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Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer

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Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer. / Bruce, J.; Thornton, A. J.; Scott, N. W.; Marfizo, S.; Powell, R.; Johnston, M.; Wells, M.; Heys, S. D.; Thompson, A. M.

In: British Journal of Cancer, Vol. 107, 04.09.2012, p. 937-946.

Research output: Contribution to journalArticle

Harvard

Bruce, J, Thornton, AJ, Scott, NW, Marfizo, S, Powell, R, Johnston, M, Wells, M, Heys, SD & Thompson, AM 2012, 'Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer' British Journal of Cancer, vol 107, pp. 937-946., 10.1038/bjc.2012.341

APA

Bruce, J., Thornton, A. J., Scott, N. W., Marfizo, S., Powell, R., Johnston, M., ... Thompson, A. M. (2012). Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer. British Journal of Cancer, 107, 937-946. 10.1038/bjc.2012.341

Vancouver

Bruce J, Thornton AJ, Scott NW, Marfizo S, Powell R, Johnston M et al. Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer. British Journal of Cancer. 2012 Sep 4;107:937-946. Available from: 10.1038/bjc.2012.341

Author

Bruce, J.; Thornton, A. J.; Scott, N. W.; Marfizo, S.; Powell, R.; Johnston, M.; Wells, M.; Heys, S. D.; Thompson, A. M. / Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer.

In: British Journal of Cancer, Vol. 107, 04.09.2012, p. 937-946.

Research output: Contribution to journalArticle

Bibtex - Download

@article{e5e1963b18a0477b82d350dac35428c7,
title = "Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer",
author = "J. Bruce and Thornton, {A. J.} and Scott, {N. W.} and S. Marfizo and R. Powell and M. Johnston and M. Wells and Heys, {S. D.} and Thompson, {A. M.}",
year = "2012",
doi = "10.1038/bjc.2012.341",
volume = "107",
pages = "937--946",
journal = "British Journal of Cancer",
issn = "0007-0920",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Chronic preoperative pain and psychological robustness predict acute postoperative pain outcomes after surgery for breast cancer

A1 - Bruce,J.

A1 - Thornton,A. J.

A1 - Scott,N. W.

A1 - Marfizo,S.

A1 - Powell,R.

A1 - Johnston,M.

A1 - Wells,M.

A1 - Heys,S. D.

A1 - Thompson,A. M.

AU - Bruce,J.

AU - Thornton,A. J.

AU - Scott,N. W.

AU - Marfizo,S.

AU - Powell,R.

AU - Johnston,M.

AU - Wells,M.

AU - Heys,S. D.

AU - Thompson,A. M.

PY - 2012/9/4

Y1 - 2012/9/4

N2 - Background:Few epidemiological studies have prospectively investigated preoperative and surgical risk factors for acute postoperative pain after surgery for breast cancer. We investigated demographic, psychological, pain-related and surgical risk factors in women undergoing resectional surgery for breast cancer. Methods:Primary outcomes were pain severity, at rest (PAR) and movement-evoked pain (MEP), in the first postoperative week. Results:In 338 women undergoing surgery, those with chronic preoperative pain were three times more likely to report moderate to severe MEP after breast cancer surgery (OR 3.18, 95% CI 1.45-6.99). Increased psychological 'robustness', a composite variable representing positive affect and dispositional optimism, was associated with lower intensity acute postoperative PAR (OR 0.63, 95% CI 0.48-0.82) and MEP (OR 0.71, 95% CI 0.54-0.93). Sentinel lymph node biopsy (SLNB) and intraoperative nerve division were associated with reduced postoperative pain. No relationship was found between preoperative neuropathic pain and acute pain outcomes; altered sensations and numbness postoperatively were more common after axillary sample or clearance compared with SLNB. Conclusion:Chronic preoperative pain, axillary surgery and psychological robustness significantly predicted acute pain outcomes after surgery for breast cancer. Preoperative identification and targeted intervention of subgroups at risk could enhance the recovery trajectory in cancer survivors.British Journal of Cancer advance online publication, 31 July 2012; doi:10.1038/bjc.2012.341 www.bjcancer.com.

AB - Background:Few epidemiological studies have prospectively investigated preoperative and surgical risk factors for acute postoperative pain after surgery for breast cancer. We investigated demographic, psychological, pain-related and surgical risk factors in women undergoing resectional surgery for breast cancer. Methods:Primary outcomes were pain severity, at rest (PAR) and movement-evoked pain (MEP), in the first postoperative week. Results:In 338 women undergoing surgery, those with chronic preoperative pain were three times more likely to report moderate to severe MEP after breast cancer surgery (OR 3.18, 95% CI 1.45-6.99). Increased psychological 'robustness', a composite variable representing positive affect and dispositional optimism, was associated with lower intensity acute postoperative PAR (OR 0.63, 95% CI 0.48-0.82) and MEP (OR 0.71, 95% CI 0.54-0.93). Sentinel lymph node biopsy (SLNB) and intraoperative nerve division were associated with reduced postoperative pain. No relationship was found between preoperative neuropathic pain and acute pain outcomes; altered sensations and numbness postoperatively were more common after axillary sample or clearance compared with SLNB. Conclusion:Chronic preoperative pain, axillary surgery and psychological robustness significantly predicted acute pain outcomes after surgery for breast cancer. Preoperative identification and targeted intervention of subgroups at risk could enhance the recovery trajectory in cancer survivors.British Journal of Cancer advance online publication, 31 July 2012; doi:10.1038/bjc.2012.341 www.bjcancer.com.

UR - http://www.scopus.com/inward/record.url?scp=84864375385&partnerID=8YFLogxK

U2 - 10.1038/bjc.2012.341

DO - 10.1038/bjc.2012.341

M1 - Article

JO - British Journal of Cancer

JF - British Journal of Cancer

SN - 0007-0920

VL - 107

SP - 937

EP - 946

ER -

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