Hauptthema · Main Topic
Chronifizierung postoperativer AkutschmerzenHinrichs A. · Schulz K. · Järvinen I. · Neugebauer E.
Institut für Forschung in der Operativen Medizin (IFOM), Fakultät für Medizin, Lehrstuhl für Chirurgische Forschung, Private Universität Witten/Herdecke, Köln, Deutschland
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Persistent Pain after Surgery Chronic pain after surgery is a common phenomenon and increasingly in focus of international research. 30-70% of patients are suffering from acute pain after surgery. The incidences of chronic postoperative pain vary from 0-75%, depending on type of surgery. Pain does not only increase health care costs, it considerably derogates the patient’s quality of life. The process of pain chronification is a highly complex process in which physical, psychological and social factors influence each other in a recursive manner. That is why a biopsychosocial model of illness and salutogenesis becomes more important. The literature shows diverse biopsychosocial predictors of chronic postoperative pain. In line with that, the hospitals’ acute pain therapies become even more important as acute pain seem to be an evident predictor for chronic pain after surgery. Besides, other biomedical factors such as preoperative pain, re-operation, complications, nerve injuries, special surgical approaches and the type of anesthesia as well as psychosocial factors like depression, anxiety, psychological vulnerability, stress, age and late return to work seem to be evident risk factors regarding chronic postoperative pain.
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