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Quality of Life Research

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02-08-2018

Life satisfaction and pain interference in spine surgery patients before and after surgery: comparison between on-opioid and opioid-naïve patients

Auteurs: Moona Kuronen, Hannu Kokki, Timo Nyyssönen, Sakari Savolainen, Merja Kokki

Gepubliceerd in: Quality of Life Research | Uitgave 11/2018

Abstract

Purpose

Pain has a negative impact on life satisfaction (LS). Our primary aims were to compare LS in on-opioid and opioid-naïve spine surgery patients and to evaluate whether surgery affects LS during the first 3 weeks after surgery.

Methods

After informed consent 200 patients (99 on-opioid, 101 opioid-naïve; 112 male; aged 23–71 years) having elective spine surgery were enrolled. Their LS was evaluated using a four-item Life Satisfaction Scale (4–20, lower score more satisfied) and pain interference using Brief Pain Inventory (BPI)-questionnaire (0–10, lower score, less interference) before and 21 days after surgery.

Results

At baseline LS was lower in the ON-OPIOID-group, mean LS-score 10.6 (SD 3.9), than that in the OPIOID-NAÏVE-group, 9.3 (3.0) (p = .027). At 3 weeks after surgery LS had increased in both groups compared to baseline (p < .001). However, LS was still lower in the ON-OPIOID-group, 9.1 (3.7) than that in the OPIOID-NAÏVE-group, 7.6 (2.7) (p = .005). Patients with lower LS experienced more pain interference pre- and post-operatively (p < .001). At 3 weeks the pain interference had decreased in both groups, in the ON-OPIOID-group from mean BPI-score 5.1 (2.0) to 3.0 (2.0) (p < .001) and in the OPIOID-NAÏVE-group from 4.0 (2.1) to 2.4 (2.3) (p < .001), but BPI-score was still higher in the ON-OPIOID-group (p = .045).

Conclusion

Life satisfaction increased and pain interference decreased in both groups after spine surgery. However, LS was lower and pain interference was more significant in on-opioid patients than that in opioid-naïve patients.

vorige artikel The reliability of end of day and ecological momentary assessments of pain and pain interference in individuals with spinal cord injury

volgende artikel Evaluation of opioid use among patients with back disorders and arthritis

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Titel: Life satisfaction and pain interference in spine surgery patients before and after surgery: comparison between on-opioid and opioid-naïve patients
Auteurs: Moona Kuronen
Hannu Kokki
Timo Nyyssönen
Sakari Savolainen
Merja Kokki
Publicatiedatum: 02-08-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 11/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1961-x

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Abstract

Purpose

Methods

Results

Conclusion

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