25/5/2016

Post-operative pain management in head and neck cancer patients: predictive factors and efcacy of therapy. - PubMed - NCBI

PubMed

Abstract
ActaOtorhinolaryngolItal.2016Apr36(2):9196.doi:10.14639/0392100X499.Epub2016Apr29.

Postoperativepainmanagementinheadandneckcancerpatients:
predictivefactorsandefficacyoftherapy.
BianchiniC1,MalagM1,CremaL1,AimoniC1,MatarazzoT2,BortolazziS2,CiorbaA1,PelucchiS1,
PastoreA1.

Authorinformation
1

ENTandAudiologyDepartment.
AnaesthesiologyDepartment,"S.Anna"UniversityHospitalofFerrara,Italy.

Abstract inEnglish,Italian
Thereisincreasinginterestaboutallaspectsofpainsensationforpatientsundergoinghead
andnecksurgery,andeffortshavebeenmadetobetterassess,monitorandreducethe
occurrenceofpain.Theaetiologyofpainisconsideredtobe"multifactorial",asitisdefinedby
severalfeaturessuchaspersonalexperience,qualityperception,location,intensityand
emotionalimpact.Theaimofthispaperis:(i)toevaluatetheefficacyofanalgesictreatmentin
patientswithheadandneckcancertreatedbysurgery,and(ii)tostudythevariablesand
predictivefactorsthatcaninfluencetheoccurrenceofpain.Atotalof164patients,affectedby
headandneckcancerandsurgicallytreated,betweenDecember2009andDecember2013,
wereincludedinthisstudy.Datacollectedincludeage,gender,assessmentofanaestheticrisk,
tumourlocalisation,pathologicalcancerstage,TNMstage,typeofsurgeryperformed,
complexityanddurationofsurgery,postoperativecomplications,postoperativedaysofhospital
stayandpainevaluationondays0,1,3and5postsurgery.Westudiedtheappropriatenessof
analgesictherapyintermsofincidenceandprevalenceofpostoperativepainwealsorelated
paintopatientcharacteristics,diseaseandsurgicaltreatmenttodeterminepossiblepredictive
factors.Thepopulationstudiedreceivedadequatepaincontrolthroughanalgesictherapy
immediatelypostsurgeryandinthefollowingdays.Noassociationsbetweengender,ageand
postoperativepainwerefound,whereaspathologicalcancerstage,complexityofsurgeryand
tumoursiteweresignificantlyassociatedwiththeriskofpostoperativepain.Adequatepain
controlisessentialinoncologicalpatients,andparticularlyinheadandneckcancerpatientsas
theprevalenceofpaininthislocalisationisreportedtobehigherthaninotheranatomicalsites.
Improvedcomprehensionofthebiologicalandpsychologicalfactorsthatcharacterisepain
perceptionwillhelptoenhanceitscontrolinthefuture.
CopyrightbySocietItalianadiOtorinolaringologiaeChirurgiaCervicoFacciale,Rome,Italy.
KEYWORDS: HeadandneckcancerPainPaintherapyQualityoflifeSurgery
PMID:27196072[PubMedassuppliedbypublisher]
http://www.ncbi.nlm.nih.gov/pubmed/27196072

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Post-operative pain management in head and neck cancer patients: predictive factors and efcacy of therapy. - PubMed - NCBI

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http://www.ncbi.nlm.nih.gov/pubmed/27196072

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