Characteristics and distribution of chronic pain after mastectomy and breast reconstruction: a long-term prospective cohort study
Purpose Chronic pain following breast surgery is a concern for breast cancer survivors; however, few studies have investigated the localization of persistent postoperative pain. We conducted this study to identify the location of pain following breast reconstruction. Methods A total of 213 Japanese women undergoing mastectomy only or breast reconstruction with a tissue expander/implant (TE/Imp) or a deep inferior epigastric perforator (DIEP) flap were enrolled in the study. Questionnaires related to pain location were sent to patients at the end of postoperative year (POY) 1 and POY 5. Multiple comparisons of the types of operation and cross-tabulation were made between the two time points. Results Surveys were completed by 107 of the women. Severe pain in the upper medial breast was significantly more common in POY 1 after DIEP reconstruction than after mastectomy only (P = 0.01), whereas abdominal pain was worse in POY 5 after DIEP reconstruction than after mastectomy only (P = 0.04). Pain in the medial arm and axilla had resolved better after TE/Imp (P = 0.03) and DIEP reconstruction (P = 0.01) than after mastectomy only by POY 5, but the difference between TE/Imp and DIEP reconstruction was not significant. Conclusions These results show that localization of prolonged postoperative pain following breast reconstruction differs depending on the surgical strategy..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
|---|---|
| Enthalten in: |
Surgery today - 53(2023), 8 vom: 31. März, Seite 957-963 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Shiraishi, Makoto [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| BKL: | |
|---|---|
| Themen: |
Breast implant |
| Anmerkungen: |
© The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
|---|
| doi: |
10.1007/s00595-023-02676-y |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2144678936 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2144678936 | ||
| 003 | DE-627 | ||
| 005 | 20240118100335.0 | ||
| 007 | tu | ||
| 008 | 240118s2023 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00595-023-02676-y |2 doi | |
| 035 | |a (DE-627)OLC2144678936 | ||
| 035 | |a (DE-He213)s00595-023-02676-y-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 084 | |a 44.00 |2 bkl | ||
| 100 | 1 | |a Shiraishi, Makoto |e verfasserin |0 (orcid)0000-0002-3734-2085 |4 aut | |
| 245 | 1 | 0 | |a Characteristics and distribution of chronic pain after mastectomy and breast reconstruction: a long-term prospective cohort study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. | ||
| 520 | |a Purpose Chronic pain following breast surgery is a concern for breast cancer survivors; however, few studies have investigated the localization of persistent postoperative pain. We conducted this study to identify the location of pain following breast reconstruction. Methods A total of 213 Japanese women undergoing mastectomy only or breast reconstruction with a tissue expander/implant (TE/Imp) or a deep inferior epigastric perforator (DIEP) flap were enrolled in the study. Questionnaires related to pain location were sent to patients at the end of postoperative year (POY) 1 and POY 5. Multiple comparisons of the types of operation and cross-tabulation were made between the two time points. Results Surveys were completed by 107 of the women. Severe pain in the upper medial breast was significantly more common in POY 1 after DIEP reconstruction than after mastectomy only (P = 0.01), whereas abdominal pain was worse in POY 5 after DIEP reconstruction than after mastectomy only (P = 0.04). Pain in the medial arm and axilla had resolved better after TE/Imp (P = 0.03) and DIEP reconstruction (P = 0.01) than after mastectomy only by POY 5, but the difference between TE/Imp and DIEP reconstruction was not significant. Conclusions These results show that localization of prolonged postoperative pain following breast reconstruction differs depending on the surgical strategy. | ||
| 650 | 4 | |a Chronic postoperative pain | |
| 650 | 4 | |a Breast reconstruction | |
| 650 | 4 | |a Tissue expander | |
| 650 | 4 | |a Breast implant | |
| 650 | 4 | |a Deep inferior epigastric perforator (DIEP) flap | |
| 700 | 1 | |a Sowa, Yoshihiro |0 (orcid)0000-0002-7112-1630 |4 aut | |
| 700 | 1 | |a Tsuge, Itaru |4 aut | |
| 700 | 1 | |a Shiraishi, Akiko |4 aut | |
| 700 | 1 | |a Inafuku, Naoki |4 aut | |
| 700 | 1 | |a Morimoto, Naoki |4 aut | |
| 700 | 1 | |a Nakayama, Ichiro |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Surgery today |d Springer Nature Singapore, 1992 |g 53(2023), 8 vom: 31. März, Seite 957-963 |w (DE-627)170846210 |w (DE-600)1115435-4 |w (DE-576)03273302X |x 0941-1291 |7 nnns |
| 773 | 1 | 8 | |g volume:53 |g year:2023 |g number:8 |g day:31 |g month:03 |g pages:957-963 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s00595-023-02676-y |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a GBV_ILN_2018 | ||
| 936 | b | k | |a 44.00 |q VZ |
| 951 | |a AR | ||
| 952 | |d 53 |j 2023 |e 8 |b 31 |c 03 |h 957-963 | ||