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Chronic pain following laparoscopic living‐donor nephrectomy: Prevalence and impact on quality of life
Author(s) -
Bruintjes Moira H. D.,
van Helden Esmee V.,
Vries Marjan,
Wirken Lieke,
Evers Andrea W. M.,
Middendorp Henriët,
Kloke Heinrich,
d'Ancona Frank C. H.,
Langenhuijsen Johan F.,
Steegers Monique A. H.,
Warlé Michiel C.
Publication year - 2019
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.15350
Subject(s) - medicine , nephrectomy , quality of life (healthcare) , surgery , physical therapy , kidney , nursing
Chronic postsurgical pain ( CPSP ) following laparoscopic donor nephrectomy ( LDN ) is a disregarded topic. In this cross‐sectional study, all consecutive patients who underwent an LDN at the Radboud University Medical Center (Radboudumc; 2003‐2016) were approached for participation. Five hundred twelve living kidney donors were included and asked to complete two questionnaires, including the McGill Pain Questionnaire and the RAND Short Form‐36 Health Status Inventory ( RAND SF ‐36) regarding their health‐related quality of life ( HRQ oL). The mean prevalence of CPSP following LDN was 5.7%, with a mean follow‐up time of 6 years. Possible predictors of CPSP following LDN are severe early postoperative pain, previous abdominal surgery, and preexisting backache. The RAND SF ‐36 revealed an impaired HRQ oL in patients with CPSP when compared to patients without CPSP . In conclusion, this study revealed that the prevalence of CPSP following LDN is substantial. Given the possible association between the presence of CPSP and impaired HRQ oL scores, living kidney donors should be well informed in the preoperative phase about the risk of CPSP .