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- W265568914 abstract "The aims of this thesis are:To give an overview of one of the serious consequences of acute pain – thetransition to chronic pain; To measure and rank pain intensity in a large number of surgical groups in order to define the surgical groups where pain treatment is insufficient and those where pain control is adequate; To determine possible reasons for inadequate pain relief: to identify patient and surgical factors that are associated with postoperative pain intensity, as well as: to analyze whether their influence is dependent on the type of surgery; To obtain a better insight into patient’s pain perception and the impact of acute pain by analyzing different pain outcome variables next to pain intensity.Outline of this thesis: Acute postoperative pain is known to be the most important risk factor for thedevelopment of chronic postoperative pain. Chapter 2 reviews the transition fromacute to chronic postoperative pain and its consequences.Chapter 3 describes and compares pain intensity, pain treatment, and anesthesiatechnique of 179 different surgical groups.In Chapter 4, more than 800 cesarean-section patients are analyzed and comparedto more than 2,400 hysterectomy patients with respect to anesthesia and analgesictechniques, to identify potential causes of insufficient pain treatment after cesareansection.In Chapter 5 the procedure-specific influence of gender, age, and preoperativechronic pain intensity on postoperative pain scores is investigated using the 30most frequently performed surgeries involving over 22,000 patients.Chapter 6 further examines the potential role of gender in the development ofpostoperative pain. In addition to pain intensity, other relevant outcomes suchas wish for more analgesics or pain-related interferences are used to indicate theclinical relevance of gender-specific pain perception.Chapter 7 analyzes the influence of the duration of surgery on postoperative pain.In Chapter 8, the factors influencing satisfaction with postoperative pain treatmentare analyzed based on data from the PainOut registry.Chapter 9 aims to define optimal cut-off values to divide the 11-item numericrating scale (NRS 0-10) of postoperative pain intensity into three frequently usedcategories (mild, moderate, and severe pain).In Chapter 10 results of the studies are discussed and directions for improvementand future studies on postoperative pain treatment are outlined." @default.
- W265568914 created "2016-06-24" @default.
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- W265568914 date "2015-02-20" @default.
- W265568914 modified "2023-09-23" @default.
- W265568914 title "Procedure-specific postoperative pain treatment" @default.
- W265568914 hasPublicationYear "2015" @default.
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