- AutorIn
- Marie Dorow
- Margrit Löbner
- Janine Stein
- Alexander Pabst
- Alexander Konnopka
- Hans J. Meisel
- Lutz Günther
- Jürgen Meixensberger
- Katarina Stengler
- Steffi G. Riedel-Heller
- Titel
- The course of pain intensity in patients undergoing herniated disc surgery
- Untertitel
- a 5-year longitudinal observational study
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:15-qucosa-206139
- Quellenangabe
- PLoS ONE 11(5): e0156647. doi:10.1371/journal. pone.0156647
- Erstveröffentlichung
- 2016
- Abstract (EN)
- Objectives: The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients? Methods: The baseline survey (T0; n = 534) was conducted 3.6 days (SD 2.48) post-surgery in the form of face-to-face interviews. The follow-up interviews were conducted 3 months (T1; n = 486 patients), 9 months (T2; n = 457), 15 months (T3; n = 438), and 5 years (T4; n = 404) post-surgery. Pain intensity was measured on a numeric rating-scale (NRS 0–100). Estimated changes to and influences on postoperative pain by random effects were accounted by regression models. Results: Average pain decreased continuously over time in patients with lumbar herniated disc (Wald Chi² = 25.97, p<0.001). In patients with cervical herniated disc a reduction of pain was observed, albeit not significant (Chi² = 7.02, p = 0.135). Two predictors were associated with postoperative pain in lumbar and cervical disc surgery patients: the subjective prognosis of gainful employment (p<0.001) and depression (p<0.001). Conclusion: In the majority of disc surgery patients, a long-term reduction of pain was observed. Cervical surgery patients seemed to benefit less from surgery than the lumbar surgery patients. A negative subjective prognosis of gainful employment and stronger depressive symptoms were associated with postoperative pain. The findings may promote multimodal rehabilitation concepts including psychological and work-related support.
- Andere Ausgabe
- Link zur Originalpublikation in der Zeitschrift Plos One
Link: http://dx.doi.org/10.1371/journal. pone.0156647 - Freie Schlagwörter (DE)
- Operation, Medikamentation, psychische Rehabilitation, Schmerz, Depression
- Freie Schlagwörter (EN)
- Surgical and invasive medical procedures, psychological rehabilitation, pain psychology, depression
- Klassifikation (DDC)
- 610
- Herausgeber (Institution)
- Universität Leipzig, Leipzig
- Universität Hamburg, Hamburg
- Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle
- Klinikum St. Georg, Leipzig
- Verlag
- Public Library of Science, San Francisco
- URN Qucosa
- urn:nbn:de:bsz:15-qucosa-206139
- Veröffentlichungsdatum Qucosa
- 28.06.2016
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch