Publications by authors named "P Lavand'homme"
Background: Identifying the subset of patients at risk for developing persistent pain after surgery is clinically important as they could benefit from targeted prevention measures. In this prospective study, we investigated if the preoperative assessment of the individual susceptibility to developing experimentally induced secondary hyperalgesia is associated with post-thoracotomy pain at 2 months.
Methods: Forty-one patients scheduled to undergo a posterolateral thoracotomy were recruited before surgery and followed prospectively for 2 months.
Evolution and characteristics of nocturnal knee pain after knee arthroplasty.
Arch Orthop Trauma Surg
November 2024
Article Synopsis
- Nocturnal knee pain and poor sleep quality are common concerns for patients undergoing knee arthroplasty, and this study aimed to assess their prevalence and factors involved.
- The study involved 111 patients with evaluations of sleep quality and pain at multiple time points, revealing that 54% of patients had poor sleep quality before and after surgery, and 39% experienced nocturnal pain preoperatively, dropping to 3% one year post-surgery.
- Higher nighttime pain was linked to greater overall pain intensity and increased use of painkillers; patients who had unicompartmental arthroplasty reported significantly less nocturnal pain than those who had total knee arthroplasty.
Article Synopsis
- Chronic postsurgical pain (CPSP) is a significant issue requiring further research to understand its incidence, characteristics, and risk factors, particularly after various surgeries like breast cancer operations and knee arthroplasties.
- An extensive observational study involved 3,297 patients from 18 European hospitals, revealing a 6-month CPSP incidence rate of 10.5%, with variations based on surgery type, and highlighting a common occurrence of neuropathic pain symptoms.
- While the study did not succeed in creating a new predictive score for CPSP, it provided valuable insights into its prevalence and impact on patients' quality of life following different surgical procedures.
Background: Postsurgical outcome measures are crucial to define the efficacy of perioperative pain management; however, it is unclear which are most appropriate. We conducted a prospective study aiming to assess sensitivity-to-change of patient-reported outcome measures assessing the core outcome set of domains pain intensity (at rest/during activity), physical function, adverse events, and self-efficacy.
Methods: Patient-reported outcome measures were assessed preoperatively, on day 1 (d1), d3, and d7 after four surgical procedures (total knee replacement, breast surgery, endometriosis-related surgery, and sternotomy).