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Predictors and trajectories of chronic postoperative pain following hip preservation surgery.

PMID: 28630720 (view PubMed database entry)
DOI: 10.1093/jhps/hnx003 (read at publisher's website )
PMCID: PMC5467405 (free full text version available)

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Christine B Sieberg, Justyna Klajn, Cindy Wong, Garrett Bowen, Laura E Simons, Michael B Millis,

Factors contributing to chronic postoperative pain (CPOP) are poorly defined in young people and developmental considerations are poorly understood. With over 5 million children undergoing surgery yearly and 25% of adults referred to chronic pain clinics identifying surgery as the antecedent, there is a need to elucidate factors that contribute to CPOP in surgical patients. The present study includes patients undergoing hip preservation surgery at a children's hospital. The HOOS and SF-12 Health Survey were administered to 614 pre-surgical patients with 421 patients completing follow-up (6-months, 1-year and 2-years post-surgery). Pain, quality of life, and functioning across time were examined for each group within the population. A three trajectory model (low pain, pain improvement and high pain) emerged indicating three categories of treatment responders. Pain trajectory groups did not differ significantly on gender, pre-surgical age, BMI, prior hip surgery, surgical type, joint congruence or Tönnis grade. The groups differed significantly from each other on pre-surgical pain, pain chronicity, quality of life and functioning. Those in the high pain and pain improvement groups endorsed having pre-surgical depression at significantly higher rates and lower pre-surgical quality of life compared to those in the low pain group (<i>P</i> < 0.01). Those in the high pain group reported significantly worse pre-surgical functioning compared to those in the pain improvement (<i>P</i> < 0.0001) and low pain groups (<i>P</i> < 0.0001).The results demonstrate the need for preoperative screening prior to hip preservation surgery, as there may be a subset of patients who are predisposed to chronic pain independent of hip health.

J Hip Preserv Surg (Journal of hip preservation surgery)
[2017, 4(1):45-53]

Cited: 5 times

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