Persistent pain following breast cancer surgery: correlates and determinants.

摘要

Evaluation of: Gartner R, Jensen MB, Nielsen J, Ewertz M, Kroman N, Kehlet H: Prevalence of and factors associated with persistent pain following breast cancer surgery. JAMA 302(18), 1985-1992 (2009). This was a nationwide cross-sectional study of the prevalence of and the factors associated with persistent pain and sensory disturbances among 3253 women aged 18-70 years who received surgery and adjuvant therapy (if indicated) for primary breast cancer in Denmark between 1 January 2005 and 31 December 2006. Mean time from surgery to data collection was 26 months (range: 13-41 months) and, overall, 47% of the respondents (n = 1543) reported pain and 58% reported sensory disturbances (n = 1882). Factors associated with chronic pain included young age, adjuvant radiotherapy and axillary lymph node dissection, but not chemotherapy or type of surgery. The likelihood of increased sensory disturbances was associated with young age and axillary lymph node dissection but not with adjuvant therapy or type of surgery.