Pain Management and Research
Relationship between preoperative widespread pain and chronic post-surgical pain following total knee arthroplasty in patients with knee osteoarthritis
Long Dandan, Yang Xinlu, Hu Jicheng, Chen Jieru, Chen Jiaqi, Gao Wei, Gu Hai, Wang Di, Chai Xiaoqing
Published 2022-08-20
Cite as Chin J Anesthesiol, 2022, 42(8): 945-948. DOI: 10.3760/cma.j.cn131073.20220314.00811
Abstract
ObjectiveTo evaluate the relationship between preoperative widespread pain and chronic post-surgical pain (CPSP) following total knee arthroplasty (TKA) in the patients with knee osteoarthritis.
MethodsTwo hundred American Society of Anesthesiologists physical status Ⅰ-Ⅲ patients with knee osteoarthritis, aged 40-70 yr, undergoing elective the first unilateral primary TKA under general anesthesia, were enrolled.The widespread pain index, visual analogue scale score, Hospital Anxiety and Depression Scale and Central Sensitization Inventory scores were recorded at 1 day before surgery.The patients were divided into CPSP-positive group and CPSP-negative group according to visual analogue scale score at 6 months after surgery.Risk factors for CPSP were analyzed by logistic regression.
ResultsThe results of logistic regression analysis showed that increased preoperative widespread pain index score, Central Sensitization Inventory score and Hospital Anxiety and Depression Scale score and female were risk factors for CPSP after TKA.
ConclusionsPreoperative widespread pain is a risk factor for CPSP following TKA in the patients with knee osteoarthritis.
Key words:
Chronic pain; Pain, postoperative; Arthroplasty, replacement, knee; Osteoarthritis, knee
Contributor Information
Long Dandan
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Yang Xinlu
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Hu Jicheng
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Chen Jieru
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Chen Jiaqi
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Gao Wei
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Gu Hai
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Wang Di
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
Chai Xiaoqing
Department of Anesthesiology, Affiliated Provincial Hospital, Anhui Medical University, Hefei 230001, China
