & Takayuki Hamaguchi

  4. Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan

    Masako Iseki, Keisuke Yamaguchi, Yoshika Takahashi, Atsuko Hara & Yusuke Sugasawa

  5. Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto, Japan

    Mikito Kawamata & Satoshi Tanaka

  6. Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tottori University, Tottori, Japan

    Yoshimi Inagaki & Akihiro Otsuki

  7. Department of Anesthesiology, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences for Research, Toyama, Japan

    Mitsuaki Yamazaki & Hisakatsu Ito

Authors
  1. Yoko Sugiyama
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  2. Hiroki Iida
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  3. Fumimasa Amaya
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  4. Kanako Matsuo
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  5. Yutaka Matsuoka
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  6. Keiko Kojima
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  7. Fumitaka Matsuno
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  8. Takayuki Hamaguchi
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  9. Masako Iseki
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  10. Keisuke Yamaguchi
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  11. Yoshika Takahashi
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  12. Atsuko Hara
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  13. Yusuke Sugasawa
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  14. Mikito Kawamata
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  15. Satoshi Tanaka
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  16. Yoshimi Inagaki
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  17. Akihiro Otsuki
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  18. Mitsuaki Yamazaki
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  19. Hisakatsu Ito
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Corresponding author

Correspondence to Yoko Sugiyama.

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Sugiyama, Y., Iida, H., Amaya, F. et al. Prevalence of chronic postsurgical pain after thoracotomy and total knee arthroplasty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain). J Anesth 32, 434–438 (2018). https://doi.org/10.1007/s00540-018-2481-0

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  • DOI: https://doi.org/10.1007/s00540-018-2481-0

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