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Chronic pain and quality of life following open inguinal hernia repair
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Poobalan, A. S., Bruce, J. (Julie), King, P. M., Chambers, W. A., Krukowski, Z. H. and Smith, W. C. S. (2001) Chronic pain and quality of life following open inguinal hernia repair. British Journal of Surgery, 88 (8). pp. 1122-1126. doi:10.1046/j.0007-1323.2001.01828.x ISSN 0007-1323.
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Official URL: https://doi.org/10.1046/j.0007-1323.2001.01828.x
Abstract
Background: The aim was to determine the frequency and characteristics of chronic pain following open inguinal hernia repair and to identify risk factors for its development. Methods: This was a questionnaire survey of a historical cohort of patients who underwent inguinal hernia surgery in Aberdeen. The sample comprised all patients (n = 351) who underwent surgery between January 1995 and December 1997, and who were alive and resident in Grampian in October 1999. Outcome measures included self-report of pain persisting for more than 3 months after operation. Pain was characterized by means of the McGill Pain Questionnaire, and quality of life was assessed with the Short Form 36 (SF-36). Results: A total of 226 patients (64 per cent) completed the questionnaire, 67 (30 per cent) of whom reported chronic pain. Reported pain was predominantly neuropathic in character. Patients at increased risk of chronic pain were under 40 years old (P < 0.001), had day-case surgery (P = 0.004), had subsequent surgery on the same side (P < 0.005) and recalled pain before operation (P = 0.005). The SF-36 scores were significantly different in the social functioning, mental health and pain dimensions in patients with chronic pain. Conclusion: Chronic pain occurred in 30 per cent of patients after open hernia repair, a higher frequency than has been reported previously. Several risk factors were identified and further prospective research is recommended.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of Surgery | ||||||
| Publisher: | Wiley-Blackwell | ||||||
| ISSN: | 0007-1323 | ||||||
| Official Date: | August 2001 | ||||||
| Dates: |
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| Volume: | 88 | ||||||
| Number: | 8 | ||||||
| Page Range: | pp. 1122-1126 | ||||||
| DOI: | 10.1046/j.0007-1323.2001.01828.x | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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