Komann, M; Dreiling, J; Baumbach, P; Weinmann, C; Kalso, E; Stamer, U; Volk, T; Pogatzki-Zahn, E; Kehlet, H; Meissner, W (2024). Objectively measured activity is not associated with average pain intensity 1 week after surgery: A cross-sectional study. European journal of pain, 28(8), pp. 1330-1342. Wiley 10.1002/ejp.2260
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BACKGROUND
Measures of physical activity and pain-related patient-reported outcomes are important components of patient recovery after surgery. However, little is known about their association in the early post-operative period. This study aims to increase this knowledge. Our primary objective was to determine the association between average pain intensity and activity (in steps) 1 week after surgery. Secondary objectives were the association of activity with other patient-reported outcomes, age, sex, comorbidities and body mass index.
METHODS
Data were obtained from the PROMPT sub-project of IMI-PainCare. Patients after breast and endometriosis-related surgery, sternotomy and total knee arthroplasty completed pain-related outcomes questionnaires and wore an ActiGraph activity-tracking device. We correlated steps with average pain intensity on post-operative days 6 and 7. Secondary analyses were done using correlations and t-tests.
RESULTS
In 284 cases, there was no statistically significant correlation between steps and average pain intensity. In addition, none of the 28 secondary analyses showed a statistically significant result.
CONCLUSIONS
Pain-related patient-reported outcome measures and physical activity are separate entities. Both should be measured after surgery to assess patient recovery and to identify treatment deficiencies.
SIGNIFICANCE STATEMENT
Measuring recovery is a multi-dimensional challenge. After surgery, clinicians need to be aware that neither pain intensity nor activity levels tell the whole story. Each can hint to problems and treatment requirements.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy |
UniBE Contributor: |
Stamer, Ulrike |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1532-2149 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
11 Mar 2024 16:36 |
Last Modified: |
14 Aug 2024 00:12 |
Publisher DOI: |
10.1002/ejp.2260 |
PubMed ID: |
38450921 |
BORIS DOI: |
10.48350/194024 |
URI: |
https://boris.unibe.ch/id/eprint/194024 |
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