期刊
JOURNAL OF PAIN
卷 13, 期 12, 页码 1172-1187出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.jpain.2012.09.013
关键词
Breast pain; persistent postsurgical pain; risk factors; breast cancer surgery; growth mixture modeling; latent class analysis
资金
- National Cancer Institute [CA107091, CA118658]
- National Institutes of Health (NIH) Roadmap for Medical Research [KL2 RR624130]
- Mount Zion Health Fund
- NIH [K23 AT005340]
- Department of Defense
- NINR [F31 NR012604]
- ACS [DSCN-10-087]
- Oncology Nursing Society
- UCSF Nursing Alumni Association
- American Cancer Society [MRSG 12-01-PCSM]
- NIH/NCRR UCSF-CTSI [UL1 RR024131]
Study purposes were to determine the prevalence of persistent pain in the breast; characterize distinct persistent pain classes using growth mixture modeling; and evaluate for differences among these pain classes in demographic, preoperative, intraoperative, and postoperative characteristics. In addition, differences in the severity of common symptoms and quality of life outcomes measured prior to surgery, among the pain classes, were evaluated. Patients (n = 398) were recruited prior to surgery and followed for 6 months. Using growth mixture modeling, patients were classified into no (31.7%), mild (43.4%), moderate (13.3%), and severe (11.6%) pain groups based on ratings of worst breast pain. Differences in a number of demographic, preoperative, intraoperative, and postoperative characteristics differentiated among the pain classes. In addition, patients in the moderate and severe pain classes reported higher preoperative levels of depression, anxiety, and sleep disturbance than the no pain class. Findings suggest that approximately 25% of women experience significant and persistent levels of breast pain in the first 6 months following breast cancer surgery. Perspective: Persistent pain is a significant problem for 25% of women following surgery for breast cancer. Severe breast pain is associated with clinically meaningful decrements in functional status and quality of life. (C) 2012 by the American Pain Society
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