characterising post mastectomy pain syndrome in 111 scottish women l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Characterising post-mastectomy pain syndrome in 111 Scottish women PowerPoint Presentation
Download Presentation
Characterising post-mastectomy pain syndrome in 111 Scottish women

Loading in 2 Seconds...

play fullscreen
1 / 15

Characterising post-mastectomy pain syndrome in 111 Scottish women - PowerPoint PPT Presentation


  • 247 Views
  • Uploaded on

Characterising post-mastectomy pain syndrome in 111 Scottish women. David Sheridan, Irwin Foo , Halia O’Shea, David Gillanders , Linda Williams, Marie Fallon, Lesley Colvin The University of Edinburgh. Post-mastectomy pain syndrome. Intercostal brachial neuralgia Neuroma pain

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Characterising post-mastectomy pain syndrome in 111 Scottish women' - brooke


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
characterising post mastectomy pain syndrome in 111 scottish women

Characterising post-mastectomy pain syndrome in 111 Scottish women

David Sheridan, Irwin Foo, Halia O’Shea, David Gillanders, Linda Williams, Marie Fallon, Lesley Colvin

The University of Edinburgh

post mastectomy pain syndrome
Post-mastectomy pain syndrome

Intercostal brachial neuralgia

Neuroma pain

Phantom breast pain

Other

slide3
Studies have consistently shown the incidence of PMPS to be ~50% between 24 and 36 months post-operatively1,2

1 MacDonald et al; Br J cancer 2005

2 Gartner et al; JAMA 2009

possible risk factors
Possible risk factors

Younger age

Pre-operative pain

Increased pre-op anxiety

Severe post-operative pain

Invasiveness of surgery

(Individual histology?)

the aim
The Aim

To ascertain the prevalence of PMPS in the Edinburgh Breast Unit characterise its nature and severity and screen patients for the KPS.

KPS=Ketamine in Pain Study

slide6

Methods: cross-sectional questionnaire based design

Medical, surgical and demographic data

Do you still experience pain as a result of your treatment?

YES

Pain questions

NO

McGill pain questionnaire short form (MPQ-SF)

Leeds Assessment of Neuropathic symptoms and signs (LANSS)

Chronic pain acceptance questionnaire (CPAQ)

Hospital anxiety and depression scale (HADs)

results
Results

Do you still feel you experience pain as a result of your treatment?

Mean age

Time since surgery

NS (t109=1.864 p=0.065)

Mean=64.43,St Dev= 10.957

NS (t108=0.145 p=0.885)

Mean=64.51, St Dev=39.418

slide9

Logistic Regression

Backwards

Forwards

Exp(B)=risk estimate

hospital anxiety depression scale
Hospital anxiety depression scale

T25=-3.460, p=0.002

T25=-2.739

P=0.011

NS

NS

NS

NS

n=6

characteristics
Characteristics

Mean VAS 3.23

40% of patients scored 12+ on the LANSS

key points
Key points

29% of long term breast cancer patients have chronic pain at a mean time of 64 months post-op

The pain is mild to moderate (VAS 3.23)

Pre-op pain and chemotherapy seriously increase risk chronic pain

The pain is extremely variable

questions
Questions?

David Sheridan

s0791682@sms.ed.ac.uk