Factors Associated With Acute Pain Estimation, Postoperative Pain Resolution, Opioid Cessation, and Recovery
Author(s) -
Jennifer M. Hah,
Eric Cramer,
Heather E. Hilmoe,
Peter Schmidt,
Rebecca McCue,
Jodie A. Trafton,
Debra Clay,
Yasamin Sharifzadeh,
Gabriela Ruchelli,
Stuart B. Goodman,
James I. Huddleston,
William J. Maloney,
Frederick M. Dirbas,
Joseph B. Shrager,
John G. Costouros,
Catherine Curtin,
Sean Mackey,
Ian Carroll
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.0168
Subject(s) - medicine , anesthesia , randomized controlled trial , placebo , physical therapy , osteoarthritis , surgery , pathology , alternative medicine
Key Points Question Which prospectively assessed descriptor of the acute pain trajectory in the first 10 days after surgery best estimates the likelihood of remote pain resolution, opioid cessation, and patient-reported complete recovery after surgery? Findings In this secondary analysis of a randomized clinical trial of 422 patients, the worst surgical-site pain intensity over the last 24 hours reported on postoperative day 10 appeared to be the best predictor of remote pain resolution, opioid cessation, and complete recovery after surgery. Meaning A possibly uniform predictor of disparate surgical outcomes long after hospital discharge may be easily assessed.
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